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 works to support local health departments implementing HiAP in their jurisdictions. NACCHO’s HiAP support includes one-on-one technical assistance, training, and resource development. Additionally, in 2019 and 2020, NACCHO hosted a monthly webinar series to highlight state and local initiatives to implement HiAP.
With funding from the Centers for Disease Control and Prevention’s National Center for Environmental Health and Agency for Toxic Substances and Disease Registry, NACCHO has participated in the HiAP + Lead Collaborative. The Collaborative was developed in 2018 and is comprised of four national partners, the National Center for Healthy Housing (NCHH), National Environmental Health Association (NEHA), Association of State and Territorial Health Officials (ASHTO), and NACCHO. Between the four organizations, seven health departments have been funded to use HiAP strategies in their lead poisoning prevention work.
New Health in All Policies Evaluation Guidance
This evaluation tool will provide local health departments with example metrics to help build an evidence base for Health in All Policies practice.
New Health in All Policies Evaluation Guidance
This map is intended to be used as guidance for creating formal HiAP ordinances, resolutions, and laws but also to show which jurisdictions across the U.S. have introduced HiAP. Laws are constantly changing, therefore the ordinances, resolutions, laws, and bills included in this map may be expired or not in their most up-to-date form.
Access webinar recordings ranging back from 2018 below.
The 2020 webinar series covered various aspects of HiAP implementation and evaluation, as well as highlighted local and state HiAP efforts.
NACCHO hosted a HiAP webinar series for local health departments from December 2018 - July 2019. The goal of the webinar series was to provide an open, informal space for dialogue and peer-to-peer sharing about challenges and best practices. Recordings from all webinars in the series are available here.
Resources below include Meetings-in-a-Box, factsheets, reports, and more.
Explore five themes, promising strategies for health department practice, and recommendations for improving the field of HiAP at the local level.
Hear directly from HiAP practitioners regarding why strategies/recommendations that they employed were useful to their community.
Meeting-in-a-Box slides and recording(s) can be found here.
More resources on HiAP can be found by searching the NACCHO Toolbox. The NACCHO Toolbox is a free, online collection of public health tools that have been created and shared by members of the public health community. Visit the NACCHO Toolbox and use the search function to look for HiAP resources from local health departments.
Want to submit a HiAP tool for local health departments? Email email@example.com with a link or copy of the resource, along with a 2-3 sentence description.
Across the country, local jurisdictions are implementing HiAP using approaches and strategies that fit with their unique context. Read about HiAP Success Stories below.
NACCHO works with several partner organizations that also provide support to communities implementing Health in All Policies. Click on the links below to explore our partners' work in HiAP.
The Essential Elements of Local Public Health provides updates and information from NACCHO’s environmental health and infectious disease portfolios, which include a range of projects that influence policy with federal decision makers and develop practice solutions that help local health departments build safe, sustainable communities. NACCHO supports local health departments in fostering a safe and healthful environment that promotes human health and well-being, in ensuring capacity to respond to and control infectious diseases, and in development of innovative tools and resources. Through advocacy and communications efforts, NACCHO works to ensure that the values and concerns of local health departments are represented within state, local, and federal agencies.
Borne through a strong desire for environmental health professionals to connect, collaborate, and share with peers in their region and similarly organized jurisdictions, NACCHO currently hosts a Local Environmental Health Directors & Managers Collaborative. Hosted on NACCHO’s Virtual Communities platform, the Collaborative is designed to foster a dynamic community and serve as a simple forum for sharing and discussing best practices, available resources, and innovative ideas.
Policy statements can be used to shape programs and positions at the local level, provide justification for increased capacity and funding, and provide guidance on how to respond to address existing and emerging issues.