The Charter

Increasingly fast globalization process

The need improve capacities in health promotion

Health promotion as an essential public health function that could contribute to effort that address communicable and non communicable diseases as well as other health challenges.

Critical challenges new patterns of consumption and communication

Marketing

Increasing inequities within and between countries

Environmental changes and urbanization

Evidence as Assessed by PAHO

This Forum highlighted the evidence as assessed by PAHO, of health promotion achievements

It analyzed human resources and organizational situations within the Ministries of Health, professional programs, and the different developments in the Region

Following the Bangkok Charter

A Resolution on Health Promotion which strongly supported the stewardship role of the Ministry of Health

Other multilateral agencies to promote similar actions with other sectors

Commission on the Social Determinants of Health (SDH)

In 2005, the Director General of WHO established the Commission on the Social Determinants of Health (SDH)

This Commission developed a set of knowledge networks that worked together

to assess the state of the world’s economy, environment, gender rights, human rights, priority health conditions and urban health

In 2008 Brazil published its report on the SDH (CNDSS, 2008)

Canada’s Public Health Agency’s Annual Report (PHAC 2008) assessed the conditions of the SDH in the country

Chile integrated its policies around the principles of the SDH and it started a process of programmatic reform of its programs and initiatives

Argentina and Costa Rica reorganized their public services to incorporate the SDH approach

United States reform process, the SDH have been considered within its strategic developments

WHO, 2010b; WHO 2010c; Government of South Australia, 2010

Working in partnership

Reaching out with a new set of tools including

Broader health information systems

Effective integration of communities and other participatory processes

Applying the Public Health Lens2 and Health Impact Assessment methods

An intervention-oriented document, and the product of the 7th Global Conference on Health Promotion

Developing and developed countries are facing a surge of preventable diseases that threatens to undermine their future economic development

Five urgent responsibilities for governments and stakeholders

Strengthening leadership and the workforce

Mainstreaming health promotion

Empowering communities and individuals

Engaging participatory processes and building and applying knowledge

Alma-Ata Conference -> Primary Health Care reforms

a) Reforms that ensure that health systems contribute to health equity, social justice and the end of exclusion

b) Reforms that reorganize health services as primary care

c) Reforms that secure healthier communities

d) Reforms that replace disproportionate reliance on command and control on one hand