'If I don't like it then I can choose what I want': Welsh school children's accounts of preference for and control over food choice
Health Promotion International
The WHO Healthy Cities Project (1988) is a well-known example of the setting-based approach to health promotion. Developed as a framework for translating the key principles of the Ottawa Charter for Health Promotion (1986) into practice, it is best characterised as a process for successfully encouraging healthy public policy. In 2001 the German Healthy Cities Network (HCN) commissioned a survey of the 52 local Healthy Cities programme Coordinators (HCC), to monitor progress and identify
... nd identify strengths and weaknesses associated with its implementation. Most (90%; 47/52) HCC participated in the survey. Several positive aspects of the HCP in Germany were identified: during the first five years it expanded rapidly; project coordinators felt highly engaged, despite limited resources; a combination of traditional and innovative approaches were adopted and applauded; and almost 75% of HCC felt their efforts had been beneficial. Nonetheless, the following shortcomings were identified: increased resources required; greater clarification of concepts and strategies at the local level; stronger commitment to the Nine-Point-Programme of Action; greater integration within the national Healthy Cities Network (HCN) and the local political administrative system (PAS); better programme documentation and evaluation. In conclusion the Healthy Cities Network in Germany has expanded and developed since its inception twenty years ago. German HCP will only improve if professionalism and quality of local work are improved, particularly in terms of strengthening their influence on the local politicaladministrative system and on public policies.