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In the name of God, the Compassionate, the Merciful

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In the name of God, the Compassionate, the Merciful

Address by

DR HUSSEIN A. GEZAIRY REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

CONSULTATION ON POLICIES AND STRATEGIES TO PROMOTE HEALTHY BEHAVIOUR AND LIFESTYLES

Bahrain, 2–5 November 1997

Your Excellency, Ladies and Gentlemen, Dear Colleagues,

It gives me great pleasure to welcome you to this Consultation on Policies and

Strategies to Promote Healthy Behaviour and Lifestyles. I would first like to express my appreciation and grateful thanks to the Government of Bahrain for kindly agreeing to host this

meeting.

The success of any meeting depends, to a large extent, on its participants. I am deeply

grateful to the health and education ministries of the region, UNFPA, the WHO Regional Office for Europe and WHO Headquarters for deputing their senior staff, to participate in this meeting. All of you have considerable experience, and I am confident that you will actively share your experiences for the benefit of better health in the Region.

You are all aware of the objectives of this meeting, which include the establishment of

a process to select policies and strategies to develop, adopt and promote healthy lifestyles.

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Ladies and Gentlemen,

Among the principal changes needed to achieve health for all, are those dealing with

healthy lifestyles. Lifestyles are intimately linked to cultural values, as well as the socioeconomic status and opportunities or constraints related to them. A person’s particular way of life is shaped by patterns of interpersonal interaction and social learning that

interrelate with and depend upon the social environment.

Many lifestyles enhance health, develop physical and mental well-being, and protect

the individual from the effect of stress. Other lifestyles include behaviour that may damage health. Harmful practices, such as smoking or alcohol consumption are sometimes ascribed to personal stress, but they often become routine habits used by a majority of people to cope with life and ease social contact.

The policy statement of the Alma-Ata Declaration on primary health care emphasized

the importance of promoting individual and community health. The WHO’s Ottawa charter for health promotion in 1986 reinforced the importance of promotion of healthy behaviour and lifestyle as an important element in any development that is to be the basis for sustainable improvements in health and well-being. Also, in 1991 a joint paper of the International Union for Health Education and WHO further emphasized the importance of empowering communities to act on their own behalf, enabling people to improve their physical and social environments to make them more conducive to healthy lifestyles, and of the importance of health advocacy to enable policy makers to recognize the importance of demands for

improvements in health conditions.

Thus, within the communities, it is the individuals that make decisions and produce

changes in the community at large. By linking the improvement of individual health with community development, health promotion can trigger the empowerment process, moving from individual participation to community initiative and action.

The Eastern Mediterranean Region has been in the forefront to promote health

promotion, healthy behaviours and lifestyles. The Amman Declaration on Health Promotion in 1989, called upon all international organizations, governments, voluntary and

nongovernmental organizations to promote health by encouraging positive lifestyles.

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The World Health Report 1996 documented the overwhelming health problems and challenges of the near future. In many countries the fundamental conditions and resources for health have not been achieved. Many countries face a double burden of infectious diseases, emerging infectious diseases, re-emerging infectious diseases at the same time as increased rates of lifestyle-related health problems. Recent emerging diseases include many diseases related to lifestyle. These include HIV infection which causes AIDS, with its sequelae of human suffering and economic burden; sexually transmitted diseases, viral hepatitis, and tuberculosis which is increasing worldwide in part because of its close association with HIV infection. A key challenge is to develop strategies that will both take advantage of healthy lifestyles and promote them, and also avert trends and lifestyles which have negative impact on health.

Against this background many Member States have started programmes for national

health behaviour monitoring (surveillance) as an essential element in developing national community based healthy lifestyle promotion programmes. This consultation is very timely in being able to contribute to national efforts and support Member States as they formulate and implement sustainable and equitable policies to achieve health for all.

This aspect of the positive health movement requires organizational development,

selection of appropriate policies and strategies and initiatives for action, not only in many sectors of society but also by the individual, the family and the community.

Ladies and Gentlemen, Dear Colleagues,

In the framework of the above, you have an important responsibility to assist Member

States in selecting the appropriate policies and strategies to develop, adopt and promote healthy lifestyles. I wish, again, to thank the Government of Bahrain for so kindly hosting this meeting, in these surroundings so conducive to your deliberations, and I wish you success in your endeavours.

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