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Hacia la Promoción de la Salud
Print version ISSN 0121-7577
Abstract
VALENCIA-GONZALEZ, Alejandra Milena; HINCAPIE-ZAPATA, María Eugenia; GOMEZ-BUILES, Gloria Marcela and MOLANO-BUILES, Patricia Eugenia. EVALUATION TRENDS IN HEALTH PROMOTION. UPDATE OF THE DEBATE IN THE DECADE 2005-2015. Hacia promoc. Salud [online]. 2019, vol.24, n.1, pp.123-137. ISSN 0121-7577. https://doi.org/10.17151/hpsal.2019.24.1.11.
Health promotion (HP) is a pillar of public health for the improvement of living and health conditions. However, the health promotion evaluation is a theoretical-practical field with incipient developments in permanent construction.
Objective:
The objective of this study was to provide elements to update the health promotion evaluation debate between the years 2005 and 2015.
Methods:
A state-of-the-art documentary research was conducted -from a thematic review of 23 databases- after defining the conceptual and comprehensive descriptors related to health promotion, health promotion evaluation and positive indicators in health promotion. A total of 49 publications with emphasis on the evaluation of health promotion were selected for analysis.
Results:
three health promotion evaluation trends were configured: realistic evaluation aimed at assessing the contexts and theories that underlie the action; participatory evaluation that highlights the participation of all the actors involved in the interventions; and impact evaluation aimed at identifying processes and results tending to health promotion effectiveness and overcoming health inequities.
Conclusions:
Despite the progress, there are challenges to the health promotion evaluation such as the approach from a complex perspective of both, interventions and evaluation; the development of evaluation models that allow the effective empowerment and intersectoriality; and the problematization of evidence as the guiding axis of effectiveness in health promotion.
Keywords : Health promotion; health evaluation; program evaluation; evaluation studies; community participation.