Strategic Lines of Action
Establish the needs and priorities for HiAP
To establish the needs and priorities to achieve HiAP by beginning strategic planning and prioritization; to evaluate the implications of health policies , equity and health systems; to make assessments of the impact on health; to set immediate goals as well as medium and long term goals; to evaluate the regulatory and political context; to define the capacity of regulation, supervision and execution of HiAP.
Establish the framework for an effective action plan
To analyze the context in which HiAP will be applied and determine what implementation strategies are feasible; to study the data, analysis and evidence needed to plan , monitor and evaluate the HiAP; point out the structures and processes required to support the implementation of HiAP; to examine the implications regarding human resources, financing and accountability.
Define structures and complementary processes
To indicate the principal agent; consider the opportunities for having structural support top tobottom and bottom-up as well as horizontally; refer to the agendas and existing norms; and to be based on versatile mechanisms for accountability.
To facilitate the evaluation of participation
To assess the effects of health policies; to note the effects of health policies; identify key groups or communities; indicate key players and encourage their participation; explore the possibilities for improving and restructuring the existing mechanisms of the legislative process.
Ensure monitoring, evaluation and reporting
Start early planning monitoring and evaluation; noting the potential opportunities for collaboration; indicate specific areas of interest; to execute agreed activities to conduct monitoring and evaluation; and disseminating lessons learned.
Build Capacity
Train and support health professionals; strengthen institutional capacity; build capacity for research; strengthen the promotion of a cause and collaboration in research; build capacity in the health ministry and other ministries; increase the capacity of the community to participate in the HiAP programs.
2012
The Zero Hunger Pact and its Implementation in Tajumulco
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 .
2010
Life in Traffic: An Intersectoral Strategy
Since the mid 1990s, Belo Horizonte, Brazil, presented a persistent increase in traffic accidents. In 2010, the Ministry of Health proposed " Life in Traffic ", an intersectoral strategy that developed a Local Action Plan. By having joint collaboration and coordination with other sectors, it coordinated actions in raising awareness through education, outreach, plans and policies. Strong evidence supports the effectiveness of this program.
2010
Strategy to Combat Overweight and Obesity
In Mexico, the numbers of overweight and obese people are increasing every year, as well as the diseases associated to these conditions . To meet this challenge, a National Agreement for Healthy Nutrition was proposed. Different sectors promote food regulation, changing the family diet and creating awareness of eating habits, and increasing physical activity. Each sector has a specific agenda that is coordinated with the rest.
2009
Rio 2016: Primary Health Care as a legacy
In 2008 Rio de Janeiro received two important and contrasting news: it was selected as the host of the Olympic Games in 2016 and it appeared as the Brazilian city with the worst health indicators. The Municipal Government decided to link the two facts and intends to organize the Olympics where the main legacy that is left for its citizenship is a reform of Primary Health Care (APS) that benefits the development of competition as well as improving and dignifying life for the citizens of Rio. They have gone from coverage in APS of 150 thousand people in 2008, to 2.5 million people in 2012 , nearly 40 % of its target population. An example of an international sports event that was used as a motivation to produce results in Health with an equity approach.
2012
Regulating food sales at school
When classes end, the children in Costa Rica go to school stores to buy food. The Ministries of Health and Education saw the daily need for food and drinks as an opportunity to promote healthy eating habits and proposed regulating which products are sold in school stores. In the midst of a national debate led by the food industry, the decree was finally passed. The importance of health was proven to be more important than the economic interests of corporations.
1960
The Cuban Health System
Cuba exemplifies a process of incorporating the focus of health promotion in the national system that was initiated at the time of the Revolution, and adapted to the perspective of the social determinants of health over time. It is a case of inter-sectoral work that has been institutionalized and is reflected in the Constitution, where all relevant actor, including community representatives, are summoned to collaborate on the design, implementation and monitoring of policies and programs.