The First International Conference on Health Promotion, meeting in Ottawa this 21 day of November 1986, hereby presents this CHARTER for action to achive Health for all by the years 2000 and beyond. This conference was primarily a response to growing expectations for a new public health movement around the world. Discussions focused on the needs in industrialized countries, but took into account similar concerns in all other regions. It built on the progress made through the Declaration on Primary Health Care at Alma-Ata, the World Health Organization's Targets for Health for All Document, and the recent debate at the World Health Assembly on intersectoral action for health.