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Global Status Report on Health in All Policies Summary GLOBAL STATUS REPORT ON HEALTH IN ALL POLICIES SUMMARY Global Network for Health in All Policies P2 GLOBAL STATUS REPORT ON HEALTH IN ALL POLICIES SUMMARY GLOBAL STATUS REPORT ON HEALTH IN ALL POLICIES SUMMARY P3 The Global Network for Health in All What is Health in Conceptual Framework Policies is delighted to be publishing the HiAP is a recognised approach to intersectoral first Global Status Report (the Report) on All Policies? action for health, which acknowledges and seeks to Health in All Policies (HiAP). The Report HiAP is about promoting healthy public policy. It is address the complexity and intersections of the social offers an important development in the based on the understanding that health is not merely determinants of health and wellbeing in alignment a product of health care activities, but is influenced by with broader societal goals. HiAP is seen to extend advancement of HiAP, describing the a wide range of social, economic, political, cultural intersectoral action however by “facilitating sectors current state of HiAP approaches and the and environmental determinants. The creation of outside of Health to routinely consider and account diversity of global HiAP practice. This healthy public policy therefore requires engagement for the health impact of their policies, plans and with, and mobilisation of, agencies that have the implementation”.3 summary brochure provides a snapshot policy levers and programs to influence action in The greatest opportunity to impact the social of the Report. these sectors and address these determinants. Good determinants of health is through the creation of healthy population health has positive impacts on productivity, public policy, policy being a key driver of resource and sustainability and the economy therefore it benefits Based on survey responses from 41 jurisdictions, the funding decisions for programs and service delivery all sectors and society as a whole. Report establishes an account of HiAP models, and across government. Policy development is not linear, identifies key challenges and lessons learned in HiAP The World Health Organization (WHO) defines HiAP as it is often presented, but complex and “messy”. action. It presents an analysis of HiAP in operation at as “an approach to public policies across sectors that HiAP takes a complex systems approach to addressing different levels of government and phases of practice systematically takes into account the health implications health equity and the determinants of health through maturity. of decisions, seeks synergies, and avoids harmful healthy public policy. health impacts in order to improve population health It is hoped that the Report will contribute to improved Figure 1 on pg 4 provides a mud map for the HiAP and health equity.” 1 understandings of HiAP among policy-makers and complex systems approach. By focusing on a specific partners and that it will inform capacity building In particular HiAP involves the use of formalised issue, such as the provision of healthy food, the activities (including training and courses) to strengthen governance structures to facilitate multisectoral complexity of the issue and the sectors as well as and sustain global HiAP practice. action; this feature distinguishes HiAP from other policy and community settings that shape that issue The Report, along with future iterations, will help to forms of collaborative action. becomes apparent. Punakha, Bhutan shape the development of HiAP on a broader scale There is a growing evidence base demonstrating a and continue to stimulate discussion about the value consistent set of conditions for success that support of the approach. The Report is also intended to inform HiAP in the SDG Era the establishment, implementation and sustainability future methods and indicators for global HiAP action. of HiAP4-6 including: Governance and Leadership; The United Nations Sustainable Development Goals Resources for HiAP; Entry Points; Ways of Working; Methodology (SDGs)2 provide a renewed impetus for joined-up Capabilities; Monitoring, Reporting and Evaluation action to address complex, contemporary problems The Global Network for Health in All Policies Survey and HiAP Priorities and Outcomes and they are The Global Network for and for the achievement of health and good - a 48 question, on-line survey - was distributed in introduced in the Key Findings section of this brochure. Health in All Policies governance. HiAP is recognised as an essential tool October 2018 via ‘snowball sampling’ to national, to facilitate improved multi-stakeholder action to The Survey explored how these conditions for subnational and local entities implementing a HiAP The Survey and the Report were prepared on behalf achieve the SDGs. HiAP provides a mechanism to success are being translated in different jurisdictions. approach. Jurisdictions were asked to respond only of, and in collaboration with, the Global Network improve population health and wellbeing, whilst Importantly, these conditions are not mutually exclusive; if they identified as HiAP practitioners based on the for Health in All Policies (GNHiAP). The GNHiAP is also advancing the goals of all sectors through rather they are interconnected and overlapping. WHO definition of HiAP (rather than practitioners of a network of government entities (national, regional, shared responsibility. general intersectoral or multisectoral action for health). local) and other institutions (United Nations (UN), There were respondents from 22 countries. Some international intergovernmental organisations It is envisaged that the Report will help raise the profile countries included responses for different levels of (IGOs), non-government organisations (NGOs) of HiAP as a rigorous methodology to support the government. and academia) committed to working collaboratively implementation of the SDGs and other cross sector to strengthen HiAP practice internationally. collaborative approaches. P4 GLOBAL STATUS REPORT ON HEALTH IN ALL POLICIES SUMMARY GLOBAL STATUS REPORT ON HEALTH IN ALL POLICIES SUMMARY P5 FIGURE|1 Food Systems and the Social Determinants of Health Good health requires policies that actively support health. Health in All Policies is about different sectors Key Findings working together to address the social determinants of health, for example: The results are analysed by two key factors: phases The results and findings are largely grouped under the of maturity (emerging, progressing and established) known conditions that support HiAP: and,Lorem where ipsumappropriate, level of government (local, subnational and national). Analysis by maturation elicited stronger themes. Governance and Leadership: Definitions of these maturity phases emerging through Sustainable HiAP action is supported by high-level FOOD SYSTEMS HEALTHY CHILD EDUCATION HEALTH WORK ENVIRONMENT the survey results are as follows: governance and leadership mechanisms which DEVELOPMENT provide oversight for the HiAP approach, and formal • Emerging respondents have an interest in structures to facilitate the implementation of HiAP.a developing HiAP, may or may not be working The survey data show that the more established the HOW DOES IT WORK? A comprehensive, collaborative in partnership with other sectors, and currently approach is needed to work HiAP practice, the more likely a jurisdiction is to have with and across the food have no formal commitment to progress a HiAP a strong authorising environment with political support Worldwide, system to develop policies approach. (see Figure 2), as well as governance mechanisms or and interventions that promote formal structures in place to oversee HiAP. The majority sustainable production, distribution • Progressing respondents have formal commitment almost 1 in 5 deaths* of jurisdictions have some governance arrangements and consumption of healthy to proceed, and acknowledge that they are in the are linked to dietary risk factors foods globally. or formal structures. Further clarification of the terms early stages of HiAP planning or implementation. formal and informal governance will be important in SPORT & RECREATION Healthy food & drink options PRISON • Established respondents have well developed the future. Decrease advertising and promotion Provide nutritional adequate diets of unhealthy food & drinks Improve healthy options FOOD PRODUCTION AND SUPPLY formal mechanisms, with some having HiAP as HEALTH EATING embedded practice. FOOD INDUSTRY FOOD RETAIL AND SERVICE FARMING AND AGRICULTURE • Fortification and reformulation of key OUTLETS FOOD WASTE MANAGEMENT Policies to promote production nutrients • Nutrition content labelling on menus • Improve efficiencies in the food COMMUNITIES, HUMAN SERVICES AND ENVIRONMENTS of healthy foods • Food labelling to identify healthy choices • Decreased portion sizes production and supply chain Primary production supports • Reduce marketing of ultra-processed • Placement and signage to support • Policies and levies to reduce waste environmental sustainability foods healthy choice in production and distribution systems FIGURE|2 Political support for HiAP in respondent jurisdiction by maturity of practice (percentage) SUPPORTIVE FOOD ENVIRONMENTS SCHOOLS & EDUCATION 100 Improve nutrition literacy HEALTH MINISTRY & GOVERNMENT LOCAL & REGIONAL AUTHORITIES FOOD WASTE MANAGEMENT HUMAN SERVICES Increase healthy food & drink options PROGRAMS Healthy eating in planning and policy Policy to promote donations of healthy Increase healthy foods in emergency • Nutrition monitoring
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