Portugal• PROJAS- ‘Projecto Jovens Animadores de Saúde’, Centro de Saúde da Moita, Moita• Escola secundária de Alfragide <strong>peer</strong> <strong>education</strong> project, Ministry <strong>of</strong> Education, Lisbon.• Escola secundária de Alvide <strong>peer</strong> <strong>education</strong> project, Ministry <strong>of</strong> Education, Cascais.• AJPAS – ‘Associação de Jovens Promotores da Amadora Saudável’, Amadora• ‘Youth Health Promotors Project’. Instituto Português da Juventude (Portuguese Youth Institute), Lisbon(co-ordinator and intermediaries interviewed).National and regional policy makers were interviewed.Spain• Youth associations project at Consejo de la juventud de la comunidad de Madrid, Madrid.National policy makers were interviewed.Sweden• ‘Projekt 6 (sex)’, Lund <strong>University</strong>, Lund.National and local policy makers were interviewed.The Netherlands• ‘SeXplain’, Municipal Health Services, Dept. <strong>of</strong> Infectious Diseases, Rotterdam.Local policy makers were interviewed.United Kingdom• ‘The Pupil-led Sex Education Project’, <strong>University</strong> <strong>of</strong> London, IBIS Trust and <strong>University</strong> College London,London (<strong>peer</strong> educators not interviewed.)• South Camden sex <strong>education</strong> project <strong>for</strong> young Muslim women. IBIS Trust, Chesham, Buckinghamshire.• ‘A Pause’, Dept <strong>of</strong> Child Health, <strong>University</strong> <strong>of</strong> Exeter, Exeter (project co-ordinator was interviewed).• ‘Norwich HIV/<strong>AIDS</strong> Peer Education Project’, East Norfolk Health Authority, Norwich (co-ordinator andtrainer were interviewed).Scotland• ‘Peer Education Project’, Fife Healthcare NHS Trust Health Promotion, Leve, FifeNational and regional policy makers were interviewed.<strong>European</strong> <strong>guidelines</strong> <strong>for</strong> <strong>youth</strong> <strong>AIDS</strong> <strong>peer</strong> <strong>education</strong> 49
Appendix 3Charter and resolutionCharter from the First International Conference on Health PromotionOttawa, Canada, 17–21 November 1986Health PromotionHealth promotion is the process <strong>of</strong> enabling people to increase control over, and to improve, their health. Toreach a state <strong>of</strong> complete physical mental and social wellbeing, an individual or group must be able toidentify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is,there<strong>for</strong>e, seen as a resource fo everyday life, not the objective <strong>of</strong> living. Health is a positive conceptemphasizing social and personal resources, as well as physical capacities. There<strong>for</strong>e, health promotion is notjust the responsibility <strong>of</strong> the health sector, but goes beyond healthy lifestyles to wellbeing.Prerequisites <strong>for</strong> healthThe fundamental conditions and resources <strong>for</strong> health are peace, shelter, <strong>education</strong>, food, income, a stableecosystem, sustainable resources, social justice and equity. Improvement in health requires a securefoundation in these basic prerequisites.AdvocateGood health is a major resource <strong>for</strong> social, economic and personal development and an important dimension<strong>of</strong> quality <strong>of</strong> life. Political, economic, social, cultural, environmental, behavioural and biological factors canall favour health or be harmful to it. Health promotion action aims at making these conditions favourablethrough advocacy <strong>for</strong> health.EnableHealth promotion focuses on achieving equity in health. Health promotion action aims at reducingdifferences in current health status and ensuring equal opportunities and resources to enable all people toachieve their fullest health potential. This includes a secure foundation in a supportive environment, accessto in<strong>for</strong>mation, life skills and opportunities <strong>for</strong> making healthy choices. People cannot achieve their fullesthealth potential unless they are able to take control <strong>of</strong> those things which determine their health. This mustapply equally to women and men.MediateThe prerequisites and prospects <strong>for</strong> health cannot be ensured by the health sector alone. More importantly,health promotion demands coordinated action by all concerned: by governments, by health and other socialand economic sectors, by nongoverwnental and voluntary organizations, by local authorities, by industry andby the media. People in all walks <strong>of</strong> life are involved as individuals, families and communities. Pr<strong>of</strong>essionaland social groups and health personnel have a major responsibility to mediate between differing interests insociety <strong>for</strong> the pursuit <strong>of</strong> health.Health promotion strategies and programmes should be adapted to the local needs and possibilities <strong>of</strong>individual countries and regions to take into account differing social, cultural and economic systems.50 <strong>European</strong> <strong>guidelines</strong> <strong>for</strong> <strong>youth</strong> <strong>AIDS</strong> <strong>peer</strong> <strong>education</strong>