National opportunities for health promotion: the Canadian experience

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Abstract
Health promotion is a fundamental strategy to address the major issues which confront health systems in developed and developing countries alike. Chief amongst these issues are unhealthy environments, health inequities and non-communicable diseases. The infrastructures for health promotion include mechan isms for development and implementation of health policy; policies and programs supportive of community involvement in health promotion programs; reorientation of the health care system towards prevention; and research. Consensus building among key stakeholders from the public and private sectors is at the core of the policy development process. A New Perspective for the Health of Canadians (1974) and the WHO Ottawa Charter for Health Promotion (1987) have guided health promotion policy and program development at both the national and provincial levels, in Canada, a number of initiatives have placed into pra ctice the policy frameworks, among them: Healthy Communities, the Canadian Heart Health initiative, integration ofpreven lion into clinical practice, and structures to support research in health promotion.

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