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The CONSATUR experience in the Dominican Republic was born in 1998 motivated by the need to bring together two engines of national development: Tourism and Health of its inhabitants and of those who visit. They have gradually been shifting from specific coordination actions to consolidate a space of alliance seeking a common goal: to create favorable conditions for health of people and to foster tourism as an important economic activity. It is a good example of practices previous to the HiAP initiative, since back then it was incorporating already many of its criteria.
PLANAL is an experience in Paraguay where a government and its citizens work together to respond with holisticpolicies and actions to fight the main causes of food insecurity. It is a global governance strategy to improve the efficiency of State action. In this case a strong intersectoral coordination seeks to overcome the fragmented efforts and reverse the unequal distribution of resources.
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 Pernambuco , Brazil, they have woven a strong network that involves leaders from the government, university and the community . Everyone collaborates by providing: courses, dissemination, volunteering, and specific plans to make municipalities a healthy experience. Everyone works as a network by meeting, coordinating and acting together. The goal is to develop health equity, social justice, cooperation and the preception of happiness.
A law that seeks a tobacco-free country, was the result of a hard negotiation process that mobilized the health sector in Suriname. From the beginning this sector knew it could not act alone . It is based on a collaborative effort with contributions from different sectors. It included lobbying with political leaders and the private sector, as well as a creating awareness and mobilizing citizens. The law was passed in 2013 with an absolute majority.
Cuba exemplifies a process of incorporating the focus of health promotion in the national system that was initiated at the time of the Revolution, and adapted to the perspective of the social determinants of health over time. It is a case of inter-sectoral work that has been institutionalized and is reflected in the Constitution, where all relevant actor, including community representatives, are summoned to collaborate on the design, implementation and monitoring of policies and programs.