[Medellín and the dream of a healthy city: a technical and collective construction]

To define the scope and the strategy of the Healthy City concept for Medellín.

Mixed study with literature review, document analysis and involvement of actors.

The construction of the concept leads to "a city to live more and better". Fifteen characteristics were identified and attributed to "Medellín, a Healthy City". The population assesses the current situation as average and gives more importance to the environment, safety, access to health services, housing and employment. In spite of this perception, and due to the programs and projects directed to increase health quality, the city has advanced towards the implementation of efforts to be acknowledged as a Healthy City.

The construction of a Healthy City is specific for each context, and, in any case, it demands a combination of technical work and citizen participation, with the purpose of creating an own imaginary and identifying priorities. In the case of Medellín, assuming the strategy in a systematic manner is necessary to continue in the long term and to propose explicit goals and take actions to work along with different sectors of social development.