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Enable, mediate, advocate

Bibliographic Data

ID22943752
AuthorsHANS SAAN (Altera (United States), corresponding author), Marilyn Wise (UNSW Sydney)
Year2011
Volume26
Issuesuppl 2
Pagesii187-ii193
Publication date2011-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dar069
PMID22080073
OpenAlexW2099466882
LanguageEN
Citations received3
References cited5

The authors of the Ottawa Charter selected the words enable, mediate and advocate to describe the core activities in what was, in 1986, the new Public Health. This article considers these concepts and the values and ideas upon which they were based. We discuss their relevance in the current context within which health promotion is being conducted, and discuss the implications of changes in the health agenda, media and globalization for practice. We consider developments within health promotion since 1986: its central role in policy rhetoric, the increasing understanding of complexities and the interlinkage with many other societal processes. So the three core activities are reviewed: they still fit well with the main health promotion challenges, but should be refreshed by new ideas and values. As the role of health promotion in the political arena has grown we have become part of the policy establishment and that is a mixed blessing. Making way for community advocates is now our challenge. Enabling requires greater sensitivity to power relations involved and an understanding of the role of health literacy. Mediating keeps its central role as it bridges vital interests of parties. We conclude that these core concepts in the Ottawa Charter need no serious revision. There are, however, lessons from the last 25 years that point to ways to address present and future challenges with greater sensitivity and effectiveness. We invite the next generation to avoid canonizing this text: as is true of every heritage, the heirs must decide on its use.

Blessing · Charter · Context (archaeology) · Health care · Health promotion · Political science · Politics · Public relations · Rhetoric · Sociology · Health, psychology, and well-being · Law · Public Health Policies and Education · School Health and Nursing Education · Health Policy

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  • Our bodies ourselves

    Open Access•Helen Marshall•Women s Studies International Forum•1996

  • A framework for prevention

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  • Inheritance Before Choice in Public policy

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Unique citing works3
Citations per year0,3
Citation span2016 - 2025 (10)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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