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The first International Conference on Health Promotion meeting in Ottawa this 21st day of November 1986 hereby presents this CHAR TER for action to achieve Health for All by the year 2000 and beyond This conference was primarily a response to growing expectations for a new public health movement around the world Discussions focused on the needs in industrialised coun tries but took into account similar concerns in all other regions It built on the progress made through the Declaration on Primary Health Care at Alma Ata the WorldHeaUh Organisa tion s Targets for Health for All document and the recent debate at the World Health Assembly on intersectaral action for health HEALTH PROMOTION Health promotion is the process of enabling peo ple to increase control over and to improve their health To reach a state of complete physical mental and social well-being an individual or group must be able to identify and to realise aspirations to satisfy needs and to change or cope with the environment Health is therefore seen as a resource for everyday life not the objec tive of living Health is a positive concept empha sising social and personal resources as well as physical capacities Therefore health promotion is not just the responsibility of the health sector but goes beyond healthy lifestyles to well-being Prerequisites for health The fundamental conditions and resources for health are peace shelter education food income a stable ecosystem sustainable resources social justice and equity Improvement in health requires a secure foundation in these basic prerequisites Advocate Good health is a major resource for social eco nomic and personal development and an impor tant dimension of quality of life Political economic social cultural environmental behav ioural and biological factors can all favour health or be harmful to it Health promotion action aims at making these conditions favourable through advocacy for health Enable Health promotion focuses on achieving equity in health Health promotion action aims at reducing
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