This work is a critical reflection on the state of health promotion effectiveness in practice around the world. It examines the meaning of health promotion from regional perspectives, and explores regional strengths and weaknesses in demonstrating effectiveness. The book goes on to consider issues in public health such as tobacco, mental health, obesity, urbanization, war, and social determinants in order to assess the role of effectiveness, and to examine methodologies for demonstrating effectiveness. Finally, the book looks at questions over the effectiveness of health promotion – the debate about the relationship between evidence, impact, and outcomes.