Analysis of the Chilean health promotion policy "Choose a Healthy Lifestyle"

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dc.contributor.authorValentino, Giovanna
dc.contributor.authorVio, Fernando
dc.contributor.authorRodriguez-Osiac, Lorena
dc.date.accessioned2025-01-20T20:07:10Z
dc.date.available2025-01-20T20:07:10Z
dc.date.issued2023
dc.description.abstractBackground: Intersectoral health promotion initiatives in Chile to address obesity and non- communicable diseases have had a long history in Chile, but also a high degree of changes in their design, implementation, and financing. Aim: To analyze the "Choose a Healthy Lifestyle" enacted by Law 20,670 under Sabatier's "Advocacy Coalition Framework" (ACF), addressing the political discussion and its execution in the subsequent governing coalitions (2011-2022). Material and Methods: The ACF components are the following: external events, coalitions, policy subsystem (health promotion), and policy brokers. Policy change and learning occurs when a certain level of conflict exists between coalitions. We carried out a bibliographic and literature review, including history of the Law and notes in the media. Results: We identified two coalitions. The first is pro-individual freedom and aims to solve the problem with education and health promotion. The second one defines the problem as structural and related to social determinants and health inequity. The first coalition launched the "Choose Healthy Liferstyle" program in 2011 when they were in executive power. After criticism from the opposition and the participation of policy brokers, the Program was institutionalized with an intersectoral vision. The lack of permanent financing affected the continuity of the policy, especially after a change in the governing coalition. Conclusions: Law 20,670 falls within the ACF. However, policy learning slowed down because the problem involved social aspects, conflict between deep beliefs of both coalitions, and lack of permanent funding, thus affecting the continuity of the policy.
dc.fuente.origenWOS
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/91771
dc.identifier.wosidWOS:001054505000005
dc.issue.numero1
dc.language.isoen
dc.pagina.final51
dc.pagina.inicio42
dc.revistaRevista medica de chile
dc.rightsacceso restringido
dc.subjectHealth Promotion
dc.subjectObesity
dc.subjectPublic Policy
dc.subjectSocial Determinants of Health
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAnalysis of the Chilean health promotion policy "Choose a Healthy Lifestyle"
dc.typeartículo
dc.volumen151
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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