promotion should be clear and provide more chance of working in community. The guidelines should also promote multi- professional teamwork. 2) Hospital leaders should focus more on their management especially in terms of organizing. The structure of organization should be relevant to the missions, the problems in their areas and the provincial indicators. 3) Hospital leaders should promote the morale of personnel by offering rewards or recognition. 4) Equal opportunities for career advancement should be provided to the personnel who work in health promotion as those in other fields. The promotion criteria should include the outcomes of assigned tasks. 5) To make health promotion activities more relevant to the problems in the areas, hospital leaders should provide opportunities for the personnel to participate in the stages of planning and evaluating.