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Learning lessons from past mistakes: how can Health in All Policies fulfil its promises?
  1. Amaia Bacigalupe1,
  2. Santiago Esnaola1,
  3. Unai Martín2,
  4. Jon Zuazagoitia3
  1. 1Health Studies and Research Unit, Ministry of Health and Consumer Affairs, Basque Government, Vitoria-Gasteiz, Spain
  2. 2Department of Sociology, University of the Basque Country, Bilbao, Spain
  3. 3Health Promotion Unit, Ministry of Health and Consumer Affairs, Basque Government, Vitoria-Gasteiz, Spain
  1. Correspondence to Amaia Bacigalupe, Health Studies and Research Unit, Ministry of Health and Consumer Affairs, Basque Government, Donostia-San Sebastián, 1. 01010 Vitoria-Gasteiz, Spain; abacigalupe{at}ej-gv.es

Abstract

The Ottawa Charter has exerted a great deal of influence on the public health debate and on health promotion practices over the last 25 years. The Charter shifted the main focus from individual risk behaviours to social determinants of health, and introduced innovative strategies such as participatory processes and empowerment of communities.1 This new public health era is based, essentially, on the introduction of health promotion to increase people's opportunities to make healthy choices. Building healthy public policies (HPP) is a core area, even an overriding concern for health promotion,2 as it seeks to put health onto the agenda of policy-makers across different sectors, to improve the conditions under which people live.3 HPP is concerned with equity, and has, by its nature, an intersectoral focus with an explicit interest in the impacts of all policies on the health of the population.4 It represents a reaction against the individualistic and victim-blaming approach of curative medicine and the excessive focus previously placed on health education.5

  • Health impact assessment
  • health policy
  • health promotion FQ
  • social inequalities

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Footnotes

  • Linked articles 102020, 102129, 102459.

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

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