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In 2013 the Chilean Ministry of Health studied the experiences developed since 1998 with the Communal Plans for Health Promotion. The careful review of the evidence gave rise to the Healthy Municipalities, Cities, and Communities strategy. New focus was put on the municipalities that are leading on the territorial participatory assessments, with strategic plans for the next three years and that are strengthening the ability of its people to understand and act on their context. This allows finding solutions to territorial problems using local resources and capabilities, strengthening intersectorial action and at the national level. The local - community - national dialogue is one of the strengths of the strategy, because the policies, actions, and decisions are not going in different directions, but are in constant dialogue with each other.
This experience of Florianopolis, Brazil, shows two core development sectors acting in a coordinated manner and with oa focus on Social Determinants of Health. On the one hand, the educational sector, modifying the school curricula to longitudinally address health issues such as drug abuse, violence, culture of peace, and healthy eating, among others. And on the other hand, the health sector, training educators and school communities as health promoters.
In Mexico, the numbers of overweight and obese people are increasing every year, as well as the diseases associated to these conditions . To meet this challenge, a National Agreement for Healthy Nutrition was proposed. Different sectors promote food regulation, changing the family diet and creating awareness of eating habits, and increasing physical activity. Each sector has a specific agenda that is coordinated with the rest.
After hosting the sub-region first Health in All Policies (HiAP) training, the government of Suriname requested support from PAHO and immediately moved towards implementation of the HiAP approach for addressing the social determinants of health. A dedicated team has worked under the leadership of the Ministry of Health on the sub-region first Quick Assessment of Social Determinants of Health to understand the underlying causes of major health problems and associated health inequities. This participatory and intersectoral process lasting six months has left Suriname organized and motivated, with 8 areas of specific action. These will make sure that the responsibility of the health of the population is not only a matter for the Ministry of health, but shared with other sectors, including eight Ministries working closely with non -governmental and community organizations, the private sector, academia and the entire civil society. The experience started in 2015.
In Bolivia , a Life Point is a mobile tent located in a public place . Anyone can come and learn to prevent the risks of contracting non communicable diseases . The program began in La Paz and has spread to all nine departments of Bolivia . The initiative was started by a civic organization that has achieved to mobilize certain government sectors. The long queues in front of the tents speak of the warm reception that citizens have given to the project.
A joint-effort between those responsible for preventing sexual and domestic violence and those caring for their victims was key for the work done in Campinas, in the state of Sao Paulo, Brazil . The coordination was made possible when domestic violence was considered a public health issue, not only a concern for the police force. Today the care for victims is quick and protective; education on this topic increases awareness by teaching people how to identify cases of violence, and to aid in the prevention and reporting of cases when they occur.