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
Green and Healthy Environments Program in Sao Paulo (PAVS)
In Sao Paulo , Brazil, this initiative is born to face the dismantling of policies and build an environmental management with active community participation . It empowers environmental managers who work in coordination with health promotion . They train people , help them identify needs and develop projects in areas such as tree planting, water, solid waste, healthy food, and the revitalization of public spaces, among other projects. It is an example of intersectoral strength and community participation.
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.
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).
2006
National Plan for Good Living (PNBV)
Ecuador established the National Plan for Good Living as a way to plan and generate actions. The Plan permeated the entire state structure, integrating Health, Education, Labor and Social Inclusion sectors , among others. It created opportunities for citizen participation, from the national to the local level with a focus on rights. The plan has its own resources and it has Presidential and legislative support. It is a clear example of intersectoral action to build sustainable development.
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.