Settings Approach To Health Promotion

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One way of getting the public to adopt a healthy lifestyle and improve their health is through health promotion. Health promotion is defined by Tones and Green (2004) as; the process of enabling people and communities and giving them more control over their health and its determinants, thereby improving their health with the individual’s involvement. Tones and Green (2004) further stated that health promotion is any combination of education and related legal, fiscal, economic, environmental and organisational interventions designed to facilitate the achievement of health and prevention of disease. In this case it would be essential to reduce the prevalence of smoking through health promotion as reducing smoking is a major public health issue in order to improve the health of people as well as reducing health inequalities.
Barnett (1993),
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The Ottawa Charter (World Health Organisation, 1986) stated that ‘health is created and lived by the people within the settings of their everyday life: where they learn, play, work and love’. According to Kickbusch (2003), the key strategic point of the settings approach was to move health promotion away from focusing on individual behaviours and communities at risk, to developing a strategy that covers a total population within a given setting. This is followed on by the idea that an effective and sustainable public health strategy must reduce the risk of the majority of individuals, not only those most at risk (Rose, 1992). Thus the target of intervention therefore moves from individuals or groups of individuals to their environments, the ‘settings’ of everyday life. The idea of health promotion operating in a context beyond the individual is one that has found increasing popularity over the years (Whitelaw, 2001). This emphasis on context has been reflected in the abundance of related terms for example, ‘settings for health’ (Baric,

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