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Prevention of Health Risk Factors in Latin America and the Caribbean : Governance of Five Multisectoral Efforts

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dc.contributor.authorBonilla-Chacin, Maria Eugenia
dc.contributor.editorBonilla-Chacin, Maria Eugenia
dc.date.accessioned2014-06-12T19:51:10Z
dc.date.available2014-06-12T19:51:10Z
dc.date.issued2014
dc.description.abstractNon-communicable diseases (NCDs) represent an important and growing burden to the health and economies of the Latin America and the Caribbean (LAC) region. However, some of this burden can be prevented or controlled through targeted clinical services and multi-sectoral activities aimed at improving diet, promoting physical activity, and reducing tobacco use and alcohol abuse. This study focuses on population-wide, multi-sectoral interventions to prevent risk factors for NCDs. This study seeks to answer the following questions: what is the health and economic burden of NCDs in the region?; what are countries doing to promote healthy living and prevent risk factors for NCDs?; what are the main governance challenges countries face in developing and implementing population-wide NCD prevention interventions and which are the success stories?; and what else can the region do to reduce health risk factors and prevent the onset of NCDs? This study documents governance challenges in the design and implementation of promising or successful population-wide interventions intended to prevent health risk factors in LAC. It focuses on the process whereby public officials develop and implement primary-prevention policies and programs. It is composed of five commissioned case studies on multi-sectoral interventions to promote healthy living in the region. These case studies examine which stakeholders participated directly or indirectly in the decision-making process; what positions they held; which incentives they faced; which strategies they pursued; how did existing institutional arrangements affect the decision-making process; what lessons can be drawn from these processes; and what were the successes and setbacks? This report provides a glimpse into the types of opposing interests and power games involved in proposing, passing, and implementing successful or promising population-based health interventions in LAC. The aim is to provide information on the struggles and challenges involved in the design and implementation of policies, presenting an array of possible instruments and models that can be useful and adaptable to specific scenarios.en
dc.description.abstractLas enfermedades no transmisibles (ENT) constituyen una carga importante y creciente para la salud y las economías en América Latina y el Caribe. Sin embargo, parte del impacto de las ENT se puede prevenir mediante servicios clínicos focalizados y actividades multisectoriales encaminadas a mejorar el régimen alimentario, promover la actividad física, y reducir el consumo de tabaco y el abuso del alcohol. Este informe complementa al estudio regional “Promoviendo Estilos de Vida Saludable en América Latina y el Caribe: Gobernanza de Intervenciones Multisectoriales para la Prevención de Factores de Riesgo para Enfermedades No Transmisibles”, el cual se propone contribuir al diseño de políticas multisectoriales a nivel poblacional para prevenir las ENT. Este segundo volumen documenta los retos de gobernanza en el diseño e implementación de políticas prometedoras o exitosas para la prevención de factores de riesgo de la salud en la región. Se centra en cómo se toman las decisiones políticas que involucran intervenciones multisectoriales para prevenir los factores de riesgo para la salud. Y lo hace a través de cinco casos de estudio donde se examinan los actores claves que participaron directa o indirectamente en el proceso de toma de decisiones, sus posiciones, los incentivos que enfrentaron, las estrategias y el impacto de los arreglos institucionales u otros factores en el proceso de toma de decisión. Termina con las lecciones aprendidas de estos procesos sus éxitos y sus fracasos. El objetivo es suministrar información sobre las oportunidades y los retos involucrados en el diseño y la implementación de las políticas, presentando una variedad de instrumentos y modelos posibles que puedan ser útiles y adaptables a situaciones específicas.es
dc.identifierhttp://documents.worldbank.org/curated/en/2014/01/19457081/prevention-health-risk-factors-latin-america-caribbean-governance-five-multi-sectoral-efforts
dc.identifier.doi10.1596/18644
dc.identifier.urihttps://hdl.handle.net/10986/18644
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH CARE
dc.subjectACTIVE PARTICIPATION
dc.subjectADOLESCENT
dc.subjectADOLESCENT CONSUMPTION
dc.subjectADULT MEN
dc.subjectADVERTISING BANS
dc.subjectAGING
dc.subjectAGRICULTURE
dc.subjectALCOHOL
dc.subjectALCOHOL ABUSE
dc.subjectALCOHOL POLICIES
dc.subjectALCOHOL USE
dc.subjectANTI-TOBACCO POLICIES
dc.subjectBASIC EDUCATION
dc.subjectBEVERAGES
dc.subjectBLUEPRINT
dc.subjectCANCER
dc.subjectCANCERS
dc.subjectCARDIOVASCULAR DISEASE
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCARDIOVASCULAR HEALTH
dc.subjectCAUSES OF DEATH
dc.subjectCENTER FOR HEALTH
dc.subjectCHRONIC CONDITION
dc.subjectCHRONIC DISEASE
dc.subjectCHRONIC DISEASES
dc.subjectCHRONIC MALNUTRITION
dc.subjectCIGARETTES
dc.subjectCITIZENS
dc.subjectCIVIL SOCIETY ORGANIZATIONS
dc.subjectCLINICAL SERVICES
dc.subjectCOMMUNICATION CAMPAIGN
dc.subjectCORONARY HEART DISEASE
dc.subjectDATA ON TOBACCO USE
dc.subjectDEATH RATES
dc.subjectDENTAL CARIES
dc.subjectDEVELOPMENT POLICIES
dc.subjectDIABETES
dc.subjectDIET
dc.subjectDIETS
dc.subjectDISABILITY
dc.subjectDISSEMINATION
dc.subjectDRUGS
dc.subjectEATING HABITS
dc.subjectECONOMY OF TOBACCO CONTROL
dc.subjectENVIRONMENTAL SUSTAINABILITY
dc.subjectEPIDEMIC
dc.subjectEPIDEMIOLOGICAL RESEARCH
dc.subjectEPIDEMIOLOGICAL SITUATION
dc.subjectEPIDEMIOLOGY
dc.subjectEXCISE TAXES
dc.subjectEXPOSURE TO SMOKE
dc.subjectFATS
dc.subjectFEMALE LIFE EXPECTANCY
dc.subjectFERTILITY
dc.subjectFERTILITY RATE
dc.subjectFOOD INDUSTRY
dc.subjectGLOBAL ADVOCACY
dc.subjectGLOBAL HEALTH
dc.subjectGLOBAL TOBACCO EPIDEMIC
dc.subjectGOOD GOVERNANCE
dc.subjectGOVERNMENT AGENCIES
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectGROSS NATIONAL PRODUCT
dc.subjectHEALTH CARE
dc.subjectHEALTH CONSEQUENCES
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH MINISTRIES
dc.subjectHEALTH POLICIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH REFORM
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WARNINGS
dc.subjectHEALTH-SECTOR
dc.subjectHEALTHY BEHAVIORS
dc.subjectHEALTHY LIFESTYLE
dc.subjectHEALTHY LIFESTYLES
dc.subjectHEART ATTACKS
dc.subjectHEART DISEASE
dc.subjectHIGH BLOOD PRESSURE
dc.subjectHOSPITAL
dc.subjectHOSPITALIZATION
dc.subjectHOUSEHOLD SURVEYS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHYPERTENSION
dc.subjectILLNESS
dc.subjectIMPLEMENTATION OF POPULATION
dc.subjectINJURIES
dc.subjectINTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
dc.subjectINTERNATIONAL ORGANIZATIONS
dc.subjectINTERVENTION
dc.subjectLABOR MARKET
dc.subjectLABOR MARKETS
dc.subjectLAWS
dc.subjectLEADING CAUSE OF DEATH
dc.subjectLEGAL DRINKING AGE
dc.subjectLEGAL STATUS
dc.subjectLEVEL OF EDUCATION
dc.subjectLEVELS OF EDUCATION
dc.subjectLIFE EXPECTANCY
dc.subjectLOCAL AUTHORITIES
dc.subjectLONG PERIODS
dc.subjectMALNOURISHED CHILDREN
dc.subjectMARKETING
dc.subjectMEDICAL ANTHROPOLOGY
dc.subjectMINISTRIES OF HEALTH
dc.subjectMINISTRY OF HEALTH
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectNATIONAL ACTION
dc.subjectNATIONAL COUNCIL
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL LEVELS
dc.subjectNATIONAL STRATEGY
dc.subjectNUMBER OF CHILDREN
dc.subjectNURSES
dc.subjectNUTRITION
dc.subjectNUTRITION INFORMATION
dc.subjectOBESITY
dc.subjectOVERWEIGHT
dc.subjectPATIENT
dc.subjectPHYSICAL ACTIVITY
dc.subjectPHYSICIANS
dc.subjectPOLICY ANALYSIS
dc.subjectPOLICY CONCERN
dc.subjectPOLICY DECISIONS
dc.subjectPOLICY DEVELOPMENT
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY-MAKING PROCESS
dc.subjectPOLITICAL PARTIES
dc.subjectPOPULAR SUPPORT
dc.subjectPOPULATION STUDIES
dc.subjectPREMATURE MORTALITY
dc.subjectPREVENTION INTERVENTIONS
dc.subjectPUBLIC EDUCATION
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC OPINION
dc.subjectPUBLIC PLACES
dc.subjectPUBLIC POLICY
dc.subjectPUBLIC SERVICE
dc.subjectPUBLIC SUPPORT
dc.subjectPUBLIC TRANSPORTATION
dc.subjectPULMONARY DISEASE
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF LIFE
dc.subjectRECREATION
dc.subjectRECREATIONAL ACTIVITIES
dc.subjectREDUCING TOBACCO USE
dc.subjectREGIONAL STRATEGY
dc.subjectRESEARCH INSTITUTIONS
dc.subjectRISK ASSESSMENT
dc.subjectRISK FACTORS
dc.subjectRURAL DEVELOPMENT
dc.subjectRURAL RESIDENTS
dc.subjectSCHOOL CHILDREN
dc.subjectSCHOOLS
dc.subjectSECOND-HAND SMOKE
dc.subjectSELF-REGULATION
dc.subjectSERVICE DELIVERY
dc.subjectSMOKE-FREE AIR ACT
dc.subjectSMOKE-FREE ENVIRONMENTS
dc.subjectSMOKERS
dc.subjectSMOKING
dc.subjectSMOKING BAN
dc.subjectSMOKING BANS
dc.subjectSMOKING EPIDEMIC
dc.subjectSMOKING IN PUBLIC
dc.subjectSMOKING POPULATION
dc.subjectSMOKING PREVALENCE
dc.subjectSOCIAL BENEFITS
dc.subjectSOCIAL DEVELOPMENT
dc.subjectSOCIAL POLICY
dc.subjectSOCIAL SCIENCE
dc.subjectSOCIAL SCIENCES
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SERVICES
dc.subjectSOCIAL STUDIES
dc.subjectSOCIAL WELFARE
dc.subjectSODIUM
dc.subjectSTATE GOVERNMENTS
dc.subjectSTATE UNIVERSITY
dc.subjectTECHNICAL TRAINING
dc.subjectTELEVISION
dc.subjectTOBACCO
dc.subjectTOBACCO ADVERTISING
dc.subjectTOBACCO COMPANIES
dc.subjectTOBACCO CONSUMPTION
dc.subjectTOBACCO CONTROL
dc.subjectTOBACCO CONTROL MEASURES
dc.subjectTOBACCO CONTROL POLICIES
dc.subjectTOBACCO CONTROL POLICY
dc.subjectTOBACCO CONTROL PROGRAM
dc.subjectTOBACCO CONTROL STRATEGIES
dc.subjectTOBACCO EPIDEMIC
dc.subjectTOBACCO FARMING
dc.subjectTOBACCO INDUSTRY
dc.subjectTOBACCO POLICIES
dc.subjectTOBACCO POLICY
dc.subjectTOBACCO PRODUCTION
dc.subjectTOBACCO PRODUCTS
dc.subjectTOBACCO USE
dc.subjectTOBACCO USERS
dc.subjectTOBACCO-CONTROL POLICIES
dc.subjectTOBACCO-PRODUCING COUNTRIES
dc.subjectTRAFFIC ACCIDENTS
dc.subjectTRANSPORTATION
dc.subjectURBAN CENTERS
dc.subjectURBAN DEVELOPMENT
dc.subjectVIOLENCE
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUTH
dc.titlePrevention of Health Risk Factors in Latin America and the Caribbean : Governance of Five Multisectoral Effortsen
dc.titlePrevención de factores de riesgo de la salud en América Latina y el Caribe : gobernanza de cinco esfuerzos multisectorialeses
dc.title.alternativePrevencion de factores de riesgo de la salud en America Latina y el Caribe : gobernanza de cinco esfuerzos multisectorialesen
dc.title.alternativePrevencion de factores de riesgo de la salud en America Latina y el Caribe : gobernanza de cinco esfuerzos multisectorialeses
dspace.entity.typePublication
okr.crosscuttingsolutionareaJobs
okr.date.disclosure2014-05-05
okr.date.doiregistration2025-05-05T12:20:12.060822Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2014/01/19457081/prevention-health-risk-factors-latin-america-caribbean-governance-five-multi-sectoral-efforts
okr.globalpracticeTrade and Competitiveness
okr.globalpracticeHealth, Nutrition, and Population
okr.guid137211468049216224
okr.guid901881468279333864
okr.identifier.externaldocumentum000442464_20140505113008
okr.identifier.internaldocumentum19457081
okr.identifier.report87821
okr.language.supporteden
okr.language.supportedes
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/05/05/000442464_20140505113008/Rendered/PDF/878210WP0P14980ASE0ADD0THE0ABSTRACT.pdfen
okr.pdfurlhttp://documents.worldbank.org/curated/en/901881468279333864/pdf/878210WP0SPANI0o0de0la0salud0en0LAC.pdfes
okr.region.administrativeLatin America & Caribbean
okr.region.countryARGENTINA
okr.region.countryColombia
okr.region.countryMexico
okr.region.countryUruguay
okr.sectorHealth and other social services :: Health
okr.themeHuman development :: Nutrition and food security
okr.themeHuman development :: Other human development
okr.topicHealth Monitoring and Evaluation
okr.topicHealth, Nutrition and Population::Tobacco Use and Control
okr.topicFood and Beverage Industry
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Adolescent Health
okr.topicIndustry
okr.txturlhttp://documents.worldbank.org/curated/en/901881468279333864/text/878210WP0SPANI0o0de0la0salud0en0LAC.txtes
okr.unitHealth Sector (LCSHH)
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