Health in All Policies

The term Health in All Policies, or HiAP has been used to describe the larger goal of HIA– ensuring that health is considered in all public policies. HIA is a powerful and effective tool used to achieve the larger goal of HiAP. In the last several years, other methods of promoting health in non-health policies and programs are emerging around the world.

HiAP has been defined as a collaborative approach that integrates and articulates health considerations into policy making and programming across sectors, and at all levels, to improve the health of all communities and people. HiAP requires public health practitioners to collaborate with other sectors to define and achieve mutually beneficial goals. (ASTHO, 2012)

In 2010, the World Health Organization inspired international momentum with the Adelaide Statement on Health in All Policies. Since then, countries like Australia and Finland have taken the lead on implementing nationwide strategies for HiAP. In the United States, the governor of California established the HiAP task force by executive order in 2010. California has since implemented several very successful state-level cross-agency collaborations that prioritize health. In Massachusetts, the Healthy Transportation Compact was signed into law in 2009, requiring the health and transportation departments to work together on implementing certain transportation projects.

Other methods that have been successful at ensuring health consideration in the work of other sectors include:

  • Multi-agency workgroups or councils
  • Integrating health-based metrics or indicators into plans of other sectors
  • Creating health-based checklists
  • Promoting data sharing between agencies
  • Training non-health practitioners on the social and environmental determinants of health
  • Reviewing policy and legislation with a health lens
  • Provide health consultation to partnership


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