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Five Key Elements of the Health in All Policies Guide

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Promote health, equity, and sustainability. Health in All Policies promotes health, equity, and sustainability through two avenues: (1) incorporating health, equity, and sustainability into specific policies, programs, and processes, and (2) embedding health, equity, and sustainability considerations into government decision-making processes so that healthy public policy becomes the normal way of doing business.

Support intersectoral collaboration. Health in All Policies brings together partners from the many sectors (i.e. intersectoral collaborations) that play a major role in shaping the economic, physical, and social environments in which people live, and therefore have an important role to play in promoting health, equity, and sustainability. A Health in All Policies approach focuses on deep and ongoing collaboration.

Benefit multiple partners. Health in All Policies values co-benefits and win-wins. Health in All Polices initiatives endeavor to simultaneously address the policy and programmatic goals of both public health and other agencies by finding and implementing strategies that benefit multiple partners.

Engage stakeholders. Health in All Policies engages many stakeholders, including community members, policy experts, advocates, the private sector, and funders, to ensure that work is responsive to community needs and to identify policy and systems changes necessary to create meaningful and impactful health improvements.

Create structural or process change. Over time, Health in All Policies work leads to institutionalizing a Health in All Policies approach throughout the whole of government. This involves permanent changes in how agencies relate to each other and how government decisions are made, structures for intersectoral collaboration, and mechanisms to ensure a health lens in decision-making processes.

Finally, public health must share a common vision for progress, a vision based in social justice as a way to achieve health equity. Himmelstein and Woolhandler (2017) proposed what such a vision would be in their 21st Century Vision for Progress in the United States:

 Moving forward to create universal healthcare

 Reparations for slavery and Native American genocide

 A $15 minimum wage and guaranteed minimum income

 Enforcing pay equality and extending reproductive and lesbian, gay, bisexual, and transgender rights

 More and better public housing, public education, and public transit

 The reversal of mass incarceration and restoration of ex-offenders’ civil rights

 Legalization of the undocumented

 Expanding clean energy, conservation, and environmental protection

 The abolition of nuclear weapons

Achieving these will make it much easier for our country to eliminate health inequity.

Health Promotion Programs

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