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 (ASTHO), and NACCHO. Between the four organizations, seven health departments have been funded to use HiAP strategies in their lead poisoning prevention work.

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Key Findings: Lead Poisoning Prevention Services by LHDs

Learn how blood lead screening and lead inspection provision at the local level have changed over the last few years based on our 2019 Profile Study.

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Key Findings: Lead Poisoning Prevention Services by LHDs

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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.

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Health in All Policies Evaluation Guidance

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Combating Climate Change by Implementing HiAP

LHDs can use seven strategies for implementing Health in All Policies at the state and local level to combat climate change in their jurisdictions.

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Combating Climate Change by Implementing HiAP

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.

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Access webinar recordings ranging back from 2018 below.

Resources below include Meetings-in-a-Box, factsheets, reports, and more.

Environmental Health

Strategies for Implementing HiAP to Reduce Lead Exposure

Health Department Strategies for Implementing HiAP to Reduce and Prevent Lead Exposure

Environmental Health

Strategies for Implementing HiAP to Reduce Lead Exposure

Ci  Resources  Neighborhood Street

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Health in All Policies Technical Assistance Evaluation

Learn the outcomes of NACCHO's pilot Health in All Policies technical assistance program.

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Health in All Policies Technical Assistance Evaluation

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Genesee County Health Equity in All Policies Workshop Report

See presentation highlights and outcomes from the workshop.

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Genesee County Health Equity in All Policies Workshop Report

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City of Richmond’s HiAP Toolkit

This Toolkit will inform community members, city staff, and partners interested in learning more about HiAP developments within the City of Richmond.

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City of Richmond’s HiAP Toolkit

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 bkerner@naccho.org 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.

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Stories from the Field

Three local health departments from Boston, Cleveland, & Milwaukee address childhood lead poisoning prevention using HiAP strategies.

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Stories from the Field

Ohe Hi Ap Team Ed

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HiAP Success Story: Florida DoH in Hillsborough County

Health in All Policies Success Story: Florida Department of Health in Hillsborough County

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HiAP Success Story: Florida DoH in Hillsborough County

  • Health in All Policies
  • Success Story

Health in All Policies Success Story: Louisville Metro...

NACCHO released a Health in All Policies success story from the Louisville...

Oct 09, 2019 | Michelle Shapiro

Health in All Policies Success Story: Louisville Metro...

Ci Programs Bike Street

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HiAP Success Story: Boston Public Health Commission

HiAP Success Story: Boston Public Health Commission

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HiAP Success Story: Boston Public Health Commission

NACCHO staff maintains an email listserv to communicate news and updates in HiAP. Email Bridget Kerner at bkerner@naccho.org to get added!

The Greener Side of Local Public Health is NACCHO’s monthly environmental health e-newsletter, featuring news and resources, events and opportunities, funding announcements, and original NACCHO commentary related to environmental health, climate change, and food safety.

Healthy Community Highlights is a monthly community health newsletter that features news, resources, and opportunities for local health departments related to maternal, child, and adolescent health; chronic disease; and injury and violence prevention.

Follow the instructions below to subscribe to these and other NACCHO e-newsletters:

  1. Log in to MyNACCHO (or create a free account).
  2. Go to “My Subscriptions.”
  3. Check the box next to any other e-newsletters you wish you receive.
  4. Click “Save” at the bottom of the page.

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.

Read the blog.

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.

Learn more and join the Collaborative.

Check out other Virtual Communities from NACCHO.

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.

View NACCHO's policy statement on HiAP.

View other environmental health policy statements here.

Email PHLaw@NACCHO.org with your questions!

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