Meeting the challenges of the Ottawa Charter

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.

Charter · Developing country · Economic growth · Environmental health · Government (linguistics) · Health promotion · Political science · Politics · Promotion (chess) · Public health · Tobacco control · Tuberculosis · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing · Health Policy

• The Ottawa Charter in practice

  Open Access•Lisa McNally•Health Promotion International•2026

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• Linking governance mechanisms to health outcomes

  Open Access•Dana Karen Ciccone, Taryn Vian et al.•Social Science & Medicine•2014

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• Adolescents’ Beliefs About Forced Sex in KwaZulu-Natal, South Africa

  Open Access•Hein De Vries, Sander Matthijs Egger et al.•Archives of Sexual Behavior•2014

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• Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa

  Open Access•Kristin Dunkle, Kristin L Dunkle et al.•The Lancet•2004

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• Optimistic bias in adolescent and adult smokers and nonsmokers

  Open Access•Jeffrey Jensen Arnett•Addictive Behaviors•2000

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• The social construction of ARVs in South Africa* *This article is based on a longer study that was developed in collaboration with Sexuality Policy Watch, with funding provided by the Ford Foundation. For an extended discussion of the issues examined in this article, see “Constitutional authority and its limitations

  Open Access•Robert Sember•Global Public Health•2008

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• The Constitution of the Republic of South Africa

  Open Access•John Hatchard•Journal of African Law•1994

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• Sex, gender, and vulnerability

  Open Access•Rachel Snow•Global Public Health•2008

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• Effects of South African Men’s Having Witnessed Abuse of Their Mothers During Childhood on Their Levels of Violence in Adulthood

  Naeema Abrahams, Naeemah Abrahams et al.•American Journal of Public Health•2005

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• College Women and Personal Goals

  Open Access•Nelwyn B Moore, J Kenneth Davidson•Journal of Youth and Adolescence•2006

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• The Moral Economy of Aids in South Africa

  Nicolas Van De Walle, Nicoli Nattra et al.•Foreign Affairs•2004

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• The political economy of Aids leadership in developing countries

  Open Access•Joep Bor, Jacob Bor•Social Science & Medicine•2007

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