Health Promotion and Healthy Settings

3 years 8 months ago - 3 years 7 months ago #101 by lwilson

Healthy Settings: What does the future hold?
Sridevi Adivi

The WHO Ottawa Charter at the First International Conference on Health Promotion in 1986 recommended five principles for HP:
• to build healthy public policy;
• to create supportive environments;
• to strengthen community actions;
• to develop personal skills; and
• to reorient health services.

The Charter also states that “"Health is created and lived by people within the settings of their everyday life; where they learn, work, play, and love." (The Ottawa Charter, 1986)

The Healthy Settings movement has its origins in the WHO “Health for All” strategy of 1980. The premise of the movement can be summed up as “...people cannot and ought not to be treated in isolation from the larger social units in which they live, work, play, worship and go to school. To be successful, health promotion practitioners must take a sociological approach to promoting health, rather than continuing to rely on psychological interventions such as behavior modification, health education, and social marketing, which have not proven to be effective at aggregate, population or community levels of action” (Poland et al, 2000), when used in isolation.

A healthy setting is where people actively use and shape the environment to be health promoting. Settings can normally be identified as having physical boundaries, a range of people with defined roles, and an organizational structure. Examples of settings include schools, work sites, hospitals, villages cities, islands, prisons, etc. (WHO, Healthy Settings)

“Despite the popularity and championing of the settings approach, it has, arguably, not gained as much influence as it might have – in terms of either guiding wider international policy or driving national-level public health strategy”. Furthermore, “a range of terminology has been used and a diversity of understandings and practice has been brought together under the health promoting settings ‘banner’ e.g. ‘health promoting settings’, ‘healthy settings’, and ‘health promotion in settings’ which all take on “semantic differences between them and the possible influences on understanding and practice”. (Dooris M, 2006)

• What is the difference between health promoting settings and the promotion of health in settings?

• What progress have we made in connecting between settings initiatives, so that we maximise learning and synergy (and how important is this connecting)?

• What learning have we generated about how best to evaluate the impact and effectiveness of whole system healthy settings programmes - going beyond evaluation of the delivery of interventions in settings?

Poland, BD, Green, LW, & Rootman, I (eds) (2000) Settings for health promotion: Linking theory and practice, SAGE Publications
World Health Organisation, Healthy Settings,
Dooris M. (2006) Health promoting settings: future directions, IUHPE – Promotion & Education VOL. XIII, NO. 1 2006:5

Lianne Wilson
Last Edit: 3 years 7 months ago by lwilson.

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