Applying the Ottawa Charter to inform health promotion programme design.
There is evidence of a correlation between adoption of the Ottawa Charter's framework of five action areas and health promotion programme effectiveness, but the Charter's framework has not been as fully implemented as hoped, nor is generally used by formal programme design models. In response, we aimed to translate the Charter's framework into a method to inform programme design. Our resulting design process uses detailed definitions of the Charter's action areas and evidence of predicted effectiveness to prompt greater consideration and use of the Charter's framework. We piloted the process by applying it to the design of four programmes of the Healthy Children's Initiative in New South Wales, Australia; refined the criteria via consensus; and made consensus decisions on the extent to which programme designs reflected the Charter's framework. The design process has broad potential applicability to health promotion programmes; facilitating greater use of the Ottawa Charter framework, which evidence indicates can increase programme effectiveness.
Community Health Services, Sydney Local Health District, Level 2, 18 Marsden St, Camperdown, NSW 2050, Australia.
Denise
D
Fry
Health Promotion Unit, Northern NSW Local Health District, PO Box 498, Lismore, NSW2480, Australia.
Avigdor
A
Zask
D002648:Child; D000067576:Child Health; D006291:Health Policy; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D009517:New South Wales; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation
Ottawa Charter; evidence of effectiveness; health promotion; programme design