Ottawa Charter for Health Promotion
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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 of h ...
(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 tot ...
, 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 Healt ...
.


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. T ...
, 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 Healt ...
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 He ...
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 Continent#Subcontinents, subcontinent of Eurasia ...
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 th ...
.


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 profe ...
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 The Jakarta Declaration on Leading Health Promotion into the 21st Century is the name of an international agreement that was signed at the World Health Organization's 1997 Fourth International Conference on Health Promotion held in Jakarta.World He ...
in 1997 * WHO: Health for all targets in 1997 * WHO:
Health 21 Health 21 or Health21 is the name given to the World Health Organization (WHO) European Region policy framework derived from the " health-for-all policy for the twenty-first century" passed by the World Health Assembly in 1998.World Health AssemblyR ...
in 1999 * WHO:
Bangkok Charter The Bangkok Charter for Health Promotion in a Globalized World is the name of an international agreement reached among participants of the 6th Global Conference on Health Promotion held in Bangkok, Thailand in August 2005, convened by the World Heal ...
in 2005 * WHO:
7th Global Conference on Health Promotion 2009 7 (seven) is the natural number following 6 and preceding 8. It is the only prime number preceding a cube. As an early prime number in the series of positive integers, the number seven has greatly symbolic associations in religion, mythology, ...
* WHO:
8th Global Conference on Health Promotion 2013 8 (eight) is the natural number following 7 and preceding 9. In mathematics 8 is: * a composite number, its proper divisors being , , and . It is twice 4 or four times 2. * a power of two, being 2 (two cubed), and is the first number of t ...
Within countries: * United Kingdom **
Our Healthier Nation Our or OUR may refer to: * The possessive form of " we" * Our (river), in Belgium, Luxembourg, and Germany * Our, Belgium, a village in Belgium * Our, Jura, a commune in France * Office of Utilities Regulation (OUR), a government utility regulat ...
**
National Plan National may refer to: Common uses * Nation or country ** Nationality – a ''national'' is a person who is subject to a nation, regardless of whether the person has full rights as a citizen Places in the United States * National, Maryland, c ...
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 Healt ...
** Health For All **
Royal Society for the Promotion of Health Royal Society for Public Health (RSPH) is an independent, multi-disciplinary charity dedicated to the improvement of the public's health. RSPH helps inform policy and practice, working to educate, empower and support communities and individuals ...
, 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 Healt ...
, 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 reach ...
**
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 of h ...


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