The PACE EH process in Manuel Cardozo Davila
followed a realistic and practical implementation period.
The process moved at a tempo appropriate to the
stakeholders’ commitment and relied on available
resources. During assessment activities,political changes
ushered in several new periods of public health leadership.
Maintaining political support and awareness of the
environmental assessment and accompanying intervention
was vital to advancing the process. Despite these
political changes,the CIIMSA and its members stayed
focused on their chosen priorities,an outcome that
probably would not have occurred without the CEHA
process. This maintenance of focus kept the intervention
moving forward despite transitions of political leadership.
Nonetheless,the political instability in the region
impeded the inclusion of the PACE EH process by the
environmental health sector,a necessary condition for
local sustainability.