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.
2005
National Policy for Tobacco Control
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).
2012
Medellin: A Healthy City for living
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.
2007
Planal: A National Sovereignty, Food Safety And Nutrition Plan
PLANAL is an experience in Paraguay where a government and its citizens work together to respond with holisticpolicies and actions to fight the main causes of food insecurity. It is a global governance strategy to improve the efficiency of State action. In this case a strong intersectoral coordination seeks to overcome the fragmented efforts and reverse the unequal distribution of resources.
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.
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.
2009
Human sustainable development in Boca de Mao
The experience of Boca de Mao in the Dominican Republic is a local example that shows how the Health In All Policies (HiAP) approach may be present at a smaller scale. It showcases the level of coordination between a strong community organization that presents and manages its demands, and a holistic and coordinated response from various government sectors. The experience focuses its efforts on raising awareness through education and moving towards concrete actions on issues that concern the environment, food safety, health monitoring and nutrition.