Transcript Health in All Policies: Jump-starting HiAP with an EPH Slant

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Health in All Policies (HiAP):
Environmental Health Perspective
The What, Why and How
Presenter
Date
Purpose of this talk
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What is health and what determines our
health?
What is Health in All Policies (HiAP) and why
do we need it?
What approaches can we take to improve
health in our community?
What is health?
Health is the state of complete physical,
mental, and social well-being and not
merely the absence of disease or infirmity.
- World Health Organization
Source: http://who.int/about/definition/en/print.html
Snapshot of health in our community
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What factors determine our health?
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Family Health History
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behavior that impacts health (e.g.
eating fruits, smoking, exercising,
etc.)
Behaviors/Lifestyles
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environmental positive or
negative
Environment
What factors determine our health?
$2.2 Trillion
Prevention, 4%
Behaviors &
Environment
70%
Medical
Services
96%
Genetics 20%
Medical Care 10%
Factors Influencing
Health
National Health
Expenditures
Adapted from Srikantharajah. 2011. Promoting Community Based Prevention through Health Reform. Prevention Institute.
How does our environment impact our
health?
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environment impacts our health
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environment impacts our health
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environment impacts our health
How does our environment impact our
health?
Social Capital
Air Quality
Physical Activity Levels
Access to Healthy Foods
Water Quality
Traffic-Related Crashes
Exposure to Toxins & Chemicals
Social Equity
Climate Change / Extreme Weather
How does our environment impact our
health?
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How can decisions impact our health?
Policies &
Programs
Encourage people to
make healthy choices
How can decisions impact our health:
walking and biking?
Stakeholders
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Elected Officials
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Health Outcomes
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Physical Activity
Transportation
Department
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Air Quality
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Planning Department
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Climate Change
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Police Department
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Social Capital
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Health Department
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Traffic-Related Injuries
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Non-Profit
Organizations
How can decisions impact our health?
Housing
Police
Elected
officials
Planning
Department
Schools
Transportation
Department
Public
safety
Public
Works
Health
Department
Definitions of HiAP
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WHO: HiAP assists leaders and decision makers to integrate
considerations of health, well-being and equity during the
development, implementation, and evaluation of policies and
services
ASTHO: HiAP is a collaborative approach that integrates and
articulates health considerations into policy making across sectors,
and at all levels, to improve the health of all communities and
people.
NACCHO: HiAP is a change in the systems that determine how
policy decisions are made and implemented by local, state, and
federal government to ensure that policy decisions have beneficial
or neutral impacts on the determinants of health.
The how-to of HiAP
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Objectives:
 Safer environment with fewer risk
factors
 Improved health equity
 Increased health and well-being
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Multiple non-health sectors: the sectors that shape
social and physical determinants of health
Decision making processes: development,
implementation, and evaluation
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The how-to of HiAP
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Health considerations in the decision making
process  How does a prospective decision potentially
impact population health?
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HiAP is upstream – the focus is on addressing potential
health impacts early in the decision processes
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HiAP is comprehensive – all sectors, all stages of policy
processes, all levels of government
Tactics for Implementing HiAP
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Convene a cross-sector
collaborative or task force
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Consider health in the policy
making process
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Establish accountability structures
Local examples of HiAP
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“The City of Richmond aims to create policies
that maximize health outcomes and reduce health
disparities. This will be done by
implementing strategies for considering health
impacts in all city policies.”
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From Richmond, CA, Health in City Government Initiative
Local examples of HiAP
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“Facilitate accountability, capacity, and coordination
across all agencies, branches, and departments of
county government to implement the fair and just
principle of the countywide strategic plan, identify
opportunities for cross-county collaboration, and
provide a forum for exchange of information.”
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From King County,WA strategic plan
How can HiAP help our community?
What next steps can we take to implement
HiAP?
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Thank you
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Contact Information
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Phone number:
Email address: