Convergences between primary health care planning and the Sustainable Development Goals: an evaluation of municipal health plans in Brazil and Chile

Rebolledo, Elizabeth Salinas; Giatti, Leandro Luiz

doi:10.1590/S0104-12902022191006en

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original articles • Saude soc. 31 (4) • 2022 • https://doi.org/10.1590/S0104-12902022191006en copy

Convergences between primary health care planning and the Sustainable Development Goals: an evaluation of municipal health plans in Brazil and Chile

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study addresses the importance of Primary Health Care (PHC) to achieve the Sustainable Development Goals (SDGs), assessing convergences between two municipal PHC agendas and the 2030 Global Agenda. For this purpose, the PHC actions included in the municipal health plans of Santiago, Chile, and São Paulo, Brazil, were evaluated by content analysis. Results showed that the PHC actions planned in Santiago contributed to 14 SDGs while in São Paulo, the actions contributed to the entire 2030 Agenda, although both plans lacked references to the SDGs. Thus, the PHC actions provided in municipal agendas are essential to achieve the SDGs. However, this relationship is not adequately reported, which can compromise the investment of greater resources in this sector. Therefore, a greater alignment between local, national, and global action plans and policies is required, as well as integrated and continuous training for communities and health teams and a greater use and diffusion of technologies already available in regional and intersectoral approaches to municipal health plans.

Keywords:
Primary Health Care; Sustainable Development; Health Policy, Planning, and Management; Intersectoral Collaboration

SDG No.	Key terms
1. No poverty	Poverty, vulnerability, income, admission, socioeconomic status, homeless population.
2. Zero hunger	Hunger, food, nutrition, agriculture, cultivation, vegetable garden.
3. Good health and well-being	Mortality, pregnant, pregnancy, child, AIDS, HIV, tuberculosis, malaria, disease, diabetes, hypertension, cancer, health, well-being, self-care, promotion, prevention, drug, alcohol, accident, universal access and coverage, quality, medicine, vaccine, tobacco, recruitment, health professionals, worker, risk, disaster.
4. Quality education	Education, school, student.
5. Gender equality	Woman, girl, gender, discrimination, violence, sexual and reproductive health, equal rights, empowerment.
6. Clean water and sanitation	Water, sanitation, hygiene, toilet, sewage, water reuse.
7. Affordable and clean energy	Energy, efficiency, fuel, light, electricity, gas.
8. Decent work and economic growth	Employment, work, economic growth, tourism and sustainable economy, productivity, innovation, entrepreneurship, creativity, business, training, occupational safety, banking.
9. Industry, innovation and infrastructure	Infrastructure, access, industry, innovation, technology, research, Internet.
10. Reduced inequalities	Equality, inclusion, migration, racism, discrimination, ethnicity, native people, Black, Mapuche, interculturality.
11. Sustainable cities and communities	Housing, urbanization, transportation, accessibility, settlements, heritage, resources, disaster, resilience, air, waste, public space, regional planning, participation, territory.
12. Responsible consumption and production	Production, consumption, management, waste, residue, recycling, sustainability.
13. Climate action	Climate, catastrophe, disaster.
14. Life below water	Ocean, sea, coast, fishing, fish.
15. Life on land	Ecosystem, forest, deforestation, degradation, desertification, biodiversity, habitat, flora, fauna, species.
16. Peace, justice and strong institutions	Peace, justice, violence, exploitation and trafficking of children, crime, terrorism, corruption, transparency, information, participation.
17. Partnerships for the goals	Partnerships, intersector, network, data, information, monitoring, public accounts.

SDG No.	Santiago	São Paulo
1. Ending poverty in all its forms, everywhere.	Embracement and referral of the most vulnerable groups to intervention.	Embracement and referral of the most vulnerable groups and homeless people to intervention. Participation of poor families in the Bolsa Família Program (Brazil, 2012BRASIL. Ministério do Desenvolvimento Social e Combate à Fome. Portaria N° 251, de 12 de dezembro de 2012. Regulamenta a gestão das condicionalidades do Programa Bolsa Família, revoga a portaria GM/MDS no 321, de 29 de setembro de 2008, e dá outras providências. Diário Oficial da União, Brasília, DF, 13 dez. 2012. Disponível em: <Disponível em: http://www.mds.gov.br/webarquivos/legislacao/bolsa_familia/_doc/portarias/2012/Portaria no 251 12 de dezembro de 2012.pdf >. Acesso em: 16 jan. 2020. http://www.mds.gov.br/webarquivos/legisl... ).
2. Ending hunger, achieving food security, improving nutrition, and promoting sustainable agriculture.	Promotion of healthy eating and food delivery to interest groups.	Promotion of healthy eating and reduction in child malnutrition and food insecurity (São Paulo, 2017SÃO PAULO. Secretaria Executiva de Planejamento e Entregas Prioritárias. Programa de Metas 2017-2020. São Paulo, 2017. Disponível em: <Disponível em: https://www.prefeitura.sp.gov.br/cidade/secretarias/upload/governo/arquivos/programa_de_metas/2017-2020%20-%20Programa%20de%20Metas%20-%20Vers%C3%A3o%20Final%20(Participativa).pdf >. Acesso em: 19 maio 2022. https://www.prefeitura.sp.gov.br/cidade/... ). Implementation of vegetable gardens and full use of food (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
3. Ensuring a healthy life and promoting well-being for all, at all ages.	Prevention of maternal and child mortality. Treatment of communicable and chronic non-communicable diseases. Promotion of physical and mental health and well-being. Prevention and treatment of smoking, alcohol consumption, and drug use. Universal access to the most vulnerable groups. Training, development, and retention of health professionals. Risk reduction and management.	Prevention of maternal and child mortality. Treatment of communicable and chronic non-communicable diseases. Promotion of physical and mental health and well-being. Prevention and treatment of smoking, alcohol consumption, and drug use. Universal access to the most vulnerable groups. Training, development, and retention of health professionals. Risk reduction and management. Prevention of deaths and injuries from road accidents.
4. Ensuring an inclusive, equitable and quality education and promoting lifelong learning opportunities for all.	Coping with vulnerabilities that may compromise the educational development and integral education of students in municipal schools.	Coping with vulnerabilities that may compromise the educational development and integral education of students in municipal schools (Brasil, 2017BRASIL. Ministério da Saúde. Portaria Interministerial Nº 1.055, de 25 de abril de 2017. Redefine as regras e os critérios para adesão ao Programa Saúde na Escola - PSE por estados, Distrito Federal e municípios e dispõe sobre o respectivo incentivo financeiro para custeio de ações. Diário Oficial da União, Brasília, DF, 26 abr. 2017. Disponível em: <Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/pri1055_26_04_2017.html >. Acesso em: 7 fev. 2019. http://bvsms.saude.gov.br/bvs/saudelegis... ).
5. Achieving gender equality and empowering all women and girls.	Gender equity. Domestic violence prevention. Protection against gender violence. Comprehensive sexual and reproductive health care.	Fight against gender violence. Universal access of women to sexual and reproductive health.
6. Ensuring the availability and sustainable management of water and sanitation for all.	…	Incentive to the rational use of water and support to water cleaning projects and environmental surveillance (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
7. Ensuring reliable, sustainable, modern, and affordable access to energy for all.	…	Incentive to energy efficiency in public administration and in the community (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
8. Promoting sustained, inclusive, and sustainable economic growth, full and productive employment, and decent work for all.	Health promotion and incentive to the performance of preventive health tests in workplaces. Management and development of health service workers.	Follow-up of guidelines for the detection and notification of work-related diseases. Management and development of health service workers.
9. Building resilient infrastructure, promoting inclusive and sustainable industrialization, and fostering innovation.	Increase and improvement of the existing health infrastructure. Innovation in the use of information and communication technologies. Accessibility and equity of care.	Increase and improvement of the existing health infrastructure. Innovation in the use of information and communication technologies. Universal and equal access. Rational use of resources.
10. Reducing inequality within and between countries.	Equitable access and embracement, regardless of ethnicity or nationality. Services focusing on interculturality.	Equitable access and embracement, regardless of ethnicity, skin color, nationality, or sexual orientation. Specific care policies to reduce inequalities.
11. Making cities and human settlements inclusive, safe, resilient, and sustainable.	Participatory diagnosis. Prevention and management of contingencies caused by disasters. Efficient use of resources.	Participatory management. Resource optimization. Environmental agenda. Revitalization of public spaces. Prevention and mitigation in risk areas (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
12. Ensuring sustainable patterns of production and consumption.	Reduction in the use of paper. Training in environmental management.	Commitment to the SDGs. Waste reduction. Education for sustainability (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
13. Taking urgent actions to combat climate change and its effects	Prevention and management of natural disasters.	Awareness of professionals for the relationship between climate change and health (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
14. Conservation and sustainable use of oceans, seas, and marine resources for sustainable development.	…	Support for the depollution, cleaning, and maintenance of rivers and streams (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
15. Protecting, restoring, and promoting the sustainable use of terrestrial ecosystems, sustainably managing forests, combating desertification, stopping and reversing land degradation, and stopping biodiversity loss.	Promotion of a healthy lifestyle in addiction to elements of environmental protection.	Incentive to the conservation and preservation of areas of ecological interest. Preservation of water sources. Expansion of green areas and vegetation cover. Protection of biodiversity and responsible animal ownership (São Paulo, 2012SÃO PAULO. Secretaria da Saúde. Coordenação da Atenção Básica. Programa Ambientes Verdes e Saudáveis. São Paulo: SMS, 2012.).
16. Promoting peaceful and inclusive societies for sustainable development, providing access to justice for all, and building effective, responsible, and inclusive institutions at all levels.	Violence prevention and treatment of assaulted people. Social participation, focusing on civil rights and social protection. Accountability and transparency.	Violence prevention and treatment of assaulted people. Participatory management. Promotion of citizenship and human rights. Accountability and transparency.
17. Strengthening the means of implementation and revitalizing the global partnership for sustainable development.	Networking and strengthening of intersectoral action. Participation of actors and co-management. Use of technologies to increase data availability and quality and for accountability.	Networking and strengthening of intersectoral action. Participation of actors and co-management. Use of technologies to increase data availability and quality and for accountability.

Faculdade de Saúde Pública, Universidade de São Paulo. Associação Paulista de Saúde Pública. Av. dr. Arnaldo, 715, Prédio da Biblioteca, 2º andar sala 2, 01246-904 São Paulo - SP - Brasil, Tel./Fax: +55 11 3061-7880 - São Paulo - SP - Brazil
E-mail: saudesoc@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Elizabeth Salinas Rebolledo - Av. Jurema, 947, Guarulhos, SP, Brazil. CEP 07244-000.