Alliance for Healthy Cities

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The Alliance for Healthy Cities (AFHC) is a cooperative international alliance aimed at protecting and enhancing the health and health care of city dwellers. It is composed of groups of cities, urban districts and other organizations from countries around the world in exchanging information to achieve the goal through a health promotion approach called Healthy Cities . The chair city for the alliance is Ichikawa, Japan. [1]

Contents

The alliance and its members work in favour of the healthy city, defined by the World Health Organization (WHO) as "one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential". [2]

History

AFHC third conference nobori in Ichikawa, Chiba in October 2008

The first international declaration that promoted the concepts underlying healthy cities, the Alma Ata Declaration, was adopted at the International Conference for Primary Health Care, jointly convened by the WHO and UNICEF in Almaty (formerly Alma-Ata), presently in Kazakhstan, 6–12 September 1978. [3] The primary health care strategy endorsed and targeted health for all the people of the world by the year 2000.[ citation needed ]

Various discussions have taken place since then. Trevor Hancock and Leonard Duhl promoted the term "Healthy Cities" in consultation with the WHO: [4]

Economic development has brought comfort and convenience to many people in the industrialized world, but in its wake are pollution, new health problems, blighted urban landscapes and social isolation. Growing numbers of the dispossessed are also being left on the sidelines as the disparity between rich and poor grows. In an effort to remedy these ills, people from disparate backgrounds in thousands of communities are joining together with government agencies under the Healthy Cities/Healthy Communities banner to improve the quality of life in their towns and cities.

At the First International Conference on Health Promotion in 1986, the Ottawa Charter for Health Promotion was adopted that presented actions to achieve healthy life for all people by the year 2000 and beyond. [5]

Following a second international conference on health promotion at Adelaide in 1988 and a third at Sundsvall in 1991, and twenty years after the Alma Ata Declaration, the Fourth International Conference on Health Promotion held in July 1997 in Jakarta adopted the new Jakarta Declaration: "New Players for a New Era - Leading Health Promotion into the 21st Century". It came at a critical moment in the development of international PHC strategies. [6]

Timeline

List of members

See also

Related Research Articles

In common usage and medicine, health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity". A variety of definitions have been used for different purposes over time. Health can be promoted by encouraging healthful activities, such as regular physical exercise and adequate sleep, and by reducing or avoiding unhealthful activities or situations, such as smoking or excessive stress. Some factors affecting health are due to individual choices, such as whether to engage in a high-risk behavior, while others are due to structural causes, such as whether the society is arranged in a way that makes it easier or harder for people to get necessary healthcare services. Still, other factors are beyond both individual and group choices, such as genetic disorders.

<span class="mw-page-title-main">Healthy city</span> Concept in urban design for health

Healthy city is a term used in public health and urban design to stress the impact of policy on human health. It is a municipality that continually improves on a physical and a social level until environmental and pathological conditions are reached establishing an acceptable morbidity rate for the population. Its modern form derives from a World Health Organization (WHO) initiative on Healthy Cities and Villages in 1986, but has a history dating back to the mid 19th century. The term was developed in conjunction with the European Union, but rapidly became international as a way of establishing healthy public policy at the local level through health promotion. It emphasises the multi-dimensionality of health as laid out in WHO's constitution and, more recently, the Ottawa Charter for Health Promotion. An alternative term is Healthy Communities, or Municipios saludables in parts of Latin America.

<span class="mw-page-title-main">Primary health care</span> "Essential" health care key to securing universality by emphasizing community and equity

Primary health care, or PHC, refers to "essential health care" that is based on scientifically sound and socially acceptable methods and technology. This makes universal health care accessible to all individuals and families in a community. PHC initiatives allow for the full participation of community members in implementation and decision making. Services are provided at a cost that the community and the country can afford at every stage of their development in the spirit of self-reliance and self-determination. In other words, PHC is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy. PHC includes all areas that play a role in health, such as access to health services, environment and lifestyle. Thus, primary healthcare and public health measures, taken together, may be considered as the cornerstones of universal health systems. The World Health Organization, or WHO, elaborates on the goals of PHC as defined by three major categories, "empowering people and communities, multisectoral policy and action; and primary care and essential public health functions as the core of integrated health services[1]." Based on these definitions, PHC can not only help an individual after being diagnosed with a disease or disorder, but actively prevent such issues by understanding the individual as a whole.

Declaration of Alma-Ata was adopted at the International Conference on Primary Health Care (PHC), Almaty, Kazakh Soviet Socialist Republic, Soviet Union 6–12 September 1978. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all people. It was the first international declaration underlining the importance of primary health care. The primary health care approach has since then been accepted by member countries of the World Health Organization (WHO) as the key to achieving the goal of "Health For All", but only in developing countries at first. This applied to all other countries five years later. The Alma-Ata Declaration of 1978 emerged as a major milestone of the twentieth century in the field of public health, and it identified primary health care as the key to the attainment of the goal of "Health For All" around the globe.

Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health."

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<span class="mw-page-title-main">Ottawa Charter for Health Promotion</span> International agreement signed at the First International Conference on Health Promotion

The Ottawa Charter for Health Promotion is the name of an international agreement signed at the First International Conference on Health Promotion, organized by the World Health Organization (WHO) and held in Ottawa, Canada, in November 1986. It launched a series of actions among international organizations, national governments and local communities to achieve the goal of "Health For All" by the year 2000 and beyond through better health promotion.

Health 21 or Health21 is the name given to the World Health Organization (WHO) European Region policy framework derived from the "health-for-all policy for the twenty-first century" passed by the World Health Assembly in 1998. The framework was called "Health 21" not only because it dealt with health in the 21st century, but also because it laid out 21 "targets" for improving the health of Europeans.

The Jakarta Declaration on Leading Health Promotion into the 21st Century is the name of an international agreement that was signed at the World Health Organization's 1997 Fourth International Conference on Health Promotion held in Jakarta. The declaration reiterated the importance of the agreements made in the Ottawa Charter for Health Promotion, and added emphasis to certain aspects of health promotion.

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Trevor Hancock was the first leader of the Green Party of Canada and a family physician. Under his leadership, the party ran 60 candidates in the 1984 federal election. He is a public health physician, and a retired professor and senior scholar at the School of Public Health and Social Policy at the University of Victoria. He obtained his degree in medicine at the University of London and his degree in health science at the University of Toronto. He also consults with the World Health Organization. Together with Dr. Leonard Duhl, he created the Healthy Cities project that looks at environmental aspects of sustainable urban development as a determinant of health. In 2005, Hancock was also instrumental in initiating BC Healthy Communities – a provincial initiative focused on building capacity for healthy municipal governance.

The Bangkok Charter for Health Promotion in a Globalized World is the name of an international agreement reached among participants of the 6th Global Conference on Health Promotion held in Bangkok, Thailand in August 2005, convened by the World Health Organization. It identifies actions, commitments and pledges required to address the determinants of health in a globalized world through health promotion.

The International Network of Health Promoting Hospitals and Health Services (HPH) is a nonprofit, non-governmental organization that was initiated by the World Health Organization (WHO) in 1988. It is also known simply as HPH, or "Health Promoting Hospitals." HPH is based on the settings approach to health promotion philosophy of the WHO as outlined in the WHO Ottawa Charter for Health Promotion. The organization's main aim is to improve the health gain of hospitals and health services by a bundle of strategies targeting patients, staff, and the community.

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References

  1. "Definition, ABOUT THE ALLIANCE". Alliance for Healthy Cities.
  2. World Health Organization. Health Promotion Glossary. Geneva, 1998.
  3. "Declaration of Alma-Ata" (PDF). WHO. Archived from the original (PDF) on 2012-02-05.
  4. "Healthy cities, healthy children, Leonard Duhl and Trevor Hancock". UNICEF.
  5. "Ottawa Charter for Health Promotion" (PDF). WHO. Archived from the original (PDF) on 2009-07-27.
  6. "Jakarta Declaration on Leading Health, Promotion into the 21st Century" (PDF). Alliance for Healthy Cities.