연구성과

Objectives: The World Health Organization’s Healthy City Project was established to increase the health
commitment of citizens in urban settings and to improve deteriorating health conditions. Cuba’s Cienfuegos
city introduced the “Healthy City Project”, adapting the concept with projects based in primary healthcare. The
study aimed to review the implementation of this project in Cienfuegos City, Cuba. Methods: Cuba’s Healthy
City Project was reviewed by analyzing the experiences of Cienfuegos city. Relevant literature related to the
implementation of the Healthy City Project was also reviewed and web-based gray literature was assessed,
searched, and selected. Additionally, reports from Google Scholar and the Scientific Electronic Library Online
were used to gather complementary information. Results: Initiated in 1989, the city of Cienfuegos used the
Healthy City Project as a strategy for health promotion, lifestyle modification, and disease prevention. It
undertook this initiative as the local government’s plan to help reduce non-communicable diseases and the
associated initiatives to transform the city into a healthier one has proven to be successful, especially by
involving the community and engendering the government’s political commitment. The Project has involved
schools and hospitals to improve personal and community health. Conclusion: The Project has been proven
effective by involving the community, yet there are some considerations, such as upgrading the evaluation
system, that would improve the overall outcome of the Project.