Health Promotion and the Ottawa Charter CH8

Jun 21, 2024

Health Promotion and the Ottawa Charter

Introduction

  • Health promotion: Essential part of public health.
  • Defined: Enabling people to increase control over and improve health.
  • WHO definition of health: Beyond absence of disease to complete physical, mental, social well-being.

Influencing Factors

  • Health influenced by social, environmental, economic factors.
  • Comprehensive approach needed: Individual behavior and broader health determinants.

Global Attention to Health Promotion

  • Significant history: 1986, 1st International Conference on Health Promotion (WHO) in Ottawa, Canada.
  • Outcome: Ottawa Charter.
  • Continued relevance and influence on health promotion worldwide.

Ottawa Charter: Key Components

Five Action Areas

  1. Building Healthy Public Policy
    • Policies supporting health are crucial.
    • Examples: Seatbelt laws, smoking restrictions, workplace safety regulations.
  2. Creating Supportive Environments
    • Focus on natural and built environments (places of living, working, learning, playing).
    • Examples: Workplace health programs, restrictions on junk food ads for children, walking/running programs.
  3. Strengthening Community Action
    • Collective community efforts to improve health.
    • Examples: Community fun runs, community kitchens, support groups for specific illnesses (e.g., HIV/AIDS).
  4. Reorienting Health Services
    • Shift focus from curative to preventive and holistic care.
    • Examples: Training doctors for smoking cessation education, establishing health educator roles, improving access for diverse populations.
  5. Developing Personal Skills
    • Support for personal/social development through education and information.
    • Examples: Online health information programs, educational materials for chronic diseases, disease management classes.

Three Strategies

  1. Advocate
    • Combine actions to gain political commitment and policy support for health goals.
  2. Mediate
    • Reconcile interests between individuals, communities, sectors (public/private) to promote health.
  3. Enable
    • Partner with individuals to empower and promote actions for better health.