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NUNES, A.R. TAVARES, A.S. VELEZ, C.G. SOUSA, J.M. Julho 2002

“FROM THEORY TO PRACTICE IN HEALTH PROMOTION? – EFFECTIVENESS OF THE PORTUGAL CINDI PROGRAM – PILOT ZONE OF SETÚBAL “. NUNES, A.R. TAVARES, A.S. VELEZ, C.G. SOUSA, J.M. Julho 2002. INTRODUCTION. Cardiovascular disease (CVD) is the greatest public health epidemic globally;

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NUNES, A.R. TAVARES, A.S. VELEZ, C.G. SOUSA, J.M. Julho 2002

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  1. “FROM THEORY TO PRACTICE IN HEALTH PROMOTION? – EFFECTIVENESS OF THE PORTUGAL CINDI PROGRAM – PILOT ZONE OF SETÚBAL “ NUNES, A.R. TAVARES, A.S. VELEZ, C.G. SOUSA, J.M. Julho 2002 National School of Public Health of Lisbon

  2. INTRODUCTION • Cardiovascular disease (CVD) is the greatest public health epidemic globally; • CVD is the number one killer and the major cause of disability in Europe; • Half the deaths in the industrialised world are the result of CVD; • The major causes of CVD are well known and have been well documented: smoking, poor dietary habits, lack of exercise, high cholesterol; • In 1984, WHO established the Countrywide Integrated Noncommunicable Diseases Intervention (CINDI) Program; • CINDI supports the development, in member countries, of comprehensive policies to prevent noncommunicable diseases ( NCDs ) and alleviate their consequences • A key objective is to reduce risk factors common to major NCDs though programs based in communities and workplaces • CINDI has become one of the most active WHO programs for mobilizing health professional to adopt and apply principles of health for all. Program efforts have created a network of 24 countries, including Portugal, that work individually and collaboratively to prevent NCDs National School of Public Health of Lisbon

  3. PROBLEM • As there isn't any evaluation of CINDI program in Portugal and is necessary to support the increment of the program to national level for ten more years, the authors propose a qualitative evaluation through Delphi panel technique, once it doesn't exist quantitative data. National School of Public Health of Lisbon

  4. RELEVANCE FOR PH AND HP • Is necessary demonstrate the effectiveness of the CINDI program and the investment in financial and human resources with this program, to base on a political decision of elargement the program at national level (Portugal), for ten more years. National School of Public Health of Lisbon

  5. AIMS AND OBJECTIVES • Aims: • Collect opinions and evaluate perspectives of the leadership members of the most important sectorial areas defined in the CINDI Program. • General Objective: • To contribute for the take political decision with base in the experience about the CINDI program in past years activity. • Specific Objectives: • Create a questionnaire for the technique Delphi Panel that contributes to political and technical decision for the future implementation of CINDI Program in a national level (Portugal). • Application of the Delphi Panel to the leadership members of the most important sectorial areas defined in the CINDI Program. • Develop and to deepen the information to the social partners and scientific community. National School of Public Health of Lisbon

  6. METHODOLOGY • Transversal and qualitative study, throughDelphi panel technique, with three rounds. • Experts group: • People with different professional activity involved in the CINDI program (experts and community representation) • Data collection: • Questionnaire with close questions of two types (Strategic and operational) National School of Public Health of Lisbon

  7. EXPECTATIONS • Expected Opportunities: • Identification of the relevant strategies for the creation of a monitoring system; • Fundamentation of a future political decision and future proposals. • Constraints: • The difficulties started to follow a logical reasoning because of the lack of data existent and because it is very difficult to demonstrate the advantages of 15 years of CINDI application in Portugal- Setúbal as support of a future political decision which will mobilise resources (that are scarce); • Stimulate and maintain the adhesion of the experts group. Stimulate and maintain the adhesion of the experts group. • Expected Results: • We expect that this project will bring a contribution to the political decision of widening of the CINDI program for more 10 years and at a national level; • To contribute for the creation of the evaluation method of health promotion program. National School of Public Health of Lisbon

  8. COMMUNICATION • Internal Communication • Give information and a contribute to Director General for Health and the Health Services (Direcção Geral de Saúde) with the aim of creating a fundamentation base for decision making. • External Communication • Community involvement, articles publications about these matters and contribute for mass media information National School of Public Health of Lisbon

  9. FOLLOW UP • This project will be developed in a period of six month, between January and June of the next year. National School of Public Health of Lisbon

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