The document summarizes the Ottawa Charter and Jakarta Declaration, which are important documents in health promotion. The Ottawa Charter of 1986 established health promotion strategies like building healthy public policy, creating supportive environments, strengthening community actions, developing personal skills, and reorienting health services. The Jakarta Declaration of 1997 addressed new challenges to health promotion in an era of urbanization, chronic diseases, and globalization. It emphasized social responsibility, multisectoral partnerships, empowering communities and individuals, and securing infrastructure for health promotion.

1. Ottawa charter and Jakarta
declaration
By: Dr.Kavita yadav
1st yr MPH
Moderator:Dr N C ASHOK
HOD of Community Medicine
JSS Medical College & Hospital

2. Plan of presentation
 Health
 Alma–Ata declaration
 Health promotion
 Ottawa charter
 5 Key action area
 Jakarta declaration
 References

3. Health
 Ability to lead a socially and economically productive
life.
 Operational: - A condition or quality of the human
organism expressing the adequate functioning of the
organism in given conditions , genetic or
environmental.

4. Health for all
 World health assembly ,May 1977
 Attainment by all the people of world by 2000AD of
a level of health that will permit them to lead a
socially and economically productive life

5. Alma –Ata declaration
 1978 USSR
 Concept of primary health care.
 Based on principles of social equity , nation wide
coverage, self reliance, intersectoral co-ordination
and people’s involvement in planning and
implementation of health programmes in pursuit of
common health goals.

6. Definition
 Primary health care: essential health care based
on practical scientifically sound and socially
acceptable methods and technology made universally
accessible to individuals and families in community
through their full participation and at a cost that
community and country can afford to maintain at
every stage of their development in the spirit of self
determination.

7. Elements of primary health care
 Education concerning prevailing health problems and
methods of preventing and controlling them.
 Promotion of food supply and proper nutrition.
 Adequate supply of safe water and basic sanitation.
 Maternal and child health care , including family
planning
 Immunization against major infectious disease.
 Prevention and control of locally endemic diseases.
 Appropriate treatment of common disease and injuries.
 Provision of essential drugs.

8. Health promotion
 "Health promotion is the science and art of
helping people change their lifestyle to
move toward a state of optimal
health. (American Journal of Health Promotion,
1989,3,3,5)
 Term by: Henry E. Sigerist

9. Ottawa charter
 The first International Conference on Health
Promotion, meeting in Ottawa this 21st day of
November 1986.

10. New definition of health promotion
 Health promotion is the process of enabling people 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 realize aspirations, to satisfy needs, and to change or
cope with the environment.

11. Basic strategies
 Advocacy:- Good health is a major resource for
social, economic and personal development and an
important dimension of quality of life.
 Political, economic, social, cultural, environmental,
behavioural and biological factors can all favour
health or be harmful to it.

12. Enable
 Enable :Health promotion focuses on achieving equity in
health.
 Includes a secure foundation in a supportive environment,
access to information, life skills and opportunities for
making healthy choices.
 Must apply equally to women and men.

13. Mediate
 Needs cooperation by governments, health and other social
and economic sectors, ngo and voluntary organization,
local authorities, industry and the media. People in all
walks of life are involved as individuals, families and
communities. Professional and social groups and health
personnel have a major responsibility to mediate between
differing interests in society for the pursuit of health.

14. Five key action areas
 Build healthy public policies
 Create supportive environment
 Strengthen community action for health
 Develop personal skills
 Reorient health services

15. Build healthy public policy
 Building healthy public policy:health
promotion goes beyond health care.it
puts health on agenda of policy makers in
all sectors and all levels,directing them to
be aware of health consequences of their
decision and to accept their
responsibility for health.

16. Contd.
 Identifying the impact of policies on health
 Influencing policy
 Deciding where to spend the money

17. Create supportive environment
Systematic assessment of the health impact is
essential and must be followed by action to ensure
positive benefit to the health of the public.

18. Contd.
 Identifying personal support networks and
community services
 Identifying sociocultural, physical, political
and economic influences on health

19. Strengthen community action for health
 Setting health priorities
 Making decisions collaboratively
 Planning health promoting strategies
 Identifying and effectively using resources
 Implementing and evaluating strategies

20. Develop personal skills
 Focuses on health promotion that supports personal and social
development of the individual
 It endeavours to empower the individual, increasing the option
available to people, and this allows them to exercise more control over
their own health and their environments

21. Contd.
 Modifying Personal Behaviours
Decision making ,Communicating ,Assertiveness ,Time
management ,Planning and problem solving
 Gaining access to information and support
Physical isolation ,Lack of financial aid to provide health
facilities and education programs ,
Poor literacy skills,
Language barriers ,
Cultural barriers .

22. Reorient health services
 The responsibility for health promotion in health services is
shared among individuals, community groups, health
professionals, health service institutions and governments.
They must work together towards a health care system
which contributes to the pursuit of health.
 This requires changes in the attitude and organisation of
health services and changes to professional education,
training and research

23. Identifying and gaining access to the range of
services available:
 Health-care services includes hospitals, nursing
homes, psychiatric hospitals, doctors’ surgeries,
community health centers, women’s health centers,
baby health centers, community health nurses who
provide home care for the aged, disabled and
terminally ill, community midwives who provide
support and education for new mothers

24. Moving into the Future
 Health is created and lived by people within the settings of
their everyday life; where they learn, work, play and love.
Health is created by caring for oneself and others, by being
able to take decisions and have control over one's life
circumstances, and by ensuring that the society one lives in
creates conditions that allow the attainment of health by all its
members.
 Caring, holism and ecology are essential issues in developing
strategies for health promotion. Therefore, those involved
should take as a guiding principle that, in each phase of
planning, implementation and evaluation of health promotion
activities, women and men should become equal partners.

25. Health promotion emblem
.

26. Continuation
 Adelaide, Australia, 1988 :healthy public policy
 Sundsvall, Sweden, 1991 :supportive
environments for health

27. Jakarta declaration
 The Fourth International Conference on Health
Promotion: New Players for a New Era - Leading
Health Promotion into the 21st Century,
 Jakarta, 21 to 25 July 1997

28. Contd .
 Peace, shelter, education, social security, social
relations, food, income, the empowerment of
women, a stable eco-system,
 sustainable resource use, social justice, respect for
human rights, and equity.
 Above all,
poverty is
greatest threat.

29. New challenges
 Urbanization, an increase in the number of older
people, high prevalence of chronic diseases, social,
behavioural and biological changes, civil and
domestic violence, New and re-emerging infectious
diseases, transnational factors, wide access to media,
environmental degradation.

30. New approach needed
 People have to be at the centre of health promotion
action and decision-making processes
 Break through traditional boundaries within
government sectors, between governmental and ngo,
and between the
public and private
sector.
 Combination of 5
strategies.

31. Promote social responsibility for health
 Avoid harming the health of individuals
 Protect the environment and ensure sustainable use
of resources
 Restrict production and of trade harmful goods and
discourage unhealthy marketing practices
 Safeguard both the citizen in
the marketplace and the
workplace

32. Increase investments for health development
 Multisectoral approach
 Greater investment for health and reorientation of
existing investments,
 Should reflect the needs of particular groups such as
women, children, older people, and indigenous, poor
and marginalized populations.

33. Consolidate and expand partnerships for health
 Existing partnerships need to be strengthened and
the potential for new partnerships must be explored.
 Partnerships offer mutual benefit for health through
the sharing of expertise, skills and resources. WHO
guidelines should be adhered to.

34. Increase community capacity and empower the
individual
 Empowering community:practical education,
leadership training, and access to resources.
 Empowering individuals :demands more
consistent, reliable access to the decision-making
process and the skills and knowledge essential to
effect change.
 Social, cultural and spiritual resources need to be
harnessed in innovative ways.

35. Secure an infrastructure for health promotion
 New mechanisms for funding it locally, nationally
and globally must be found. Incentives should be
developed to influence the actions of governments,
nongovernmental organizations, educational
institutions and the private sector to make sure that
resource mobilization for health promotion is
maximized.

36. Logo
 Modified to reflect culture and atmosphere of the
host country of the conference,

37. Follow up
 Mexico 2000
 Bangkok 2005
 Nairobi 2009
 Helsinki 2013,june 10-14
 Impact Assessment as a tool for implementing
HIAP ( HEALTH IN ALL POLICIES)
 Health promotion and urban planning
 Local government as a key player in
implementation of HIAP
 Innovating financing for health promotion

38. IUHPE
 Globally collaborative network,working to promote
health worldwide & contribute to achievement of
equity in health between & within countries.
 It decentralizes its activity through regional offices
&works in close co-opertaion with
WHO,UNESCO,UNICEF & other major
organizations to influence & facilitate the
development of health promotion strategies &
project.

39. References
 Park’s textbook of preventive and social medicine,K.Park,22nd edition
 http://www.who.int/healthpromotion/conferences/previous/jakarta/decla
ration/en/index1.html.
 www.who.int/healthpromotion/conferences/previous/ottawa/en/
 en.wikipedia.org/wiki/Ottawa_Charter_for_Health_Promotion
 www.naspa.org/2012_Chicago_Hdts_1(1).pdf
 www.boredofstudies.org/.../The_Five_Action_Areas_of_the_Ottawa_
Charter_
 www.hsc.csu.edu.au/pdhpe/core1/focus/focus1.../health_pri1_4_1_4.ht
m
 a href="http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages

40. Thank you