Global issues and challenges beyond Ottawa: the way forward

Abstract

This article links 10 regional field reports to the statement Shaping the future of health promotion: Priorities for action, which are both outcomes of the global IUHPE and CCHPR project, Renewing our Commitment to the Ottawa Charter: The Way Forward. The Shaping the future statement has emerged from the regional field reports and will act as the driving force behind the future articulation of health promotion policy at an international level. Connections are made between the key areas of the regional field reports, which include health promotion policy, health-promoting services, health promotion funding and availability of resources, community participation in health, research and information, and the recommendations made in the Shaping the future of health promotion: Priorities for action statement. The coverage includes putting healthy policies in to practice; strengthening structures and processes for health promotion; moving towards knowledge based practice; building a competent health promotion workforce and empowering communities. There are a number of significant issues arising across all the regional field reports that have been drawn on to make the recommendations in the statement. For example, the political environment has strongly influenced the evolution of health promotion. There is a clear message from the reports that political will is essential and that political advocacy needs to continue to ensure that policy goals represent the principles of Ottawa in an appropriate manner. Examples drawn from the reports demonstrate the many and varied challenges for health promotion in addressing 21st century global health determinants. There is also a clear indication that the principles established in Ottawa, and developed in subsequent WHO declarations and charters, have been embedded in the framework of health promotion practice. Shaping the future articulates the key message from the regional field reports, and therefore ensures that the lessons learnt from implementing Ottawa over the past two decades are harnessed and will shape health promotion in the future. (Promotion & Education, 2007, XIV (4): pp 194-198)

Keywords

intersectoral action workforce capacity funding knowledge-based practice

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References

Brown C. , (2005) “Mapping system capacity in the WHO/EURO Region: A WHO/EURO partnership initiative to explore and debate the capacity of national systems to address the social and economic determinants of health”.WHO Euro Office for Investment for Health and Development.

Brown C. & Noguera A. , (2005) “Governance of population health across Europe. A situation analysis” WHO Euro Office for Investment for Health & Development, www.euro.who.int/ihd accessed October 22 2007.

Fosse, E. , Mittelmark, M. , Skogli, K. (2005) “European capacity for health promotion at the national level”.Report from HP-Source.net.

International Union of Health Promotion and Education (IUHPE) (1995) “International seminar on national health promoting policies, strategies, and structures. Promotion & Education, Vol II /2,3.

International Union of Health Promotion and Education (IUHPE) and Canadian Centre for Health Promotion Research (CCHPR) ( 2007) “Shaping the Future of Health Promotion: Priorities for action”.IUHPE. Paris.

Scriven, A. (2005) Promoting health: a global context and rationale . In Scriven, A. and Garman, S. (eds) “Promoting Health: Global Issues and Perspectives”.Palgrave Macmillan . Basingstoke.

Scriven, A. and Garman, S. (eds) (2005) “Promoting Health: Global Issues and Perspectives”.Palgrave Macmillan. Basingstoke.

Speller, V. (2006) “Technical Notes for Authors”. Renewing our commitment to the Ottawa Charter “The Way Forward” A joint CCHPR/IUHPE project. Unpublished paper. IUHPE. Paris.

World Health Organisation (WHO) (1986) “ Ottawa Charter for Health Promotion”.WHO. Geneva.

10.

World Health Organisation (WHO) (1988) “ The Adelaide Recommendations”.WHO. Geneva.

11.

World Health Organisation (WHO) (1991) Sundvall Statement on Supportive Environments for Health. WHO. Geneva.

12.

World Health Organisation (WHO) (1997) The Jakarta Declaration on Health Promotion in the 21st Century. WHO. Geneva.

13.

World Health Organisation (WHO) (1998) Health for All in the 21st Century (A51/5). WHO . Geneva.

14.

World Health Organisation (WHO) (2006a) Bangkok Charter for Health Promotion in a Globalized World. WHO. Geneva.

15.

WHO (2006b) Commission on Social Determinants of Health. Conceptual framework (2005) http://www.who.int/social_determinants/resources/framework.pdf accessed 22 October 2007.