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Health in All Policies

Health in all Policies (HiAP) is a change in the systems that determine how decisions are made and implemented by local, state, and federal government to ensure that policy decisions have neutral or beneficial impacts on the determinants of health. HiAP emphasizes the need to collaborate across sectors to achieve common health goals, and is an innovative approach to the processes through which policies are created and implemented.

NACCHO's Environmental Health in All Policies (EHiAP) Project aims to increase awareness among decision makers about the environmental public health implications of policies and to build the capacity of local health departments to be involved in cross-sector work with the goal of improving the health of the community. To achieve these objectives, NACCHO will be holding three regional leadership academies. Participants will learn how HiAP principles can contribute to the policy making process at all levels of government or organizations and have a beneficial impact on the determinants of health even while fulfilling the original (non-health) objectives of the policy. The first HiAP leadership academy was held in the Washington DC - Baltimore metropolitan area in May 2013. The second leadership academy will be conducted in June 2014.

In the Spotlight

 Applying a Health Lens to Decision Making in Non-Health Sectors is the summary of a workshop convened in September 2013 by the Institute of Medicine Roundtable on Population Health Improvement to foster cross-sectoral dialogue and consider the opportunities for and barriers to improving the conditions for health in the course of achieving other societal objectives. This report is a discussion of health in all policies approaches to promote consideration for potential health effects in policy making in many relevant domains, such as education, transportation, and housing. More »

Health in All Policies: A Guide for State and Local Governments

Health in All Policies: A Guide for State and Local Governments was created by the Public Health Institute, the California Department of Public Health, and the American Public Health Association in response to growing interest in using collaborative approaches to improve population health by embedding health considerations into decision-making processes across a broad array of sectors. The Guide draws heavily on the experiences of the California Health in All Policies Task Force and incorporates information from the published and gray literature and interviews with people across the country. More »

Featured Resources

Environmental Health in All Policies Meeting-in-A-Box

NACCHO's Environmental Health in All Policies Meeting-in-A-Box presentation can be used to educate leadership, community members, or local health department (LHD) staff on Health in All Policies. The presentation is broad so it can be adapted for a wide audience. Although it is meant to serve as a guide, it should be tailored to reflect the local context and what is feasible, given the community's needs.

HiAP Frequently Asked Questions

NACCHO's FAQs on HiAP answers the most common questions regarding Health in All Policies and its implementation. There are also links to useful examples at different levels of government: federal, state, and local.

City of Richmond's HiAP Toolkit

This toolkit serves as an introduction to the work the City of Richmond in California has been doing to implement Health in All Policies. This toolkit is a resource for people interested in learning more about the development of HiAP within the City, and outlines Richmond's most salient processes, and provide links to resources for those interested in gaining a better understanding of Richmond's unique story.