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Introduction to Health Promotion from the Mountain and the Field

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

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  1. Introduction to Health Promotion from the Mountain and the Field Irv Rootman and Maria Herrera

  2. 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

  3. From the Mountain Irv Rootman, Director Centre for Health Promotion University of Toronto

  4. 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

  5. Health Field Concept (Lalonde, 1974) • Human biology • Environment • Lifestyle • Health care organization

  6. Strategies (Lalonde, 1974) • Health promotion • Regulatory • Research • Health care efficiency • Goal setting

  7. 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

  8. Definition of health promotion • “the process of enabling people to increase control over, and to improve, their health” (Ottawa Charter, 1986)

  9. Prerequisites for health • Peace…shelter…education… • Food…income • Stable eco-system • Sustainable resources • Social justice • Equity

  10. Action areas for h.p. (1986) • Building healthy public policy • Creating supportive environments • Strengthening community action • Developing personal skills • Reorienting health services

  11. 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

  12. 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

  13. The Future • Integration with population health • Integration with other sectors • Leadership of academic sector • International development

  14. 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

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