The settings-based approach to health promotion The settings-based approach to health promotion has its roots in the World Health Organisation (WHO)``Health for All'' initiative (WHO, 1980, 1985, 1991, 1998a) and Ottawa Charter for Health Promotion (WHO, 1986). The latter, which drew on both``Health for All'' and the work of theorists concerned with the creation of positive health ± what Antonovsky (1987, 1996) has called``salutogenic'' research ± reflected a growing consensus that health is a socio-ecological product that can be developed most effectively and efficiently by investing outside of the healthcare sector. The Charter stated that: Health is created and lived by people within the settings of their everyday life; where they learn, work, play and love. Health is created by caring for oneself and others, by being able to take decisions and have control over one's life circumstances, and by ensuring that the society one lives in creates conditions that allow the attainment of health by all its members. With its five-fold focus on healthy public policy, the creation of environments supportive to health, strengthening community action, developing personal skills and reorienting health services, the Ottawa Charter served as a catalyst to shift health promotion away from problems (as characterised by particular behaviours or by specific at-risk groups) and towards environments and settings. This shift is also reflected in recent work on``investment for health'' (Levin and Ziglio, 1996; Ziglio et al., 2000), developed through the Verona Initiative (http://www.who.dk/verona/main.htm). The first and perhaps best known initiative that has been retrospectively labelled settingsbased health promotion is Healthy Cities. Initiated as a small WHO project in 1986, with the aim of taking the rhetoric of Health for All and the Ottawa Charter``off the shelves and into the streets of European cities'' (Ashton, 1988, p. 1232), Healthy Cities rapidly grew to become a major global movement for the new public health (Tsouros, 1991). Drawing on this``macrolevel'' experience, parallel initiatives were established during the late 1980s and early The author