Elements For Developing And Implementing Cardiovascular Health Promotion Programme In The French Community Of Belgium

摘要

Cardiovascular diseases remain the leading cause of mortality in Belgium despite a decrease in the burden of coronary heart disease. In the French Community, a process mobilizing stakeholders has been established to develop a cardiovascular health promotion plan. This article presents elements of this plan as well as its development process based on a participatory approach and conducted in close consultation with stakeholders from various sectors. Method. Nine consultation units (CU) were established in direct link with a life setting, a target population or stakeholder groups: early childhood; basic and secondary education, extra-curricular time; higher and university-level education; workplace; active elderly; vulnerable populations; local authorities and health actors working in unusual settings. Each CU analysed environmental, social and personal determinants as well as the various factors influencing them. Results. The plan comprises a general programme synthesizing strategies that cut across the programmes produced by each of the nine CU. Priority objectives and strategies include the development and improvement of life settings; the development and supply of health promotion services and primary social and health services; the mobilization of policy-makers and institutional decision-makers; and the support of professionals in their actions for and with patients and populations. The plan also comprises recommendations for the various life settings studied and aimed at vulnerable populations. This general framework is complemented by operational programmes for each setting, target group or stakeholder. Conclusion. This cardiovascular health promotion programme proposal will be a useful action framework for actors of the life settings concerned and will guide policy- and decision-makers in their decisions and actions. (Global Health Promotion, 2011; 18(3): 37-46)