
The Ottawa Charter for Health Promotion is the name of an international agreement signed at the First International Conference on Health Promotion, organized by the
World Health Organization
The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level o ...
(WHO) and held in
Ottawa
Ottawa (, ; Canadian French: ) is the capital city of Canada. It is located at the confluence of the Ottawa River and the Rideau River in the southern portion of the province of Ontario. Ottawa borders Gatineau, Quebec, and forms the core ...
,
Canada
Canada is a country in North America. Its ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, covering over , making it the world's second-largest country by tota ...
, in November 1986.
[World Health Organization]
The Ottawa Charter for Health Promotion.
Adopted on 21 November 1986. It launched a series of actions among international organizations, national governments and local communities to achieve the goal of "
Health For All" by the year 2000 and beyond through better
health promotion
Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health."
Scope
The WHO's 1986 Ottawa Charter for Hea ...
.
Context
The thirtieth WHO
World Health Assembly
The World Health Assembly (WHA) is the forum through which the World Health Organization (WHO) is governed by its 194 member states. It is the world's highest health policy setting body and is composed of health ministers from member states.
...
, held in 1977, had highlighted the importance of promoting
health
Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World Health Organiza ...
so that all the international citizens had an "economically productive" level of health by the year 2000. Further, a localised European taskforce developed a strategy for
health promotion
Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health."
Scope
The WHO's 1986 Ottawa Charter for Hea ...
in the
WHO
Who or WHO may refer to:
* Who (pronoun), an interrogative or relative pronoun
* Who?, one of the Five Ws in journalism
* World Health Organization
Arts and entertainment Fictional characters
* Who, a creature in the Dr. Seuss book ''Horton Hear ...
Europe
Europe is a large peninsula conventionally considered a continent in its own right because of its great physical size and the weight of its history and traditions. Europe is also considered a subcontinent of Eurasia and it is located enti ...
an Region.
In the context of this charter, the concept of 'health' is particular. It covers the extent to which a group or individual can fulfil their ambitions and needs, on the one hand, and evolve with or adapt to the environment, on the other. Health is thus seen as a resource for everyday life, not as the goal of life; it is a positive concept that emphasises social and individual resources as well as physical capabilities. Thus, health promotion is not just a health issue, but goes beyond healthy lifestyles to
well-being
Well-being, or wellbeing, also known as wellness, prudential value or quality of life, refers to what is intrinsically valuable relative ''to'' someone. So the well-being of a person is what is ultimately good ''for'' this person, what is in t ...
.
Action areas of the Ottawa Charter
Prerequisites
The fundamental conditions and resources for health are:
* peace,
* shelter,
* education,
* food,
* income,
* a stable eco-system,
* sustainable resources,
* social justice, and equity.
Action areas
Five action areas for health promotion were identified in the charter:
[
# Building healthy public policy
# Creating supportive environments
# Strengthening community action
# Developing personal skills
# Re-orienting ]health care
Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health ...
services toward prevention of illness and promotion of health
The basic strategies for health promotion were prioritized as:
* Advocate: Health is a resource for social and developmental means, thus the dimensions that affect these factors must be changed to encourage health.
* Enable: Health equity
Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequitie ...
must be reached where individuals must become empowered to control the determinants that affect their health, such that they are able to reach the highest attainable quality of life.
* Mediation: Health promotion cannot be achieved by the health sector alone; rather its success will depend on the collaboration of all sectors of government (social, economic, etc.) as well as independent organizations (media, industry, etc.).
Developments after Ottawa
Internationally:
* WHO: Jakarta Declaration in 1997
* WHO: Health for all targets in 1997
* WHO: Health 21 in 1999
* WHO: Bangkok Charter in 2005
* WHO: 7th Global Conference on Health Promotion 2009
* WHO: 8th Global Conference on Health Promotion 2013
Within countries:
* United Kingdom
** Our Healthier Nation
** National Plan
Even 30 years later, this charter is still considered as a seminal document and template for health promotion.[{{Cite journal , last=Thompson , first=S. R. , last2=Watson , first2=M. C. , last3=Tilford , first3=S. , date=2018-03-04 , title=The Ottawa Charter 30 years on: still an important standard for health promotion , url=https://doi.org/10.1080/14635240.2017.1415765 , journal=International Journal of Health Promotion and Education , volume=56 , issue=2 , pages=73–84 , doi=10.1080/14635240.2017.1415765 , issn=1463-5240]
See also
* Health promotion
Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health."
Scope
The WHO's 1986 Ottawa Charter for Hea ...
** Health For All
** Royal Society for the Promotion of Health, United Kingdom
** Ministry of Health Promotion and Sport (Ontario) The Ministry of Health Promotion and Sport in the Canadian province of Ontario was responsible for the promotion of healthy living and disease prevention in the province. Between 2005 and July 2010, the organization's name was the Ministry of Health ...
, Canada
* Health policy
Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society".World Health Organization''Health Policy'' accessed 22 March 2011(Web archive)/ref> According to the ...
* Health department
A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their ow ...
s
* Healthy city
Healthy city is a term used in public health and urban design to stress the impact of policy on human health. It is a municipality that continually improves on a physical and a social level until environmental and pathological conditions are reac ...
** Alliance for Healthy Cities The Alliance for Healthy Cities (AFHC) is a cooperative international alliance aimed at protecting and enhancing the health and health care of city dwellers. It is composed of groups of cities, urban districts and other organizations from countries ...
* World Health Organization
The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level o ...
References
Further reading
* Ewles L, Simnett I (2005). ''Promoting Health - a practical guide.'' Balliere Tindall: Edinburgh.
* WHO (1999). ''Health 21 - Health for all in the 21st Century.'' WHO Europe: Copenhagen.
* WHO (1999). ''Reducing health inequalities - proposals for health promotion and actions.'' WHO Europe: Copenhagen.
External links
Official text (WHO)
Health promotion
World Health Organization