Objective:Characterize areas of interinstitutional cooperation and converging health agendas of the Pan American Health Organization/World Health Organization (PAHO/WHO), the Health Council of the Union of South American Nations (UNASUR), and the Amazon Cooperation Treaty Organization (ACTO) in South America based on social determinants of health. Methods:A qualitative study based on official documentary sources from the three organizations, using a comparative analysis of the health agendas of these agencies and the Rio Political Declaration on Social Determinants of Health (2011). Information was systematized using an analytical matrix that identifies convergences in the respective agendas. Results:Development of the health agendas of these agencies is influenced by various international forces such as Member States' foreign policy, international cooperation strategies and models, and the institutions' political and strategic guidelines. These agendas reveal efforts to strengthen blocs, cooperation mechanisms, and coordinated programmatic actions. Conclusions:The agendas of PAHO/WHO, the UNASUR Health Council, and ACTO point towards opportunities for convergence in various programmatic areas, emphasizing social determinants of health. Based on the overall agreements of the Rio Declaration as an analytical framework with recommendations in five decision-making spheres, structural cooperation actions can be carried out in the region's countries, jointly mediated by these agencies.

译文

目标:确定泛美卫生组织/世界卫生组织(PAHO / WHO),南美国家联盟卫生委员会(UNASUR)和亚马逊合作条约组织(ACTO)的机构间合作领域和融合卫生议程的特征在南美基于健康的社会决定因素。
方法:基于对这三个组织的卫生议程进行的比较分析以及对这三个组织的卫生议程的里约政治宣言(2011年)的定性研究,对这三个组织的卫生议程进行比较。信息通过分析矩阵系统化,该矩阵确定了各个议程中的趋同点。
结果:这些机构的卫生议程的制定受到各种国际力量的影响,例如会员国的外交政策,国际合作战略和模式以及机构的政治和战略指导方针。这些议程揭示了为加强集团,合作机制和协调的计划行动所做的努力。
结论:泛美卫生组织/世卫组织,UNASUR卫生理事会和ACTO的议程指出了在各个计划领域融合的机会,强调了健康的社会决定因素。根据《里约宣言》的总体协定作为一个分析框架,并在五个决策领域提出建议,在这些机构的共同推动下,可以在该区域各国采取结构性合作行动。

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