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Promotion & Education
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The complexity of the discussion on effectiveness and evidence in health promotion practices

Regina Bodstein

Department of Social Sciences, ENSP/FIOCRUZ, Brazil, bodstein{at}ensp.fiocruz.br

This article discusses an evaluation framework based on an understanding of the constitutive elements and multi-strategic characteristics of health promotion (HP) programs. Health promotion presents an ongoing challenge for traditional evaluation frameworks (Rootman et al., 2001; Potvin, 2006; Barnes et al., 2003) when it redefines its actions as empowerment, community participation, local development, health literacy and intersectorial activities for the purpose of reducing inequalities for individuals, organizations, and public policies (Kickbush, 1994). This challenge also applies to the discussion on effectiveness of HP practice; what is at stake is the knowledge about how health promotion actions generate changes and outcomes. In short, this article proposes to discuss this redefined HP perspective and identify its usefulness in terms of the debate on effectiveness and evidence of HP in Brazil. (Promotion & Education, 2007, Supplement (1): pp 16-20)

Key Words: health programs • effectiveness • evidence • program evaluation

Promotion & Education, Vol. 14, No. 1 suppl, 16-20 (2007)
DOI: 10.1177/10253823070140010401x
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?