Response Response



Nayramade a comprehensive comparison of Maslow’s hierarchy of needs andprerequisites contained in Ottawa chapter 6 and indicated how eachstate of needs overlap with each prerequisite. One of the keystrengths in Nayra’s discussion is the detailed discussion of howdifferent perquisites and Maslow stages are correlated. Nayra’salso provide examples to clarify these correlations. For example,Nayra illustrates how the prerequisite of building healthy policiesis similar to Maslow’s second stage, which is safety.

However,there are two weaknesses with Nayra’s observation. Nayra discussprerequisites listed in Ottawa chapter 6 as if they come in the samestages as the Maslow’s hierarchy. The main difference betweenMaslow’s hierarchy and Ottawa charter is that Maslow classifiedneeds in a way that a lower class must be fulfilled before one findsthe need to fulfill needs in a higher stage (WHO, 2015). Ottawacharter, on the other hand, considers all prerequisites as a block,which means that they must be fulfilled in order to achieve humanhealth.

Secondly,although the relationship between the prerequisite of reorientinghealth services as discussed in Ottawa Charter and the selfactualization stage of Maslow’s hierarchy is far-fetched, Nayratried to show how reorientation is achieved by addressing the healthneeds of people outside the health services. This could be moreconvincing if Nayra could correlate the prerequisite of reorientationwith the last stage of Maslow’s hierarchy, which isself-transcendence. While discussing the last stage, Maslow held thatself-actualization is achieved when one gives to goals that areoutside one-self (Koltko-Rivera, 2006). Therefore, the prerequisiteof reorientation overlaps more with the self-transcendence than withthe stage of self-actualization.

Inconclusion, the use of examples and detailed explanations helpedNayra establish the relationships that exist between prerequisitesthat are listed in Ottawa Charter and Maslow’s hierarchy of needs.However, the relationship between reorientation of health servicesand self-actualization was unclear.


Koltko-Rivera,E. (2006). Rediscovering the later version of Maslow’s hierarchy ofneeds: Self-transcendence and opportunities for theory. Reviewof General Psychology,10 (4), 302-317.

WHO(2015). The Ottawa Charter for health promotion. WHO.Retrieved November 15, 2015, from