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Health Promotion International Advance Access originally published online on June 13, 2009
Health Promotion International 2009 24(3):203-210; doi:10.1093/heapro/dap021
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© The Author (2009). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Meeting the challenges of the Ottawa Charter: comparing South African responses to AIDS and tobacco control

M. Taylor1,*, A. Meyer-Weitz2, C.C. Jinabhai1 and R. Sathiparsad3

1Department of Public Health Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Private Bag 7, Congella, 4013 Durban, South Africa 2 School of Psychology, University of KwaZulu-Natal, King George V Ave., Durban, South Africa 3 School of Social Work, University of KwaZulu-Natal, King George V Ave., Durban, South Africa

* Corresponding author. E-mail: taylor{at}ukzn.ac.za


  Abstract

The paper compares the response of the South African Government to HIV and AIDS with the government's policy development concerning the use of tobacco. The high burden of disease from HIV and AIDS in South Africa and the morbidity and mortality from the use of tobacco are outlined. Using the framework of the Ottawa Charter for Health Promotion, the paper reviews and critiques the Government's different stance to building public policy, creating supportive environments, engaging community participation, developing personal skills and re-orienting the health services, for HIV/AIDS and tobacco. The result of these policy choices is described. The lack of adequate implementation of the key elements of the Ottawa Charter has resulted in high morbidity and mortality due to the spread of HIV infection in South Africa. This has also influenced the resurgence of tuberculosis, and the accompanying MDR and XDR TB epidemics. The high prevalence of HIV infection has also meant that the health system is unable to cope with the large numbers of patients requiring anti-retroviral treatment, and the early morbidity and mortality of young economically active people has had devastating social consequences, resulting in the large numbers of orphans. In contrast, South Africa is a signatory to the World Health Organizations' Framework Convention on Tobacco Control, and has successfully implemented many of the policies.

Key words: HIV/AIDS; policy development; tobacco control


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