Health in All Policies (HiAP):Environmental Health Perspective

The What, Why and How

PresenterDate

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Purpose of this talk

1. What is health and what determines our health?

2. What is Health in All Policies (HiAP) and why do we need it?

3. 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?

Family Health History

Behaviors/Lifestyles

Environment

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Behaviors &

Environment

70%

Medical Care 10%

Genetics 20%

Prevention, 4%

Medical Services

96%

$$2.2 Trillion

Factors Influencing

Health

National Health Expenditures

What factors determine our health?

Adapted from Srikantharajah. 2011. Promoting Community Based Prevention through Health Reform. Prevention Institute.

How does our environment impact our health?

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our health

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our health

How does our environment impact our health?

Water QualityWater Quality

Traffic-Related CrashesTraffic-Related Crashes

Physical Activity LevelsPhysical Activity Levels

Access to Healthy FoodsAccess to Healthy Foods

Climate Change / Extreme WeatherClimate Change / Extreme Weather

Social CapitalSocial Capital

Social EquitySocial Equity

Air QualityAir Quality

Exposure to Toxins & ChemicalsExposure to Toxins & Chemicals

How does our environment impact our health?

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riding bicycles, and taking public transportation

How can decisions impact our health?

How can decisions impact our health: walking and biking?

Health OutcomesHealth Outcomes

Physical ActivityPhysical Activity

Air QualityAir Quality

Climate ChangeClimate Change

Social CapitalSocial Capital

Traffic-Related Traffic-Related InjuriesInjuries

How can decisions impact our health?

Definitions of HiAP 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

The how-to of HiAP

Tactics for Implementing HiAP

Convene a cross-sector collaborative or task force

Consider health in the policy making process

Establish accountability structures

“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.”

From Richmond, CA, Health in City Government Initiative

Local examples of HiAP

“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.”

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 Contact Information

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