[A good investment: promoting health in cities and neighbourhoods]

[Participatory evaluation in place-based communities: adaptating and validating the Place Standard tool to Spanish context]

OBJECTIVE

Translation and cross-cultural adaptation to the Spanish context of the Place Standard tool to undertake participatory evaluations in place-based communities.

METHOD

A back-translation method was used to obtain an adapted version of the original Place Standard tool. The translated version was reviewed by a multidisciplinary committee of experts and validated using the Delphi method.

RESULTS

The final version of the adapted Place Standards tool (Entornos de Vida in Spanish) consists of 14 dimensions and 99 items. 21% of the items presented semantic difficulties during the translation. Total consensus through the Delphi panel was reached on 72% of the items. The analysis resulted in changes to the wording, and organization of the items, and the inclusion of new or modified questions to reflect the characteristics of the Spanish context.

CONCLUSIONS

The validation of the Entornos de Vida tool will enable the evaluation of place-based communities characteristics/physical and socio-economic contexts in a participatory and equitable manner that focuses on social determinants of health. Its application in scenarios that take into account processes of local health action will support the practice of health promotion and equity, and centre the attention and action on the physical and socio-economic contexts with the aim to learn how places and municipal policies can affect health and well-being.

Intervención comunitaria para el cuidado de la salud en la comuna 7 de Santa Marta, Colombia

Los problemas sociales son considerados, una condición que afecta a un número significativamente de personas, los cuales deben ser corregidos mediante acciones colectivas, teniendo en cuenta que el barrio seleccionado para este proyecto que alberga una gran población desplazada por la violencia lo que hace que haya un incremento en el analfabetismo, pobreza, drogadicción, desnutrición, hacinamiento, violencia intrafamiliar, problemas de salud en general, situación que impide el desarrollo o el progreso de una comunidad o de uno de sus sectores. La Universidad Cooperativa de Colombia a través del Programa de Enfermería, realizó el diagnóstico de salud con énfasis en salud familiar a partir de la aplicación del censo poblacional, lo que nos sirvió como insumo para los indicadores de salud y posterior intervención en la comunidad y de esta manera, asegurando la existencia y continuidad del proyecto e inserción de la comunidad. El proyecto involucro además de la Universidad otras organizaciones cívicas, educativas y sociales del sector. Por tal razón se concibe como una experiencia participativa de la comunidad, en el cual se impartirán conocimientos éticos y morales para contribuir así con el desarrollo integral del ser mismo y por ende de la comunidad de Santa Marta.

Centre for the Promotion of Physical Activity and Health (CAPAS-City): A Pyrenean Cross-Cultural Structure to Lead the Way in the Design, Implementation, and Evaluation of Multilevel Physical Activity Interventions

This study describes a Pyrenean cross-cultural structure called Centre for the Promotion of Physical Activity and Health (CAPAS-City) that was created to promote physical activity (PA) in Huesca (Spain) and Tarbes (France). The main aim of this centre is to lead the way in the design, implementation, and evaluation of multilevel PA interventions to improve their efficacy and sustainability inside the city. CAPAS-City responds to the main challenges related to multilevel PA interventions, through six guiding principles: (1) promoting sustainability, (2) playing a leadership role, (3) promoting multisectoral partnerships, (4) using evidence-based strategies, (5) promoting integrated knowledge translation, and (6) using a participatory research approach. Five multilevel PA interventions were designed in both cities by CAPAS-City with these principles in mind. Through the example of the Annual MOT Test adapted to bikes, we also illustrate one practical application of the use of these principles, following the Social-Ecological approach, in which the main agents of influence are involved at different levels to encourage cycling. According to the promising results found in this study, CAPAS-City appears to be a structure that is able to respond to the main needs and challenges of multilevel interventions to increase PA levels in the whole population of both cities.

[Dialogue on the local implementation of the Prevention and Health Promotion Strategy of the Spanish National Health System. SESPAS Report 2018]

The local implementation of the Prevention and Health Promotion Strategy of the National Health System is presented as an opportunity to advance in health promotion. Although there are different visions from the municipal, regional and national levels, as well as from public health and from primary care, there is a consensus that it is necessary to promote local health strategies. Coordination mechanisms should be established to facilitate multilevel and intersectoral work. Local implementation must advance in the promotion of citizen participation and community health, beyond the preparation of the resource map.

[The City of Girls and Boys of Huesca (Spain), an opportunity for designing healthy environment and public policies]

The City of Girls and Boys of Huesca (Spain) is an international project that seeks to foster children's autonomy and full participation in the construction of the city. Following its formal approval at the City Council of Huesca, the Girls and Boys Board and the City Laboratory were created, both of which include children from all the schools of Huesca. To highlightthe work on health, activities such as "Healthy School Paths", in which the asset mapping technique is used, were incorporated. Besides the interdisciplinary work among different areas of the city council, professionals from education (schools and university), health and social services, effects on the urban physical environment, with one street, park and square remodelled; and on the children's lifestyles, with more children walking to school alone, have been observed.

[Batas Nómadas in Madrid Salud: art and artists in professional community health teams]

OBJETIVE

This article describes the strategy of incorporating artists into the teams of community health in the city of Madrid, specifically in the Madrid Salud Centers.

METHOD

The artistic colletive, Batas Nómadas, formed by three artists expertized in visual arts, has developed performances and participatory aproach to explain the incorporation of art and artists in these teams of professionals of Madrid Salud.

RESULTS

Batas Nómadas has carried out sessions in 14 work teams of the Madrid Salud Centers and has collected data in a creative way from the 179 professionals that have participated in these sessions.

CONCLUSIONS

These actions have shown some needs in community health, and have noticed a meaningful reflection on the usefulness of the art to develop participative strategies into the Madrid Salud teams.