The International Network of Health Promoting Hospitals and Health Services (HPH) works towards incorporating the concepts, values, strategies and standards or indicators of health promotion into the organizational structure and culture of hospitals and health services. We aim to better health by improving the quality of health care, the relationship between hospitals and/or health services, the community and the environment, and the conditions for and satisfaction of patients, relatives and staff.

This includes steps such as

  • setting up a specific HPH management structure.
  • informing and involving clinicians and staff in health promotion communication.
  • developing annual action plans, including specific projects for implementation and development of issue- or population-specific policies.
  • introducing procedures to measure and monitor health outcomes, health impact and health gains for patients, staff, and community populations over time.


Our network was initiated by the World Health Organization (WHO) as a settings approach for the reorientation of health organisations. We promote and disseminate internationally-acknowledged principles, recommendations, and standards for health-oriented hospitals and health services defined in the Ottawa Charter (1986), Budapest Declaration on Health Promoting Hospitals (1991), Vienna Recommendations (1997), Bangkok Charter (2006), and the Standards for Health Promotion in Hospitals (2006).

Learn more about the HPH policy documents →

The HPH Community

Our network currently includes 20 National/Regional HPH Networks and 50 single HPH members who collaborate to reorient health care towards the promotion of health. In total, almost 600 hospitals and health service members from 30 countries have joined our community.

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We promote and assist the advancement of the concept of health promotion in hospitals and health services and support implementation by developing structures, cultures, decisions, and processes.

We aim to

  • provide leadership on matters critical to health promotion in hospitals and health services and engage in partnership where joint action is needed.
  • shape the research agenda and stimulate the generation, translation, and dissemination of knowledge.
  • set norms and standards and promote and monitor their implementation.
  • articulate ethical and evidence-based policy options.
  • provide technical support, catalyse change and build sustainable institutional capacity.
  • monitor the development of health promotion in hospitals and health services.


1988 the WHO initiated the International Network of Health Promoting Hospitals as a pilot project in order to support hospitals in placing more emphasis on health promotion and disease prevention rather than on diagnosis and curative services alone.​ Later, HPH became a non-governmental organization (NGO) on its own. Meanwhile, the network changed its name to include health services to expand the scope of the network to include non-hospital services and strengthen vital links between primary health care and other health services. Following this, our network aims to secure cooperation between and amongst hospitals, other health service providers, and other institutions and sectors.

Learn more about the development of the network →

Governance Board

Margareta Kristenson​, MD PhD (Sweden)

Margareta Kristenson is a specialist in Family Medicine and in Social Medicine and Public Health. She is a professor emerita in Social Medicine and Public Health at Linköping University, and Chief Physician in Region Östergötland, Sweden. Margareta is the Head of the Life Conditions, Stress and Health research programme, which explores psychosocial factors and psychobiological mechanisms as determinants for inequities in health. She was the National Coordinator for the Swedish HPH Network for many years and is presently a Senior Advisor for the Swedish HPH Network and Chair of the Governance Board of the International HPH Network.

Sally Fawkes, PhD (Australia)

Vice Chair of International HPH Network

Sally Fawkes is a senior academic at the La Trobe University in Australia. She coordinates two doctoral programs, Public Health and Medicine, as well as a post-graduate course in Health Promotion Studies.

Antonio Chiarenza, PhD (Reggio Emilia Romagna)

Antonio Chiarenza holds a university degree in Political Science from the University of Bologna, Italy, a masters degree in Promotion and Governance of Health Research from the University of Modena & Reggio Emilia, and a PhD in Sociology from the University of Leicester in the UK. As of 2001, he is the Head of the Research and Innovation Unit of the local health authority of Reggio Emilia in Italy (AUSL-RE). He leads the international HPH-Task Force on Migration, Equity and Diversity and the Regional Health Promoting Hospitals Network of Emilia-Romagna. Antonio Chiarenza is a member of the Steering Committee of the migrant health section of the European Public Health Association (EUPHA) and the current Governance Board of the international HPH network.

Alan Siu, MBA (Hong Kong)

Alan Yuk-Lun Siu is a Consultant at the China Association of Health Promotion and Education. He works with various municipal governments to design and implement health management programs throughout China. Additionally, he has a clinical practice as Registered Dietician at the Hong Kong Adventist Hospital. He managed the Hong Kong Adventist Hospital Lifestyle Management Center for 12 years, where he oversaw the research and development of health promotion in China, Hong Kong, and Macau. Alan Yuk-Liu Siu holds a Master of Business Administration from the University of Hull in England and a Bachelor’s degree in dietetics from Andrews University, Michigan.

Cristina Iniesta Blasco, MD PhD (Catalonia)

Cristina Iniesta Blasco is the Deputy Chief Executive Officer of the Hospital Parc de Salut Mar in Barcelona Spain. She has held several positions in policy governance in public health and health care policy in addition to numerous positions as a hospital manager in the Hospital General Vall d’Hebron in Barcelona. Christina Iniesta Blasco obtained a degree in Medicine and Surgery from the University of Barcelona and was awarded a doctorate at the Autonomous University of Barcelona. She also has a master’s degree in Organizational Development Health and Social Institutions.

Heli Hätönen, PhD (Finland)

Heli Hätönen is a Ministerial Advisor for the Ministry of Social Affairs and Health where she is responsible for the promotion of health and wellbeing. Heli has over 20 years of experience in the management, development, and research of social healthcare, including health promotion and prevention. Heli earned her PhD in 2010 from Turku University. She is the National Coordinator for the HPH Network in Finland.

Ming-Nan Lin, MD PhD (Taiwan)

Ming- Nan Lin is the Vice Superintendent at the Dalin Tzu Chi Hospital, Tzu Chi Medical Foundation in Taiwan. He has a masters degree in Public Health and has devoted himself to community outreach and international disaster relief. Dr. Lin is an assistant professor at the Hualien Tzu Chi University where health promotion focuses on a holistic approach. As a family medicine practitioner for more than 25 years, he is passionate about promoting a plant-based diet as the optimal choice for both enhancing health and protecting the environment. Ming-Nan Lin is in charge of the Green Hospital Program in the Dalin Tzu Chi Hospital, President of the Taiwan Vegetarian Nutrition Society, and Chair of the Task Force on Health Promoting Hospitals & Environment, where he aspires to facilitate hospitals in achieving goals of health and environmental protection.

Standing observer

Jürgen Pelikan, PhD (Vienna, Austria)

Jürgen Pelikan is a Professor Emeritus at the Institute of Sociology of University of Vienna in Austria and Head of  the WHO-CC Health Promotion in Hospitals and Health Care at the Austrian Public Health Institute. He was involved in establishing and developing the International and Austrian Networks of Health Promoting Hospitals and Health Services (HPH) and served as Chair of the scientific committee for all international conferences. Dr. Pelikan has directed international projects on HPH, has linked HPH to quality, sustainability, salutogenesis, and health literacy and produced numerous publications on these topics.

Rainer Christ, PhD (Vienna, Austria)

Rainer Christ coordinates the Competence Center for Health Promotion in Hospitals and Health Care in Austria, the organization responsible for the administration of international HPH conferences together with conference local hosts. He is a graduate of the University of Vienna and has a PhD in Psychology and a Master of Sociology degree.  He is a Clinical and Health Psychologist, Occupational Psychologist, and Psychotherapist for cognitive and behavioral therapy and is responsible for the implementation of health promotion management at the Austrian Public Health Institute.

HPH Secretariat

The International HPH Secretariat is hosted by OptiMedis AG in Hamburg, Germany. OptiMedis is a management organisation that sets up regional integrated care networks in which public health, health promotion, and disease prevention strategies are put into practice.

Keriin Katsaros, MPH

Project Coordinator   

Oliver Gröne, PhD


Helmut Hildebrandt, Dr. h. c


Indra Rojahn


Anneka Tiede


The International HPH Secretariat is based in the Office of OptiMedis

Burchardstrasse 17
20095 Hamburg

Telefon: +49 40 22621149-0
Fax: +49 40 22621149-14

Contact HPH →