Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”

Health equity is no longer a central feature of Health in All Policies (HiAP) approaches despite its presence in select definitions of HiAP. In other words, HiAP is not just about considering health, but also health equity. But as HiAP has become more mainstream, its success around health equity has...

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Main Authors: Michelle Amri, Jesse B. Bump
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2023-12-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:https://www.ijhpm.com/article_4422_1bb03773c36d0c055757e4b0b0c684fc.pdf
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author Michelle Amri
Jesse B. Bump
author_facet Michelle Amri
Jesse B. Bump
author_sort Michelle Amri
collection DOAJ
description Health equity is no longer a central feature of Health in All Policies (HiAP) approaches despite its presence in select definitions of HiAP. In other words, HiAP is not just about considering health, but also health equity. But as HiAP has become more mainstream, its success around health equity has been muted and largely non-existent. Given the normative underpinning and centrality of equity in HiAP, equity should be better considered in HiAP and particularly when considering what ‘successful’ implementation may look like. Raising health on the radar of policy-makers is not mutually exclusive from considering equity. Taking an incremental approach to considering equity in HiAP can yield positive results. This article discusses these ideas and presents potential actions to restore HiAP’s once central equity objectives, which include: seeking synergies focused on health equity with those who hold different convictions, both in terms of goals and measures of success; considering the conditions that allow HiAP to be fostered, such as good governance; and drawing on research on HiAP and other multisectoral approaches.
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spelling doaj.art-fab5c7b4a8a946529564e983e51cefc62024-04-15T19:04:26ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392023-12-0112Issue 11410.34172/ijhpm.2023.76114422Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”Michelle Amri0Jesse B. Bump1Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USATakemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USAHealth equity is no longer a central feature of Health in All Policies (HiAP) approaches despite its presence in select definitions of HiAP. In other words, HiAP is not just about considering health, but also health equity. But as HiAP has become more mainstream, its success around health equity has been muted and largely non-existent. Given the normative underpinning and centrality of equity in HiAP, equity should be better considered in HiAP and particularly when considering what ‘successful’ implementation may look like. Raising health on the radar of policy-makers is not mutually exclusive from considering equity. Taking an incremental approach to considering equity in HiAP can yield positive results. This article discusses these ideas and presents potential actions to restore HiAP’s once central equity objectives, which include: seeking synergies focused on health equity with those who hold different convictions, both in terms of goals and measures of success; considering the conditions that allow HiAP to be fostered, such as good governance; and drawing on research on HiAP and other multisectoral approaches.https://www.ijhpm.com/article_4422_1bb03773c36d0c055757e4b0b0c684fc.pdfhealth in all policieshealthy public policymultisectoral health policyintersectoral health policyglobal healthhealth policy
spellingShingle Michelle Amri
Jesse B. Bump
Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”
International Journal of Health Policy and Management
health in all policies
healthy public policy
multisectoral health policy
intersectoral health policy
global health
health policy
title Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”
title_full Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”
title_fullStr Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”
title_full_unstemmed Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”
title_short Where Is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”
title_sort where is equity in hiap comment on a realist explanatory case study investigating how common goals leadership and committed staff facilitate health in all policies implementation in the municipality of kuopio finland
topic health in all policies
healthy public policy
multisectoral health policy
intersectoral health policy
global health
health policy
url https://www.ijhpm.com/article_4422_1bb03773c36d0c055757e4b0b0c684fc.pdf
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