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The Framework for Health Promotion outlined the challenges, the health promotion mechanisms, and the strategies for achieving health for all Canadians.

These documents prompted Health Canada to broaden many of its former approaches focused on individual risk factors and behaviours by considering the social, economic, and environmental components that determine individual behavior, and consequently affect health.

In 1989, members of the Population Health Program and the Canadian Institute for Advanced Research (CIAR) began to advance understanding of the many factors that influence health status and function, including social, economic, genetic, and health care factors and the complex inter-relationships among them. This population health research is providing the solid scientific evidence-base for a more complete understanding of health approaches and policies.

The ideas emanating from the various sources have been formulated in a document Strategies for Population Health: Investing in the Health of Canadians, which was approved by the Federal/Provincial/Territorial Ministers of Health in 1994. This document presented a population health framework to guide federal, provincial and territorial governments in policy making and the development of strategies to improve population health.

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