1~1..·n di<:('US!tc-d in previ!"u. « ch:iptcr-s. Con:i:equcnl ly. i U11sl rntion t~f a pp lien tion nr I hc. !lc :<Lrnl1..~it--s 1111d :i. ~~pm:ichf. '" fn,111 project-based nm] t"e-"t'nn. :h-bu:<c. :d cxpc:ricncc",,r ~\ld('n\s. l Od mu·H· pnic-tiliunt'rs \,ill tw c-it C(l. 216 HEALTH PROMOTION R>llowini:, th<-He:11Lh fc-r,\ti proj. 1. rnm. th,, \\'orld I lcalth Orµ11niwlion clircctccl its df<>rt,; 1\)\\-;u-tl:, dcnlopini th<. · l'On<'t'J'l of lwulth pn,molion 1tsinr. lhc Primary l·lcnllh Care,\ppr Nl<'h. ·11ir Ol'taw. 1 Char U. 'T for MNtlth Promoli(>n wm,; the result of the Fir:I lntt>malnna l C:t1nt0t"\:ncc-cn I h-:11111 l'n,1111,tion nnd wn:< built on the values of the Dr.-lnr. 11ion,,f. \. lmn.-\In II :-tnk:< th. 11 he:1lth pn,motion m11s1 occur on five fronts namely: ( 1 o~o) Ruildini; hc;1lthy puhlk p"l,lky Cr<!nlhl!? cnvimnmcnt$ ""hid, support healthy living $tn?n)!tli.-nini c,,mmunity nction Help-in~ pt'<r'k develop their skills R<'On,·nlm~ hc·. ilth ~-;:tcm C'('Qrdinis tn \\710 C 1986). IV ensure cffc-cth·cncss of these five areas. health workers mu"l 1-. e eff<'(:'tin in crdt·o-eoc:t J and media tion in order 10 enable people to 1,sain ("(>ll!TT>I o,. :r their lh·c;; Ton,!;-. Tilford and Robinson (1990) agree t11111 the Ottawa Cha. nn,. _" ·nt'" puhlit'. h<'-11th appm:1d 1 in h<:':ihh promotion" and tha1 it differs frum u-adi11nnal puhh..-health. ipprr\;lcb 111 thn.-e imporrnut wnys: Jt re<. "<..>:;Jllh.... the bro-ad nature vf health promotion and the need to wurl-.,,,th,,tber q_-ctor:: Jr in!'litution:-whose works impact on lw. 1hh IL n..~",:m1e-the,-;i]ue of p:irtner. ;hip,,;11i rommunitic..; cnahlinp, th. cm to i;ain c<\ntrol o,·cr i~"ue..; affecting therr health 11 ['Pt"t:,,:1111.._,... 1h. : primacy of peoplc·s c11,-ironrncn1 (hath l)hy:;ica J and :-QCJ'l-f-'¢ln<,mic) in de1em1ining healtl1 and the need to work for ch:uur"' 111 th,J en,ironmen L rather than focusing solely at the level of irnh,idual beh~,;or change As 1n the ~lar. 11ion of Alm. a AL1. the Ottm.. a Charter for Health Prcnnm ion ackno,,·1,--d,:< "' 1h,· n L"n-<"il}' for politic. 11 action :rnd allo"-in~ health prohlcrm, to be deal!,,,tit 1\1 th,:,1r root <',.,use__ Th!' S<-<'Ond lott. rnnti onal Conference of He:1J1h Promc,tion in Adcluidc {19Ff-l J m..,de d1ar 1hc 1mport. nnce ">f h!!-"lhhy public polky urnin J; ind1rntriall7. c<l coontrie--tt J dc H·l)l) 1'>Qlk1e<: 1h;it 1....,v,n,he J;. "ll) flf rich and pu1Jr countric:,,-. l'rlorhy areas for ;. rlion ""rr 1dn11fied ac. fqllo,,-,: Suppc,n f,,r,-·nm~n·., h Nthh E. ltn11n1111,,n ()fhun11;,·r :,nd malmllrition R<.-<lucti<m oiwh:1e("(, wn,,-inn. :ind alcohol p-roduciion CN3l HHl of-. upprlrtl\ ·,. Pm:irrmm<'n:-. 10 rrnmotin1t hc;ilth Th<" TI1ird Jnternationn J C<Jnfere. nce on HC?nlth Promot ion in Sunds"all, S'4e<fen (1~1) madt n"<",mmf'ndn u<m for ac11nn 10 C"'r C'I\IC.-li UJ)f)Ortiv · cnvironrnenl'~. Tiw ~,mm,·nd..,11,m'-,n, hid--<l· ~trt'lll!thc n1n1t,uln><". ac,, 1tlrm1~1 communltr nction E. r..1ltl1 11;. : c,mmun 11',int. I indwi,lual. ; to u1lcc control overt heir hct1lth o. 1nd,..,,_,,.,r,n,,,m throu~h v.-Ju,.,-:,11,m and cmpowcrmcnl ~tt, n S(th,nm~ c-M,p-ra11m tl1r,,u1,!), allian,·c building; ond l-. ncurin~-qu1u,hlt·. 11·,.-... 11>,, ur>r>orthc-t>nvirunment 1hrouglt m Ki1. o11on of ronlhctin J!. 111t.-r!. !. ~rn amr,ntr, members of !!OCicty 