Erio Ziglio, Head of the WHO European Office for Investment for Health and Development, WHO Regional Office for Europe, coordinated the production of and led the authorship of this discussion draft. WHO staff members Chris Brown, Sarah Simpson, and Theadora Koller provided inputs on specific sections or their work was drawn from for the contents. Franklin Apfel, World HealthCommunication Associates, provided essential inputs to the drafting process. Cristina Comunian and Valerie Cogan of the WHO European Office for Investment for Health and Development, WHO Regional Office for Europe, supported the production process. The input of Peter Donnelly to the accompanying brief “Health-Promoting Health Systems Imperatives for Action” is duly acknowledged. Invaluable commentson this brief were also received from Enis Baris, Gauden Galea, Bosse Petersson, David McQueen, David Pattison, Eero Lahtinen, Jaffar Hussein Saeed, Marilyn Rice, Peter Makara, Tatjana Buzeti, and Mihály Kökény. This document is based on a number of WHO documents and reports published by the European Regional Office. As such, acknowledgments should be given to the WHO/EURO staff involved in theproduction of the WHO/EURO 2009 Report Millennium Development Goals in the WHO European Region: A situational analysis at the eve of the 5-year countdown (WHO Regional Office for Europe, 2009a); the materials used in the 2008 Ministerial Conference on Health Systems for Health, and Wealth; and analysis in the area of migration and health systems (Koller, 2008).
This paper was prepared as aworking document for discussion at the 7th Global Conference on Health Promotion, "Promoting Health and Development: Closing the Implementation Gap", Nairobi, Kenya, 26-30 October 2009. It may not be reviewed, abstracted, quoted, reproduced, transmitted, distributed, translated or adapted, in part or in whole, in any form or by any means. The views presented in this discussion paper do not necessarilyrepresent the decisions, policies or views of WHO or the organizations for which the contributors and reviewers work.
Today it is unacceptable that people become poor as a result of ill-health. Worldwide there is an urgent need to refocus on how health systems promote the health of the population.
The Tallinn Charter – Health Systems for Health and Wealth i
HEALTH-PROMOTING HEALTH SYSTEMSIMPERATIVES FOR ACTION
THE FACTS Health systems that balance prevention, cure and health promotion have better health and economic outcomes Health systems have the authority and responsibility to promote health and tackle health inequities Health systems have the authority and responsibility to advocate for healthy public policies across government and address the structural determinants ofhealth REQUIRED ACTION Increase the performance of health systems by better balancing the portfolio of policies and services so as to optimize the mix between health promotion, prevention, cure and rehabilitative care. Demonstrate leadership by making the case for the promotion of health in all policies Build high-quality health promotion capacity across the whole Health systems workforce Createopportunities for citizens to actively contribute to improving their own and their community’s health
NO MATTER HOW A HEALTH SYSTEM IS ORGANIZED IN A GIVEN COUNTRY, IT
SHOULD AIM TO HELP PEOPLE TO STAY HEALTHY, BE RESPONSIVE TO NEEDS AND BE FINANCIALLY FAIR.
Within the political and institutional framework of each country, a health system is the ensemble of allpublic and private organizations, institutions and resources mandated to improve, maintain or restore health. Health systems encompass both personal and population services, as well as activities to influence the policies and actions of other sectors to address the social, environmental and economic determinants of health.
SYSTEMATIC EFFORTS TO STRENGTHEN SERVICES AND POLICIES WHICH...