Health in all policies is an initiative of the World Health Organization that seeks to ensure that the public decision-making process, regardless of the sector in which it takes place, improves health conditions and access to health services. It was framed in the Nordic countries and has found an echo throughout the world. In the Americas, there is a very rich diversity of experiences of Health in All Policies. This site showcases some of these stories and demonstrates how this continent has taken ownership of this initiative.
The Zero Hunger Pact in Guatemala and its implementation in the municipality of Tajamulco, is a good example of how a national policy can be adopted and implemented locally through intersectoral cooperation. The Pact intervenes in the social determinants that generate malnutrition and inequality, improving access to food and nutrition of children in the municipalities and most vulnerable populations .
The Intersectoral Health Commission of El Salvador is a space for horizontal dialogue where different sectors define health priorities. The sectors make recommendations and each focuses its decisions and resources to develop actions that affect the Social Determinants of Health and promote health equity.
In 2012, Medellin set out to transform itself into a healthy city. It assessed its past, reevaluating the achievements and developments of previous administrations. It studied its present, joining efforts with the University of Antioquia, assessing the challenges and possibilities of a healthy model for the city. And the city began to build its vision by joining citizens, their organizations and the private sector. These efforts have allowed that in the recent four years the city has invested its resources and efforts to improve its surroundings where people can either gain or lose health by acting on key determinants such as the environment, employment, education, housing and poverty. Since then the Ministry of Health not only runs the programs it is responsible for, it also coordinates and supports all of the health generating structure of the city.
In Porto Alegre , Brazil, an example of intersectoral information exchange has been launched through a community radio microphone. The radio program " In the Radio Waves " talks and raises awareness about health and its promotion . Speakers have a dialogue with the audience on how to empower themselves to achieve a better quality of life and to learn about disease prevention. This is a case study of community organization, in collaboration with different institutions.
The CONSATUR experience in the Dominican Republic was born in 1998 motivated by the need to bring together two engines of national development: Tourism and Health of its inhabitants and of those who visit. They have gradually been shifting from specific coordination actions to consolidate a space of alliance seeking a common goal: to create favorable conditions for health of people and to foster tourism as an important economic activity. It is a good example of practices previous to the HiAP initiative, since back then it was incorporating already many of its criteria.
Since 2003, by presidential decree, Brazil created the National Commission for Implementation of the Convention for Tobacco Control (CONICQ). The Commission comprises 18 areas of government acting together; for example: Finance develops tax policy, and combats the illegal tobacco market; Justice elaborates materials on illicit drugs; Agrarian Development, carries out a national program to promote crop area diversification, among other actions. Different sectors are working together for Health in All Policies (HiAP).