Integrating Public Health into Cross-Sector Policy Making: Advocating for a Health-in-All-Policies Approach
DOI:
https://doi.org/10.31580/qet07h83Keywords:
Cross-sector collaboration, Health equity, Health-in-all-policies (HiAP), Intersectoral governance, Policy-making strategies, Public health integration, Public health outcomesAbstract
Background: The Health-in-All-Policies (HiAP) approach is recognized as a critical framework for integrating public health objectives into the policy-making processes across various sectors. Despite global advocacy for HiAP, its implementation varies significantly across regions, with only 23% of countries reporting comprehensive adoption by 2020. This disparity underscores the need for a thorough examination of HiAP’s effectiveness in promoting health equity and improving population health outcomes.
Objective: This schematic review aims to evaluate the impact of the HiAP approach on public health outcomes and health equity. It also identifies the barriers to its implementation and offers evidence-based strategies to enhance cross-sector collaboration in policy-making.
Methods: A systematic review of 40 selected peer-reviewed studies and government reports published between 2010 and 2023 was conducted. Data were extracted on the effectiveness of HiAP interventions, particularly in sectors like urban planning, transportation, education, and environmental policy. Metrics included changes in population health indicators, such as the prevalence of non-communicable diseases (NCDs), and reductions in health disparities measured by Gini coefficients.
Results: The analysis revealed that regions with robust HiAP frameworks reported a 15-20% reduction in health disparities over a decade, particularly in urban settings. For example, the implementation of HiAP initiatives led to a 12% decrease in cardiovascular disease mortality between 2011 and 2021 in some regions. Additionally, intersectoral policies addressing environmental health issues contributed to a 25% decline in respiratory-related hospital admissions. However, the review also identified significant challenges, including fragmented governance structures and limited political will, which hindered the full potential of HiAP, particularly in low- and middle-income areas.
Conclusion: The HiAP approach has proven effective in improving public health outcomes and advancing health equity when fully implemented. The evidence suggests that scaling up HiAP, supported by strong political commitment and cohesive governance, can lead to significant public health gains. To overcome existing barriers, a focus on capacity building, stakeholder engagement, and continuous monitoring is essential.
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