Community health assets to promote the health literacy of the vulnerable population of guaranda.

Sánchez Marimón, Ester (1); Bennasar Veny, Miquel (1); Guerrero, Esthela (2); Mosso, Mary (2); Yañez Juan, Aina Maria (1) (2018). 'Community health assets to promote the health literacy of the vulnerable population of Guaranda.' Paper presented at the annual conference of the HDCA, Buenos Aires, Argentina 2018.



Following the framework of the social determinants of health, the Salutogenic Model (SM) focuses on a positive and holistic paradigm of people's health.

This approach aims to reduce inequalities in health and well-being, in a continuous and dynamic health-disease process, where people are the creators and conservators of their health1,2,3,4,5,6.

The assets model (AM) for health, focused on the salutogenic approach and developed by Kretzman and McNight4, is contributing to evidence about model effectiveness to improve perceived health and well-being in vulnerable environments. This, allow us to design interventions to improve the quality of life from a place, using available resources.

The AM advocates to community participation, understanding that resources mark the available opportunities to face the challenges of life, where their management allows for the construction of coherent and meaningful experiences in life, while reinforcing aspects related to equity and intersectionality, with a focus on the social determinants of health4,5,6,7.

The model aims to improve the health literacy of the population to promote social and cognitive skills, improving the motivation of people and their ability to use resources comprehensively. In this way, the population is able to maintain good health, following the strategies set by the World Health Organization, which is a capacity that in turn depends on the institutions and the political framework of the context8,9,10,11.

The aim of the study was to identify community health assets that promote health literacy in Guaranda, Ecuador.

Methodology: A Participatory Research methodology was carried out in the population established in the poverty section of Cuatro Esquinas in Guaranda, Ecuador, through semi-structured interviews with 37 participants, men and women, mestizos and indigenous people and the realization of a community walk with a leader chosen by the study population.

Results: Difficulties in relation to health literacy were identified, highlighting the geographical barriers for access to resources by the population where far from the urban nucleus, difficulties of scheduling professionals and differences in the health conception and promotion of health.

On the other hand, health assets related to the presence of health agents, natives of the context, the initiative to incorporate traditional medicine in the centres, and finally community resources that allow social and sports activities are identified.

Conclusions: The assets identified in this study opens a space for the design of assets maps for health that could be used by professionals to promote healthy lifestyles, according to the preferences of the people.


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