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Formulation and implementation of healthy public policies: challenges for planning and management of health promotion in the cities

This article deals, initially, with a brief review of the notions and concepts which are the foundations of the Healthy Public Policies (HPP), discussing the possibility of enrichment of this notion at the light of the conceptual debate in the field of Collectiona Health. Secondloy, it presents and comments on some methodological rocedures that could be used in the process of formulation and implementation of HPP, developing a reflexiona on the possibilities of using the situational approach as the axis for plannning these policies in the national, state, and mainly, municipal level. Finally, it discusses the strategic meaning of the institutionalization of HPP planning and management with a view at enhancing the governance capacity of public organitions, the decentralization of management and the integrality of the practices face the complexity of the health situation of the Brazilian population.

Health Promotion; Healthy Public Policies; Situational Approach; Planning and Management; Cities


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