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Health in All Policies (HiAP):Environmental Health PerspectiveThe What, Why and How
PresenterDate
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Slide2Purpose of this talkWhat 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?
Slide3What 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
Slide4Snapshot of health in our communitySEE NOTES SECTION
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Slide5What factors determine our health?Family Health History
Behaviors/Lifestyles
Environment
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Slide6Behaviors & 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.
Slide7How does our environment impact our health?
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Slide8How does our environment impact our health?
Water Quality
Traffic-Related Crashes
Physical Activity Levels
Access to Healthy Foods
Climate Change / Extreme WeatherSocial CapitalSocial EquityAir QualityExposure to Toxins & Chemicals
Slide9How does our environment impact our health? [DELETE THIS FOR ACTUAL PRESENTATION]
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Slide10How can decisions impact our health?
Slide11How can decisions impact our health: walking and biking?Stakeholders
Elected Officials
Transportation Department
Planning Department
Police DepartmentHealth DepartmentNon-Profit OrganizationsHealth OutcomesPhysical ActivityAir Quality
Climate Change
Social Capital
Traffic-Related Injuries
Slide12How can decisions impact our health?
Slide13Definitions of HiAPWHO: 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
.
Slide14The how-to of HiAPObjectives: S
afer environment with fewer risk factorsImproved health equityIncreased health and well-being
Multiple non-health sectors: the sectors that shape social and physical determinants of health
Decision making processes: development, implementation, and evaluation
Slide15The how-to of HiAPHealth considerations in the decision making process
How does a prospective decision potentially impact population health?HiAP is
upstream – the focus is on addressing potential health impacts early in the decision processes
HiAP is comprehensive – all sectors, all stages of policy processes, all levels of government
Slide16Tactics for Implementing HiAPConvene a cross-sector collaborative or task force
Consider health in the policy making processEstablish accountability structures
Slide17Local examples of HiAP“
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
Slide18Local 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
Slide19How can HiAP help our community?
Slide20What next steps can we take to implement HiAP?
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Slide21Thank youContact Information Phone number: Email address: