[Health promotion: challenges revealed in successful practices].
OBJECTIVE
To examine successful practices of health promotion in health, education, culture, welfare and sport, leisure, identifying the elements of success and challenges in the field.


METHODS
A qualitative study with data obtained from in-depth analysis that included participant observation, interviews with managers, coordinators, professionals and participants from 29 practices reported as successful for promoting health in six municipalities of the metropolitan region of Belo Horizonte, MG, Southeastern Brazil, in 2011. The variables of the study were concept, dimension, dissemination and ease of access, identified in practices guided by content analysis.


RESULTS
The results indicate a conceptual and methodological uncertainty about health promotion as evidenced by conflicting objects and contradictory purposes. The practices differ in size, coverage and ease of access, determined by inter-sector coordination and political and financial investment.


CONCLUSIONS
We identified challenges to health promotion focusing on vulnerable populations, limits to financing and intersectoral partnerships.
Kênia Lara
KL
Silva
Roseni Rosângela de
RR
Sena
Stephanie Marques Moura Franco
SM
Belga
Paloma Morais
PM
Silva
Andreza Trevenzoli
AT
Rodrigues
D001938:Brazil; D002947:Cities; D003469:Culture; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D009043:Motor Activity; D011320:Primary Health Care / Q000458:organization & administration* / Q000639:trends*; D036301:Qualitative Research; D012946:Social Welfare; D014505:Urban Population