Evaluation matrix for health promotion programs in socially vulnerable territories

Abstract Health promotion has a set of strategies for advancing health and reducing inequalities. However, evaluating the effectiveness of health promotion programs has been a challenge. This paper shows the development and application of the Evaluation Matrix, constructed with qualitative-quantitative and multidimensional indicators supported by public policies targeting socially vulnerable territories. This is a cross-sectional study with the implementation of a health promotion program in order to develop an Evaluation Matrix to be applied in two distinct socio-environmentally vulnerable areas. The Evaluation Matrix proved to be easily applicable and enabled the detection of strengths and weaknesses of health promotion programs applied in different territories. The participation of managers, teams, population and multiple sectors of society was decisive for the success of the program. Furthermore, community health workers stood out as essential stakeholders due to their linkages with the population. Contributions include a tool and methodology for evaluating health promotion programs to be applied in different territories and modified according to the territory.

摘要 健康促进拥有一系列旨在提升全民健康水平、缩小健康不平等的策略。然而，对健康促进项目的有效性开展评估始终是一项学界难题。本文阐述了**评估矩阵（Evaluation Matrix）**的开发与应用：该矩阵以面向社会弱势地域的公共政策为支撑，采用定性-定量结合的多维指标体系构建而成。本研究为横断面研究，通过实施一项健康促进项目，开发出可应用于两类不同社会-环境弱势区域的评估矩阵。实践证明，该评估矩阵具备良好的可操作性，能够有效识别不同地域实施的健康促进项目的优势与不足。管理者、执行团队、社区居民以及社会多部门的协同参与，是本项目取得成功的核心支撑。此外，社区卫生工作者因与社区居民存在紧密联结，作为核心利益相关方的作用尤为凸显。本研究的贡献在于，提供了一套可适配不同地域、并可依据当地实际情况进行调整的健康促进项目评估工具与方法体系。