HiAP Powerpoint

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Health in All Policies (HiAP):


Environmental Health Perspective
The What, Why and How

Presenter
Date
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?

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Family Health History environmental positive or
negative
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behavior that impacts health (e.g.
eating fruits, smoking,
exercising, etc.)

Behaviors/Lifestyles
What factors determine our health?
$2.2 Trillion
Prevention, 4%

Behaviors &
Environment
70% Medical
Services
96%
Genetics 20%

Medical Care 10%


Factors Influencing National Health
Health Expenditures
Adapted from Srikantharajah. 2011. Promoting Community Based Prevention through Health Reform. Prevention
How does our environment impact our
health?

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environment impacts our health [DELETE THIS FOR ACTUAL
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environment impacts our health

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environment impacts our health
How does our environment impact our
health?

Social Capital
Air Quality
Physical Activity Levels

Access to Healthy Foods


Water Quality

Traffic-Related Crashes

Exposure to Toxins & Chemicals


Social Equity

Climate Change / Extreme Weather


How does our environment impact our
health?

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Possibly include image of a street scene with people walking, riding
bicycles, and taking public transportation
How can decisions impact our health?
How can decisions impact our health:
walking and biking?
Health Outcomes
 Physical Activity
 Air Quality
 Climate Change
 Social Capital
 Traffic-Related Injuries
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
 Phone number:
 Email address:

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