Public Policy on Food and Nutrition Security and Sovereignty of the Municipality of Medellín

Icono localización

(Español) Medellín - Colombia

Region
Latin America and the Caribbean
Range of Demographic Size
1,000,000 inhabitants or more (metropolis)

2.1 By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable situations, including infants, to safe, nutritious and sufficient food all year round.

2.2 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons.

2.3 By 2030, double the agricultural productivity and incomes of small-scale food producers, in particular women, indigenous peoples, family farmers, pastoralists and fishers, including through secure and equal access to land, other productive resources and inputs, knowledge, financial services, markets and opportunities for value addition and non-farm employment.

2.4 By 2030, ensure sustainable food production systems and implement resilient agricultural practices that increase productivity and production, that help maintain ecosystems, that strengthen capacity for adaptation to climate change, extreme weather, drought, flooding and other disasters and that progressively improve land and soil quality.

2.5 By 2020, maintain the genetic diversity of seeds, cultivated plants and farmed and domesticated animals and their related wild species, including through soundly managed and diversified seed and plant banks at the national, regional and international levels, and promote access to and fair and equitable sharing of benefits arising from the utilization of genetic resources and associated traditional knowledge, as internationally agreed.

2.a Increase investment, including through enhanced international cooperation, in rural infrastructure, agricultural research and extension services, technology development and plant and livestock gene banks in order to enhance agricultural productive capacity in developing countries, in particular least developed countries.

2.b Correct and prevent trade restrictions and distortions in world agricultural markets, including through the parallel elimination of all forms of agricultural export subsidies and all export measures with equivalent effect, in accordance with the mandate of the Doha Development Round.

2.c Adopt measures to ensure the proper functioning of food commodity markets and their derivatives and facilitate timely access to market information, including on food reserves, in order to help limit extreme food price volatility.

3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.

3.2 By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births.

3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases.

3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.

3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol.

3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents.

3.7 By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes.

3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.

3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination.

3.a Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate.

3.b Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all.

3.c Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States.

11.1 By 2030, ensure access for all to adequate, safe and affordable housing and basic services and upgrade slums.

11.2 By 2030, provide access to safe, affordable, accessible and sustainable transport systems for all, improving road safety, notably by expanding public transport, with special attention to the needs of those in vulnerable situations, women, children, persons with disabilities and older persons.

11.3 By 2030, enhance inclusive and sustainable urbanization and capacity for participatory, integrated and sustainable human settlement planning and management in all countries.

11.4 Strengthen efforts to protect and safeguard the world’s cultural and natural heritage.

11.5 By 2030, significantly reduce the number of deaths and the number of people affected and substantially decrease the direct economic losses relative to global gross domestic product caused by disasters, including water-related disasters, with a focus on protecting the poor and people in vulnerable situations.

11.6 By 2030, reduce the adverse per capita environmental impact of cities, including by paying special attention to air quality and municipal and other waste management.

11.7 By 2030, provide universal access to safe, inclusive and accessible, green and public spaces, in particular for women and children, older persons and persons with disabilities.

11.a Support positive economic, social and environmental links between urban, peri-urban and rural areas by strengthening national and regional development planning.

11.b By 2020, substantially increase the number of cities and human settlements adopting and implementing integrated policies and plans towards inclusion, resource efficiency, mitigation and adaptation to climate change, resilience to disasters, and develop and implement, in line with the Sendai Framework for Disaster Risk Reduction 2015-2030, holistic disaster risk management at all levels.

11.c Support least developed countries, including through financial and technical assistance, in building sustainable and resilient buildings utilizing local materials.

12.1 Implement the 10-year framework of programmes on sustainable consumption and production, all countries taking action, with developed countries taking the lead, taking into account the development and capabilities of developing countries.

12.2 By 2030, achieve the sustainable management and efficient use of natural resources

12.3 By 2030, halve per capita global food waste at the retail and consumer levels and reduce food losses along production and supply chains, including post-harvest losses.

12-4 By 2020, achieve the environmentally sound management of chemicals and all wastes throughout their life cycle, in accordance with agreed international frameworks, and significantly reduce their release to air, water and soil in order to minimize their adverse impacts on human health and the environment.

12.5 By 2030, substantially reduce waste generation through prevention, reduction, recycling and reuse.

12.6 Encourage companies, especially large and transnational companies, to adopt sustainable practices and to integrate sustainability information into their reporting cycle.

12.7 Promote public procurement practices that are sustainable, in accordance with national policies and priorities.

12.8 By 2030, ensure that people everywhere have the relevant information and awareness for sustainable development and lifestyles in harmony with nature.

12.a Support developing countries to strengthen their scientific and technological capacity to move towards more sustainable patterns of consumption and production.

12.b Develop and implement tools to monitor sustainable development impacts for sustainable tourism that creates jobs and promotes local culture and products.

12.c Rationalize inefficient fossil-fuel subsidies that encourage wasteful consumption by removing market distortions, in accordance with national circumstances, including by restructuring taxation and phasing out those harmful subsidies, where they exist, to reflect their environmental impacts, taking fully into account the specific needs and conditions of developing countries and minimizing the possible adverse impacts on their development in a manner that protects the poor and the affected communities.

A - Full integration of population dynamics into sustainable development with equality and respect for human rights.

American Convention on Human Rights

Convention on the Rights of the Child (CRC).

Universal Declaration of Human Rights (UDHR).

International Covenant on Economic, Social and Cultural Rights (ICESCR).

Additional Protocol to the American Convention on Human Rights in economic, social and cultural rights (San Salvador Protocol).

Summary

The Public Policy on Food and Nutrition Security and Sovereignty of the Municipality of Medellín is regulated by Agreement No. 38 of 2005 and complemented by Agreement No. 100 of 2013. After this regulatory framework was implemented, the Food and Nutrition Security Plan 2016–2028 is created as an instance of strategic planning and with the aim of making operational the Public Policy on Food and Nutrition Security and Sovereignty of the municipality.

 

The goal of this public policy is to contribute to ensuring the human right to food and eradicating hunger and malnutrition; crystallizing the relation between rural and urban areas; improving food availability, access, and consumption in adequate amounts to help develop quality of life and bridge social gaps at the city level.

 

The Public Policy on Food and Nutrition Security and Sovereignty of the Municipality of Medellín is implemented by the Food and Nutrition Security Team (ESAN), which has five projects in place that, through different strategies, attempt to satisfy the unmet basic needs of the vulnerable population in terms of food and nutrition issues, promoting healthy eating habits and lifestyles that allow for the empowerment of the inhabitants and the transformation of family and community environments.

 

  1. Updating public policy and the regulation of food and nutrition security: Its goal is the implementation and monitoring of efforts in food and nutrition security under a governing model and a participatory building process in the territories. The policy updating process is set to attend to the new realities of the city and help create and implement strategies more in tune with their needs, with the participation of all actors involved in the food system.
  2. Improvement of the Food and Agriculture System of the City of Medellín (SISAGRO): Its goal is to implement strategies oriented toward supply chain, productivity, and education in the different communes and towns, as well as the strengthening of food supply, availability, and access. The first of these strategies concerns subsistence farms in the municipality of Medellín, whereas the second concerns producers who have food and agriculture units with marketable surplus whereby guidance is provided to ensure products reach their supply chain channels.
  3. Nutritional Support for the Vulnerable Population (ANPV): The purpose of the project is to contribute to the improvement of food and nutrition security conditions, either individually or within the family nucleus, improving food access conditions and the supply of basic nutrients to keep an adequate health status while facilitating the availability of resources destined to the purchase of food to cover other basic needs.
  4. School Food Program (PAE): This programs involves the supply of food supplements to schoolchildren in official educational institutions and within the municipality of Medellín, in both urban and rural areas. Its main purpose is to contribute to school retention, addressing a logic of comprehensive assistance that promotes adequate conditions to develop learning processes.
  5. Strengthening of Nutritional Education (FEN): It involves efforts related to health promotion and disease prevention, implemented through educational strategies by professionals from different realms (dietary nutritionists, gastronomes, physical educators, and pedagogues), who offer tools to the population through theorical and practical workshops in order to adopt healthy eating and lifestyle habits.

Implementation Date:

Start: 07 / 30 / 2005

End: End: Currently in force

Local economic development - Food sovereignty /safety
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This policy aims to alleviate food and nutrition insecurity (INSAN) stemming from multiple factors and associated with causes such as unsustainability of the food and agricultural system, the gaps between rural and urban areas, a lack of support for food producers, the invisibility of the role of women in food production, food dependency of other municipalities or regions in the country that compromises food sovereignty in the territory, a lack of fair trade, and environmental impact, all of which generate losses and food waste along the food chain.
Ensuring the food and nutrition security and sovereignty of the population in the municipality of Medellín through the improvement of those axes that define it (availability, access, consumption, a better use of biological resources, and food quality and safety), carrying out actions that influence each of the links in the food chain (production, distribution, and consumption) with the purpose of moving toward the consolidation of attainable and equitable food systems that offer healthy and sustainable food. The implementation of these efforts is sought through processes of participatory government and community empowerment that include those inhabitants with the greatest social inequalities. Public policy also seeks to comply with the Sustainable Development Goals, in particular SDG 2, Zero Hunger; SDG 3, Good Health and Well-Being; SDG 11, Sustainable Cities and Communities; and SDG 12, Responsible Consumption and Production.
The agency responsible for the implementation of public policy is Medellín’s Food and Nutrition Security Team, dependent on the Secretariat of Social Inclusion, Family and Human Rights.
The Food and Nutrition Security Team works jointly with other secretariats. This is the case of the Secretariat of Health, the Secretariat of Education, the Secretariat of Economic Development, and the Undersecretariat of Rural Development. Moreover, to target the participant population, new links are established with the Public Policy for Family and the Public Policy for Older Adults. At a departmental level, this policy is articulated with Antioquia’s Secretariat for Social Inclusion and Family through the “Course of Life” program.
The legal framework of this public policy corresponds to Agreement No. 38 of 2005, complemented by Agreement No. 100 of 2013 and Decree No. 1063 of 2016, belonging to the Municipal Committee for Food and Nutrition Security and Sovereignty. It is supported by legislative and regulatory referents of different sources and realms at the international, national, departmental, and municipal levels.
Society in general
Financial/legal/technical assistence
Education and training
The ANPV employs two strategies: delivery of food packages and bonuses, and an educational aspect focused on habits and a healthy diet. Beneficiaries of food bonuses may redeem them at local businesses, helping promote the economy of the sector. The project attempts to alleviate the basic needs of the most vulnerable population. The FEN offers training in food and nutrition to different actors through the use of pedagogical strategies that allow for knowledge-building from a dialogue of knowledges and theoretical-practical approaches with the object of promoting healthy eating habits and lifestyles. The PAE offers a ration served to schoolchildren both in urban and rural areas of the municipality, meeting nutritional requirements as well as food safety and quality in order to promote student retention. Policy updating develops Territorial Roundtables on Food and Nutrition Security and Sovereignty (MTSSAN) in each municipal commune and town, fostering community empowerment and processes of active participation to improve food and nutrition security. SISAGRO, on the other hand, implements subsistence farms with agroecological techniques, short supply chains with producers and retailers, and builds spaces for family agriculture, seed protection, harvesting of native species, and the creation of environmentally friendly agricultural supplies.
Public policy also seeks to comply with the Sustainable Development Goals, in particular SDG 2, Zero Hunger; SDG 3, Good Health and Well-Being; SDG 11, Sustainable Cities and Communities; and SDG 12, Responsible Consumption and Production.
Public policy implementation relies on different alliances, such as international links to the United Nations’ Food and Agriculture Organization (FAO) and the Government of Uruguay for the development and exchange of good practices in public policy on food and nutrition security, with an emphasis on interventions among specific population groups. The academy has also been a strategic ally, with the collaboration of the Universidad de Antioquia, Universidad CES, and Corporación Universitaria Remington, which has allowed to join efforts for knowledge management. Likewise, civil society reinforces public policy through formally constituted spaces, such as community planning councils, boards of community action, and the Territorial Roundtables on Food and Nutrition Security.
• Territorial Roundtables on Food and Nutrition Security and Sovereignty (SSAN): They promote citizen participation in decision-making through gatherings for dialogue and knowledges exchange, as well as spaces for collective learning. They also allow for direct relations with the territory for exercises in planning, execution, and control of actions for food and nutrition security and sovereignty. The territorial roundtables on SSAN are held on a monthly basis in each commune and town. • Technical Roundtables on Food and Nutrition Security and Sovereignty: They offer joint planning of programs and projects related to food and nutrition security and sovereignty. These roundtables are a place for the interrelation between public and private entities, implementing a strategic approach to leadership and governance. They are held four times a year. • Public Roundtables: These are socialization spaces for the actions adopted. Both institutional and community actors participate in these public roundtables. It is worth noting the introduction of exercises of social participation and control, as well as operating, interventionist, and monitoring efforts for programs and projects. They are held twice a year. • Municipal Committee on Food and Nutrition Security and Sovereignty: This is a space to lead and guide challenges and repercussions that directly and indirectly impact on the well-being of the population within the framework of the Public Policy on Food and Nutrition Security and Sovereignty. It is regulated by Decree No. 1063 of 2006, and it holds three meetings per year. All of these mechanisms are formal in nature.
Funding through local government is still in force.
This public policy has an information and monitoring systems office tasked with maintaining an optimal technological infrastructure and a reliable information system For the validation, debugging, consolidation, and monitoring of the data gathered in the field during the different projects carried out by the Food and Nutrition Security Team. In addition, requirements for the development and gathering of data in preexistent applications are identified and designed to carry out the tracing, monitoring, updating, and measuring of indicators and reports that facilitate decision-making at the management level, as well as compliance with public policy in food and nutrition security and sovereignty. There is also a system of storage, monitoring, and validation of authentication sources of the activities conducted in each project (SIESAN).
Local goverment
Each of the projects provides information related to management indicators, which allows to ascertain the results of policy implementation. Some results are offered below from the Subcommittee of Planning of the Food and Nutritional Security Team (ESAN). Name of the Project: REINFORCING NUTRITION EDUCATION Indicator: Persons trained in food and nutrition to improve healthy habits. Goal: 2020: 55,000 – 2021 55,000 Consolidated achievement indicator: 2020: 46,735 – 2021: 59,145 Names of the Projects: IMPLEMENTATION OF SCHOOL FOOD PROGRAM (PAE) MEDELLÍN NUTRITION SUPPORT FOR THE VULNERABLE POPULATION EMERGENCY SOCIAL ASSISTANCE SOCIAL ASSISTANCE SERVICE FOR A DIGNIFIED AGING AND OLD AGE Indicator: Persons assisted in food supplementation or assistance programs. Goal: 2020: 300,000 - 2021: 300,000 Consolidated achievement indicator: 2020: 303,308 – 2021: 295,339 Name of the Project: IMPROVEMENT OF THE CITY’S FOOD AND AGRICULTURE SYSTEM Indicator: Subsistence farms or established retail. Goal: 2020: 400 – 2021: 700 Consolidated achievement indicator: 2020: 377 – 2021: 732 Name of the Project: IMPROVEMENT OF THE CITY’S FOOD AND AGRICULTURE SYSTEM Indicator: Food security area centers in service. Goal: 2020: 0 – 2021: 1 Consolidated achievement indicator: 2020: 0 – 2021: 1 Names of the Projects: BASIC FOOD BASKET NUTRITION SUPPORT FOR THE VULNERABLE POPULATION Indicator: Persons assisted in food supplementation or assistance programs. Goal: 2020: 18,000 – 2021: 18,000 Consolidated achievement indicator: 2020: 23,010 – 2021: 18,013
Local.

Instrumentos

2.1 By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable situations, including infants, to safe, nutritious and sufficient food all year round.

2.2 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons.

2.3 By 2030, double the agricultural productivity and incomes of small-scale food producers, in particular women, indigenous peoples, family farmers, pastoralists and fishers, including through secure and equal access to land, other productive resources and inputs, knowledge, financial services, markets and opportunities for value addition and non-farm employment.

2.4 By 2030, ensure sustainable food production systems and implement resilient agricultural practices that increase productivity and production, that help maintain ecosystems, that strengthen capacity for adaptation to climate change, extreme weather, drought, flooding and other disasters and that progressively improve land and soil quality.

2.5 By 2020, maintain the genetic diversity of seeds, cultivated plants and farmed and domesticated animals and their related wild species, including through soundly managed and diversified seed and plant banks at the national, regional and international levels, and promote access to and fair and equitable sharing of benefits arising from the utilization of genetic resources and associated traditional knowledge, as internationally agreed.

2.a Increase investment, including through enhanced international cooperation, in rural infrastructure, agricultural research and extension services, technology development and plant and livestock gene banks in order to enhance agricultural productive capacity in developing countries, in particular least developed countries.

2.b Correct and prevent trade restrictions and distortions in world agricultural markets, including through the parallel elimination of all forms of agricultural export subsidies and all export measures with equivalent effect, in accordance with the mandate of the Doha Development Round.

2.c Adopt measures to ensure the proper functioning of food commodity markets and their derivatives and facilitate timely access to market information, including on food reserves, in order to help limit extreme food price volatility.

3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.

3.2 By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births.

3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases.

3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.

3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol.

3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents.

3.7 By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes.

3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.

3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination.

3.a Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate.

3.b Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all.

3.c Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States.

11.1 By 2030, ensure access for all to adequate, safe and affordable housing and basic services and upgrade slums.

11.2 By 2030, provide access to safe, affordable, accessible and sustainable transport systems for all, improving road safety, notably by expanding public transport, with special attention to the needs of those in vulnerable situations, women, children, persons with disabilities and older persons.

11.3 By 2030, enhance inclusive and sustainable urbanization and capacity for participatory, integrated and sustainable human settlement planning and management in all countries.

11.4 Strengthen efforts to protect and safeguard the world’s cultural and natural heritage.

11.5 By 2030, significantly reduce the number of deaths and the number of people affected and substantially decrease the direct economic losses relative to global gross domestic product caused by disasters, including water-related disasters, with a focus on protecting the poor and people in vulnerable situations.

11.6 By 2030, reduce the adverse per capita environmental impact of cities, including by paying special attention to air quality and municipal and other waste management.

11.7 By 2030, provide universal access to safe, inclusive and accessible, green and public spaces, in particular for women and children, older persons and persons with disabilities.

11.a Support positive economic, social and environmental links between urban, peri-urban and rural areas by strengthening national and regional development planning.

11.b By 2020, substantially increase the number of cities and human settlements adopting and implementing integrated policies and plans towards inclusion, resource efficiency, mitigation and adaptation to climate change, resilience to disasters, and develop and implement, in line with the Sendai Framework for Disaster Risk Reduction 2015-2030, holistic disaster risk management at all levels.

11.c Support least developed countries, including through financial and technical assistance, in building sustainable and resilient buildings utilizing local materials.

12.1 Implement the 10-year framework of programmes on sustainable consumption and production, all countries taking action, with developed countries taking the lead, taking into account the development and capabilities of developing countries.

12.2 By 2030, achieve the sustainable management and efficient use of natural resources

12.3 By 2030, halve per capita global food waste at the retail and consumer levels and reduce food losses along production and supply chains, including post-harvest losses.

12-4 By 2020, achieve the environmentally sound management of chemicals and all wastes throughout their life cycle, in accordance with agreed international frameworks, and significantly reduce their release to air, water and soil in order to minimize their adverse impacts on human health and the environment.

12.5 By 2030, substantially reduce waste generation through prevention, reduction, recycling and reuse.

12.6 Encourage companies, especially large and transnational companies, to adopt sustainable practices and to integrate sustainability information into their reporting cycle.

12.7 Promote public procurement practices that are sustainable, in accordance with national policies and priorities.

12.8 By 2030, ensure that people everywhere have the relevant information and awareness for sustainable development and lifestyles in harmony with nature.

12.a Support developing countries to strengthen their scientific and technological capacity to move towards more sustainable patterns of consumption and production.

12.b Develop and implement tools to monitor sustainable development impacts for sustainable tourism that creates jobs and promotes local culture and products.

12.c Rationalize inefficient fossil-fuel subsidies that encourage wasteful consumption by removing market distortions, in accordance with national circumstances, including by restructuring taxation and phasing out those harmful subsidies, where they exist, to reflect their environmental impacts, taking fully into account the specific needs and conditions of developing countries and minimizing the possible adverse impacts on their development in a manner that protects the poor and the affected communities.

A - Full integration of population dynamics into sustainable development with equality and respect for human rights.
American Convention on Human Rights
Convention on the Rights of the Child (CRC).
Universal Declaration of Human Rights (UDHR).
International Covenant on Economic, Social and Cultural Rights (ICESCR).
Additional Protocol to the American Convention on Human Rights in economic, social and cultural rights (San Salvador Protocol).

Location

Region
Latin America and the Caribbean
Range of Demographic Size
1,000,000 inhabitants or more (metropolis)

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/* Educacion = 2 Empleo = 14 Género y diversidad sexual = 8 Interculturalidad y no discriminación = 21 Medio ambiente = 18 Movilidad Humana = 7 patrimonio e identidad cultural = 88 Salud = 25 Seguridad = 31 Vivienda = 30 */