States and DC are considered to have a statewide health promotion program for people with disabilities if they meet the three criteria listed in the numerator section.
A health promotion program is defined as a sustained and organized entity with fairly broad-reaching health interventions, services, policies, and practices. Health promotion has been defined by the World Health Organization's 2005 Bangkok Charter for Health Promotion in a Globalized World as "the process of enabling people to increase control over their health and its determinants, and thereby improve their health". Health Promotion initiatives include consultation and public involvement, information dissemination, education and/or tools of personal skill development (e.g., Fact Sheets), building partnerships (e.g., expert advisory committees), re-orienting health services (e.g., new consumer information section in the product monograph) and strengthening community action (e.g., Diabetes strategy). When it is possible to implement non-legislative tools such as guidance documents and voluntary standards to communicate among stakeholders, health promotion is increasingly a tool which is being sought to help people increase control over and improve their health.
States and DC with indicated programs are determined through periodic assessment by NCBDDD staff of state health programs.