Health Promotion International Advance Access originally published online on January 28, 2008
Health Promotion International 2008 23(2):200-206; doi:10.1093/heapro/dan002
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Health promotion policy in Canada: lessons forgotten, lessons still to learn
Department of Sociology, University of New Brunswick, PO Box 4400, Fredericton, New Brunswick, Canada E3B 5A3
* Corresponding author. E-mail: jlow{at}unb.ca
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In this paper, we analyse Canadian health promotion discourse past and present, in the context of selected federal and provincial government policy initiatives. Principally, we examine the health promotion discourse articulated in A New Perspective on the Health of Canadians, Achieving Health for All: A Framework for Health Promotion, the Ottawa Charter for Health Promotion, Improving the Health of Canadians, and Canada Health Action: Building on the Legacy—Volume II—Synthesis reports and Issue papers. We argue that the health promotion lessons of the past 30 years contained within these reports have largely been forgotten, overlooked or disregarded in policy implementation. We conclude, as have many before us, that successful health promotion policy needs to reflect a collectivist rather than individualist ethos where responsibility for the health of Canadians is concerned. Moreover, it needs to be one that addresses the social determinants of health, including inequity, via the coordination of healthy public policy.
Key words: health promotion; health policy; social determinants of health
Based on a paper presented at the 2nd Atlantic Networks for Prevention Research (ANPR) Conference. St John's, Newfoundland & Labrador, Canada, 4–6 July 2007.