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Introduction to Health Promotion from the Mountain and the Field. Irv Rootman and Maria Herrera. Purpose. To provide an introduction to health promotion from an international, national, provincial and local perspective
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Introduction to Health Promotion from the Mountain and the Field Irv Rootman and Maria Herrera
Purpose • To provide an introduction to health promotion from an international, national, provincial and local perspective • To provide an overview of where the field has been and is likely to go in the 21st Century from two different vantage points
From the Mountain Irv Rootman, Director Centre for Health Promotion University of Toronto
Where has health promotion been? • 1974: Lalonde Report • 1978: Health Promotion Directorate • 1984: Beyond Health Care Conference • 1986: First International Conference; Charter;A.H.F.A;Ontario H.P.B. established • 1988: Second International Conference • 1989: National Symposium
Health Field Concept (Lalonde, 1974) • Human biology • Environment • Lifestyle • Health care organization
Strategies (Lalonde, 1974) • Health promotion • Regulatory • Research • Health care efficiency • Goal setting
Principles of h.p. (1984) • Involves population as a whole • Acts on the determinants of health • Combines diverse approaches • Aims at public participation • Health professionals have enabling role
Definition of health promotion • “the process of enabling people to increase control over, and to improve, their health” (Ottawa Charter, 1986)
Prerequisites for health • Peace…shelter…education… • Food…income • Stable eco-system • Sustainable resources • Social justice • Equity
Action areas for h.p. (1986) • Building healthy public policy • Creating supportive environments • Strengthening community action • Developing personal skills • Reorienting health services
Milestones (Cont.) • 1991: Third International Conference • 1994: Strategies for Population Health • 1995: H.P.D. eliminated • 1996: Action Statement and Consortium • 1997: Fourth International Conference • 1998: H.P.B. eliminated • 2000: Fifth International Conference
Current Status • Health promotion growing internationally • Health promotion making comeback at national level • Some provinces active • University centres increasingly coordinated • Increased funding for research • Voluntary organizations strong
The Future • Integration with population health • Integration with other sectors • Leadership of academic sector • International development
We need to: • Help people better understand what health promotion is • Spread evidence regarding its effectiveness • Maintain our allegiance to its core values and principles