ABSTRACT OBJECTIVES To explore the perceptions of residents regarding their health and well-being in areas of personal and collective life, in relation to the experience of urban transformation originated by the Program for the Recovery of Neighborhoods in Chile “Quiero mi Barrio” (PQMB). METHODS Qualitative study conducted in eight neighborhoods, which were subject to interventions between 2012–2015, located in seven communes of Chile: Arica, Renca, Padre Las Casas, Villarrica, Castro, Ancud. Eighteen focus groups and 27 interviews were conducted between 2018 and 2019. A content analysis was carried out following the social determinants of health approach. RESULTS Material conditions of neighborhood infrastructure and psychosocial determinants were the main emerging and predominant categories in the residents’ narratives. The new or improved infrastructure enhances sports and playing practices, as well as contributes to the feeling of safety and to the improvement of walkable spaces, support networks, socialization and dynamization of social organization. However, neglected aspects were visualized. The program had limitations of structural character that operate locally, such as aging, individual lifestyles that limit participation, and contexts of insecurity, especially in neighborhoods victims of drug trafficking. CONCLUSIONS The urban changes originated by the PQMB included improvements in neighborhood infrastructure and in the psychosocial environment, which are perceived by residents as beneficial aspects and promoters of collective wellbeing. However, global phenomena, and those related to the program, limit its scope and have repercussions on the perception of overall wellbeing of the residents in the neighborhoods. To go deeper into how this or other state neighborhood programs may or may not favor equitable access of different social groups, or which works may be better used by the groups, is an aspect that enhances the integral action with other sectors and local actors in the territories.

ABSTRACT OBJECTIVES To explore the perceptions of residents regarding their health and well-being in areas of personal and collective life, in relation to the experience of urban transformation originated by the Program for the Recovery of Neighborhoods in Chile “Quiero mi Barrio” (PQMB). METHODS Qualitative study conducted in eight neighborhoods, which were subject to interventions between 2012–2015, located in seven communes of Chile: Arica, Renca, Padre Las Casas, Villarrica, Castro, Ancud. Eighteen focus groups and 27 interviews were conducted between 2018 and 2019. A content analysis was carried out following the social determinants of health approach. RESULTS Material conditions of neighborhood infrastructure and psychosocial determinants were the main emerging and predominant categories in the residents’ narratives. The new or improved infrastructure enhances sports and playing practices, as well as contributes to the feeling of safety and to the improvement of walkable spaces, support networks, socialization and dynamization of social organization. However, neglected aspects were visualized. The program had limitations of structural character that operate locally, such as aging, individual lifestyles that limit participation, and contexts of insecurity, especially in neighborhoods victims of drug trafficking. CONCLUSIONS The urban changes originated by the PQMB included improvements in neighborhood infrastructure and in the psychosocial environment, which are perceived by residents as beneficial aspects and promoters of collective wellbeing. However, global phenomena, and those related to the program, limit its scope and have repercussions on the perception of overall wellbeing of the residents in the neighborhoods. To go deeper into how this or other state neighborhood programs may or may not favor equitable access of different social groups, or which works may be better used by the groups, is an aspect that enhances the integral action with other sectors and local actors in the territories.

Introduction: Health promotion represents a key element of a primary-care based health system. Nevertheless, poor integration of the health promotion actions still prevails in the undergraduate training and the professional performance of generalist practitioners. Aim: To describe the contributions of a health promotion practice in the undergraduate medical training, as expressed by medical students during their internship in a rural area. Subjects and methods: Qualitative descriptive study, based on the University of Chile medical student's reports of their health promotion activities developed during 2016 to 2018. Narrative content analysis was performed in order to inductively identify descriptive categories for these contributions. Results: Nine categories of contributions were identified; five of them are related to the design and implementation of health promotion activities at community level (acknowledgment of audience's characteristics; adaptation to the audience; self-awareness of limitations, difficulties and uncertainty management; appreciation of the community wisdom and knowledge; satisfaction with the activity results), and four further categories refer to the recognition of the physician's role in the community (local context assessment; critical appraisal of institutional roles and actors; deficiencies in previous medical training; perspectives on community work and the physician's role in that context). Conclusions: Community-based health promotion activities are important scenarios for learning about social groups, adaptation to local conditions and strengthening the physician's role. These are perceived as contributions to the undergraduate training of medical professionals.

Introducción: La promoción de salud es esencial dentro de un sistema de salud basado en la atención primaria. Pese a ello, prevalece una escasa integración de las acciones de promoción de salud, tanto en la formación como en el desempeño profesional de médicos generalistas. Objetivo: Describir las aportaciones de una práctica de promoción de salud en la formación médica, desde lo expresado por estudiantes de medicina durante su internado rural. Sujetos y métodos: Estudio descriptivo cualitativo basado en informes sobre acciones de promoción de salud realizadas por internos de medicina de la Universidad de Chile, en 2016-2018. Se realizó un análisis del contenido de las narrativas para identificar inductivamente categorías descriptivas de las aportaciones. Resultados: Se identificaron nueve categorías de aportaciones, cinco de ellas relacionadas con el diseño e implementación de actividades de promoción de salud comunitaria (reconocimiento de características de la audiencia; adaptación a la audiencia; autorreconocimiento de limitaciones, dificultades y manejo de incertidumbre; valoración de saberes comunitarios; satisfacción con resultados) y cuatro relacionadas con el reconocimiento del papel del médico en la práctica comunitaria (comprensión del contexto local; reflexión crítica sobre actores y roles institucionales; deficiencias en la formación médica; visión de las actividades y rol del médico). Conclusiones: La práctica de promoción de salud comunitaria constituye un espacio de aprendizajes en torno a los grupos sociales, de adaptación a las condiciones locales y de refuerzo del papel del médico, que son percibidos como aportaciones a la formación médica.