lated the need for development of an integrated health care system with increased emphasis on primary health care, and incorporation of principles and practices of health promotion. Our article elucidates the requisite dimensions of a health promotion philosophy and approach in primary health care settings. We provide a strategy and framework to support practical and attainable action. Our aim is to provide clarity and an operational definition to health promotion so that it can be practically

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... ddressed. Context and rationale In recent decades, health promotion has developed in isolation and functioned separately from primary