Feasibility for Health Promotion under Various Decision-Making Contexts

Abstract

This chapter addresses three issues regarding effectiveness evaluation in health promotion and its theoretical and practical applicability considering different decision making contexts. The first part deals with the question, what does health promotion mean in practice and how does this practical definition influence its evaluation of effectiveness? The second issue taken up is the socio-political context as a risk factor for the implementation of the intervention and effect modifier of the outcomes. And finally, the third issue focuses on aspects related to the search for evidence, to demonstrate that health promotion is a function of a complicated equation combining the country's wealth, political conditions, political will and the degree of influence, vulnerability and dependence of the territories in terms of factors that modify the population's living conditions.