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Health in All Policies

Health in all Policies (HiAP) is a change in the systems that determine how decisions are made and implemented by local, state, and federal government to ensure that policy decisions have neutral or beneficial impacts on the determinants of health. HiAP emphasizes the need to collaborate across sectors to achieve common health goals, and is an innovative approach to the processes through which policies are created and implemented.

NACCHO's Environmental Health in All Policies (EHiAP) Project aims to increase awareness among decision makers and other stakeholders about the environmental public health implications of policies and to build the capacity of local health departments to be involved in cross-sector work with the goal of improving the health of the community.

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Many communities face a variety of complex issues that significantly impact health, which are often driven by multiple factors outside the public health or healthcare sectors. Health in All Policies (HiAP) offers an approach that seeks to address complex challenges and improve the health of all people by incorporating health considerations into decision-making processes and emphasizing the need to collaborate across sectors to achieve common goals and innovatively tackle problems.  

The webinar showcased the implementation of HiAP in three U.S. cities – Houston, Baltimore City, and San Diego - and aimed to discuss:

  • How local health departments and their partners are implementing HiAP approaches in their communities
  • Successful strategies and tactics to implement HiAP
  • Lessons learned and pearls of wisdom from their experiences engaging in this work to improve the health of communities using a multiple determinants of health framework

Click "more" to access a recording of the webinar. More »

NACCHO Publication

The Spring 2014 issue of NACCHO Exchange, NACCHO's quarterly magazine, highlights Health in All Policies. This issue contains the following feature stories: How Community Health Improvement Process Helped to Build Momentum for HiAP Approaches in New Orlean; Greening Mid-Michigan: A Health in All Policies Approach for Mid-Size Local Governments; King County: Building Health, Equity, Fairness, and Opportunity with a Health in All Policies Approach; Integrating Health in All Policies: Two Case Studies from San Francisco; and Health Policy beyond the Health Department More »

Featured Resources

Local Health Department Strategies for Implementing Health in All Policies 

NACCHO has produced this fact sheet to provide an overview of strategies that can help LHD's implement HiAP in their jurisdictions.

Environmental Health in All Policies Meeting-in-A-Box

NACCHO's Environmental Health in All Policies Meeting-in-A-Box presentation can be used to educate leadership, community members, or local health department (LHD) staff on Health in All Policies. The presentation is broad so it can be adapted for a wide audience. Although it is meant to serve as a guide, it should be tailored to reflect the local context and what is feasible, given the community's needs.

HiAP Frequently Asked Questions

NACCHO's FAQs on HiAP answers the most common questions regarding Health in All Policies and its implementation. There are also links to useful examples at different levels of government: federal, state, and local.

City of Richmond's HiAP Toolkit

This toolkit serves as an introduction to the work the City of Richmond in California has been doing to implement Health in All Policies. This toolkit is a resource for people interested in learning more about the development of HiAP within the City, and outlines Richmond's most salient processes, and provide links to resources for those interested in gaining a better understanding of Richmond's unique story.

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NACCHO supports the role of local health departments in implementing HiAP at the local level.


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