A heuristic model for health-related autonomy based on health promotion ideas: the 'Health-Autonomy Interaction Model'.

Autonomy and health are central concepts in health promotion literature. Operational frameworks explaining their relationship are important to support health-related autonomy actions. This study presents a heuristic model describing the 'health-autonomy relationship' based on health promotion ideas, particularly Antonovsky's and Nordenfeldt's works. Central to the 'Health-Autonomy Interaction Model' is the existence of inter-related dimensions of autonomy: thought, intention and action, all influenced by negative and positive factors of physical and social environments (extrinsic factors) and personal resources to cope with life needs (intrinsic factors). Intrinsic factors comprise elements often included in definitions of negative (ill-health) and positive health (well-being and fitness), therefore establishing a bridge between conceptions of health and autonomy. Unique to this biopsychosocial framework is the differentiation between the potential for being autonomous and the degree of autonomy effectively achieved-the potential autonomy reflects the individual set of abilities to accomplish any task, while the expressed autonomy results from the extent to which this satisfies the demands of the environment and vital goals. Conceptualizing autonomy in this manner highlights that it is a multi-factorial capability referred to external conditions, reflecting a cluster of abilities to be and do things indicative of a self-empowered life. Concluding, our model moves the concept of health-related autonomy from a focus on 'disease' and 'incapacity' to a broader view in which the meaning of 'capacity' depends on the achievement of 'self-fulfillment' in given circumstances. The notion of autonomy is regarded as a precondition for health and an essential priority in health promotion.

Extraordinary 5-year CapEx for health plan 2019-2024

The document details Capital Expenditure that the Ministry of Health will undertake in the five year period 2019-2024.

Plantas medicinales en un proyecto de desarrollo humano / Presence of medicinal plants in a community human development project

Introducción: el establecimiento de proyectos de patios ecológicos con plantas medicinales dentro del Programa de Desarrollo Sostenible Promoción del Desarrollo Humano. Objetivos: contribuir a la transformación y remodelación de los pequeños espacios en las viviendas: patios, balcones, azoteas, jardines, como forma de obtener estilos de vida sustentables y el mejoramiento de la calidad de vida. Métodos: se desarrollaron estos proyectos en algunos territorios urbanos y rurales como Guanabacoa, Luyanó, San Antonio de los Baños, Alquizar, Guanajay; se utilizó la metodología de diagnóstico participativo donde mediante recorridos por las localidades, el diálogo y la discusión con cada propietario se realizó un diagnóstico preliminar que generó información valiosa y sensibilización sobre lo que se debía abordar: análisis de sus problemas/necesidades, posibles intereses y soluciones, condiciones actuales, recomendar lo que se desea cambiar, mantener, incorporar o suprimir; también posibilitó conocer las necesidades de capacitación y asesoramiento. Resultados: se logró hacer estos espacios más productivos al obtener además de plantas medicinales, condimentos, vegetales, frutas, plantas ornamentales, cría ecológica de conejos, gallinas y peces con recursos propios; su intercambio entre patios; la propagación de plantas para su venta en bolsas; el montaje de un secador solar que facilitó el secado de algunas plantas con utilidad como medicinales y de condimentos, su distribución y venta en la comunidad; el reciclaje de los residuos generados en la colectividad y su empleo como abono orgánico, así como la reutilización de vasijas desechables. Todo esto les ha brindado el mejoramiento de la salud y de la calidad alimentaria, algún recurso económico, concretar experiencias prácticas en agricultura ecológica para conservar los recursos((AU)

Introduction: the setting up of projects for the creation of ecological backyards with medicinal plants within the sustainable development program called Promotion of Human Development. Objectives: to contribute to the transformation and remodeling of small spaces found in houses such as backyards, balconies, roofs, gardens, etc., so that they could contribute to sustainable lifestyles and to the improvement of the quality of life. Methods: some of these projects were carried on in some urban and rural territories like Guanabacoa, Luyanó, San Antonio de los Baños, Alquízar y Guanajay. The participatory diagnosis methodology allowed reaching, after tours of the various localities, dialogue and discussion with every owner of an unused place, a preliminary diagnosis with useful information and the level of awareness about what should be addressed: analysis of their problems and needs; possible interests and solutions, present conditions, recommendations on the things that the owner desired to change, keep, incorporate or eliminate. It was also possible to learn about the training and advisory requirements in these settings. Results: more productive spaces since the owners obtain medicinal plants, seasonings, vegetables, fruits, ornamental plants, ecological raising of rabbits, chicken and fish, based on individual resources; the exchange of productions among the backyards, the sale of plants in bags, the mounting of a sun dryer facilitating the drying of some plants for medical use and of some seasonings, their distribution and community-wide sale; the recycling of residues from the community setting and their use as organic fertilizer as well as the reuse of disposable containers. All this has provided the community with better health and food quality, obtaining of some additional financial resources, the materialization of experiences in developing ecological agriculture to preserve the natural resources and the local culture, thus contributing to the(AU)

Plantas medicinales en un proyecto de desarrollo humano / Presence of medicinal plants in a community human development project

Introducción: el establecimiento de proyectos de patios ecológicos con plantas medicinales dentro del Programa de Desarrollo Sostenible Promoción del Desarrollo Humano. Objetivos: contribuir a la transformación y remodelación de los pequeños espacios en las viviendas: patios, balcones, azoteas, jardines, como forma de obtener estilos de vida sustentables y el mejoramiento de la calidad de vida. Métodos: se desarrollaron estos proyectos en algunos territorios urbanos y rurales como Guanabacoa, Luyanó, San Antonio de los Baños, Alquizar, Guanajay; se utilizó la metodología de diagnóstico participativo donde mediante recorridos por las localidades, el diálogo y la discusión con cada propietario se realizó un diagnóstico preliminar que generó información valiosa y sensibilización sobre lo que se debía abordar: análisis de sus problemas/necesidades, posibles intereses y soluciones, condiciones actuales, recomendar lo que se desea cambiar, mantener, incorporar o suprimir; también posibilitó conocer las necesidades de capacitación y asesoramiento. Resultados: se logró hacer estos espacios más productivos al obtener además de plantas medicinales, condimentos, vegetales, frutas, plantas ornamentales, cría ecológica de conejos, gallinas y peces con recursos propios; su intercambio entre patios; la propagación de plantas para su venta en bolsas; el montaje de un secador solar que facilitó el secado de algunas plantas con utilidad como medicinales y de condimentos, su distribución y venta en la comunidad; el reciclaje de los residuos generados en la colectividad y su empleo como abono orgánico, así como la reutilización de vasijas desechables. Todo esto les ha brindado el mejoramiento de la salud y de la calidad alimentaria, algún recurso económico, concretar experiencias prácticas en agricultura ecológica para conservar los recursos(

Introduction: the setting up of projects for the creation of ecological backyards with medicinal plants within the sustainable development program called Promotion of Human Development. Objectives: to contribute to the transformation and remodeling of small spaces found in houses such as backyards, balconies, roofs, gardens, etc., so that they could contribute to sustainable lifestyles and to the improvement of the quality of life. Methods: some of these projects were carried on in some urban and rural territories like Guanabacoa, Luyanó, San Antonio de los Baños, Alquízar y Guanajay. The participatory diagnosis methodology allowed reaching, after tours of the various localities, dialogue and discussion with every owner of an unused place, a preliminary diagnosis with useful information and the level of awareness about what should be addressed: analysis of their problems and needs; possible interests and solutions, present conditions, recommendations on the things that the owner desired to change, keep, incorporate or eliminate. It was also possible to learn about the training and advisory requirements in these settings. Results: more productive spaces since the owners obtain medicinal plants, seasonings, vegetables, fruits, ornamental plants, ecological raising of rabbits, chicken and fish, based on individual resources; the exchange of productions among the backyards, the sale of plants in bags, the mounting of a sun dryer facilitating the drying of some plants for medical use and of some seasonings, their distribution and community-wide sale; the recycling of residues from the community setting and their use as organic fertilizer as well as the reuse of disposable containers. All this has provided the community with better health and food quality, obtaining of some additional financial resources, the materialization of experiences in developing ecological agriculture to preserve the natural resources and the local culture, thus contributing to the

Avaliação da qualidade de vida de um grupo de idosos portadores de doenças crônicas não transmissíveis vinculados a um programa de promoção da saúde / Quality-of-life evaluation of a group of elderly patients with chronic diseases linked to health promotion program

O sistema de saúde suplementar brasileiro em virtude de obrigação normativa e com vistas tanto à busca de um novo modelo de atenção à saúde, mais cuidador, quanto à redução de custos vem implantando programas de promoção da saúde e prevenção de doenças e riscos. Estes programas são apoiados em dados demográficos e epidemiológicos que demonstram que as doenças crônicas não transmissíveis (DCNT) estão diretamente relacionadas à mortalidade e morbidade da população idosa e ao aumento da utilização de serviços de saúde por este segmento populacional. O objetivo destes programas se relaciona à melhora esperada da qualidade de vida dos participantes. Esta pesquisa pretende apreender a interpretação que os idosos participantes de um destes programas dão ao conceito qualidade de vida, verificar se estes idosos avaliam que as DCNT que os acometem interferem nesta e como veem a contribuição do programa que frequentam para esta última. A metodologia, qualitativa, realizou-se mediante entrevistas semiestruturadas. Participaram do estudo 13 idosos vinculados a um programa de promoção da saúde realizado por uma operadora de planos de saúde localizada na cidade de São Paulo, no ano de 2009. Constatou-se que o grupo avalia sua qualidade de vida como boa e muito boa, relacionando-a principalmente com bem-estar e convívio social, destacando que as doenças crônicas afetam por imporem restrições à suas atividades, que são, porém, superáveis. A participação no programa é avaliada como proporcionando bem-estar, oportunidade de convívio social e aprendizado. Acredita-se que a pesquisa atingiu os objetivos propostos, existindo, entretanto, pontos que necessitam de maior aprofundamento.

Complementos nutricionales y capitalhumano: un análisis desde los beneficiarios al nutrisano y nutrivida del programa oportunidades de México / Complementos nutricionais e capital humano: uma análise a partir da perspectiva dos beneficiários nutrisano e nutrivida do programa oportunidades do México / Nutritional supplements and human capital: an analysis based on nutrisano & nutrivida beneficiaries of Mexico’s oportunidades program

El desarrollo del capital humano es un mecanismo para combatir la pobreza. Por esa razón se han puesto en marcha distintos programas con esta finalidad. En México se implementó el programa "Oportunidades", el cual opera por medio de tres componentes. Uno de ellos es la alimentación, donde se entregan complementos nutricionales a grupos considerados vulnerables, como son los niños (Nutrisano) y las mujeres embarazadas o en periodo de lactancia (Nutrivida). Ambos han sido evaluados bajo una óptica antropométrica; sin embargo, los estudios sobre la aceptación y correcta utilización de los mismos son escasos, y de ahí que el documento aborde esta temática a partir de un estudio realizado en el Área Metropolitana de Monterrey-México.

Human capital development is an effective method to fight poverty, which is the reason for the launch of variety of programs that work in this direction. In Mexico, the implementation of the“Oportunidades” program (¨Opportunities¨ program) operates through three components. Oneof it is the food component, where nutritional supplements are given to groups considered as vulnerable, including children (Nutrisano) and pregnant or lactating (Nutrivida) women. Both have been evaluated under an anthropometric scope, although the studies related to the acceptanceand the proper uses of it are scarced. The paper addresses this undeveloped issue taking as a base a study made in the metropolitan area of Monterrey, Mexico.

O Desenvolvimento do capital humano é um mecanismo de combate à pobreza, por isso, lançaram vários programas para este fim, o México tem implementado o Oportunidades, que opera através de três componentes. Um deles é de alimentos, complementos nutricionais, onde são dadas a grupos considerados vulneráveis, incluindo crianças (Nutrisano) e mulheres grávidas ou lactantes (Nutrivida). Ambos foram avaliados em um estudo antropométrico óptico, no entanto,sobre a aceitação ea utilização adequada do mesmo, são escassos, portanto, o trabalho aborda esta questão a partir de um estudo na área metropolitana de Monterrey, México.