.... The Jakarta Declaration .. . . on Leading Health Promotion into the 21st Century Adopted at the Fourth International Conference on Health Promotion, July 21-25, 1997 Jakarta, Republic of Indonesia Clinical Trials and Informatics Support Unit Department of Reproductive Health and Research World Health Organization
2 World Health Organization 1997 All rights of this document are reserved by the World Health Organization. The document may nevertheless be freely reviewed, abstracted, reproduced or translated into any other language, but not for sale in conjunction with commercial purposes. The World Health Organization, the Division of Health Promotion, Education and Communication, Health Education and Health Promotion Unit would appreciate receiving one copy of any translation. The designations employed and the presentation of the material in this document do not imply the expression of any opinion whatsoever on the part of the Secretariat of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. WHO/HPR/HEP/4ICHP/BR/97.4 .Distr .: general
Preamble The Fourth International Conference on Health Promotion: New Players for a New Era - Leading Health Promotion into the 21st Century, meeting in Jakarta from 21 to 25 July 1997, has come at a critical moment in the development of international strategies for health. It is almost 20 years since the World Health Organization's Member States made an ambitious commitment to a global strategy for Health for All and the principles of primary health care through the Declaration of Alma-Ata. It is 11 years since the First International Conference on Health Promotion was held in Ottawa, Canada. That Conference resulted in proclamation of the Ottawa Charter for Health Promotion, which has been a source of guidance and inspiration for health promotion since that time. Subsequent international conferences and meetings have further clarified the relevance and meaning of key strategies in health promotion, including healthy public policy (Adelaide, Australia, 1988), and supportive environments for health (Sundsvall, Sweden, 1991). The Fourth International Conference on Health Promotion is the first to be held in a developing country, and the first to involve the private sector in supporting health promotion. It has provided an opportunity to reflect on what has been learned about effective health promotion, to re-examine the determinants of health, and to identify the directions and strategies that must be adopted to address the challenges of promoting health in the 21st century. 3 The participants in the Jakarta Conference hereby present this Declaration on action for health promotion into the next century. Health promotion is a key investment Health is a basic human right and is essential for social and economic development. Increasingly, health promotion is being recognized as an essential element of health development. It is a process of enabling people to increase control over, and to improve, their health. Health promotion, through investment and action, has a marked impact on the determinants of health so as to create the greatest health gain for people, to contribute