Online Program

Santiago Sano: Tackling noncommunicable diseases through Health in All Policies in Santiago, Chile

Wednesday, November 4, 2015 : 8:56 a.m. - 9:09 a.m.

Sebastián Peña Fajuri, MD, MSc, Department of Health, Municipality of Santiago, Municipality of Santiago, Chile, Santiago, Chile
Paula Sierralta, CP, MPH, Department of Health, Municipality of Santiago, Municipality of Santiago, Chile, Santiago, Chile
Ana María Gutiérrez, Nutritionist, Department of Health, Municipality of Santiago, Municipality of Santiago, Chile, Santiago, Chile
Chile has one of the highest rates of obesity and tobacco consumption worldwide. Historically, efforts to tackle risk factors for noncommunicable diseases (NCDs) in Chile have failed to work cross-sectorally to implement cost-effective policies. The Health in All Policies approach provides a unique opportunity to foster progress in tackling NCDs in Chile.

The Municipality of Santiago is the oldest municipality in Chile, with more than 300,000 inhabitants and a large transient population. Since 2014, the Municipality has been implementing Santiago Sano, an intersectoral health promotion plan addressing the availability, marketing, and affordability of healthy (and unhealthy) food, physical activity, and alcohol and tobacco consumption. This presentation will describe a plan started in January 2014 with the support of the mayor that includes commitments from all municipal departments. Implementation of the plan is led by the Mayor's Office through an Executive Committee that is responsible for defining priorities and monitoring effective policy, while the day-to-day coordination is led by the Department of Health.

The presentation will explain how the plan has been translated into several intersectoral processes and concrete results, such as passing a Municipal Law to introduce a surcharge on events and stores advertising alcohol and sugary foods and drinks; implementation of bike parking racks in 17 public schools; a health promoting children's playground; and the development of a monitoring system for alcohol-related harm. The presenter will highlight the importance of political will, intersectoral processes and structures, windows-of-opportunity, and management of conflicts of interest to the success of this work.

Learning Areas:

Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Identify effective mechanisms for intersectoral collaboration at the district level Discuss the political, economic, and administrative facilitators and barriers to incorporate health perspectives in other sectors Design a comprehensive health promotion plan, using cost-effective interventions, to tackle noncommunicable diseases through a Health in All Policies approach

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the project leader of an intersectorial health promotion plan in the Municipality of Santiago. Previously I was an editor of the book "Health in All Policies: Seizing Opportunities, implementing policies" for the 8th WHO Global Conference on Health Promotion in Helsinki 2013 at the National Institute for Health and Welfare in Finland. I've been part of the planning process of the Health 2011 study and participated in several international research projects
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.