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.
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.
2011
Special Act to Regulate Tobacco
The Special Act to Regulate Tobacco in Honduras , has been active since 2011. This act regulates the production, distribution , marketing, import, consumption and advertising of tobacco. It was the result of an intense and intersectoral negotiation process to design it, promote it at the legislative level for its adoption as a policy, and subsequent coordination to familiarize citizens with it.
2010
Cencinai: Education Centers, Nutrition and Holistic Care
A family living in poverty and vulnerability faces the risk of nurturing its children inadequately. A wide inter-sectoral response led by Health and Education was successful in providing this children in Costa Rica with holistic care as well as nutrition and education services. Working mothers are also given the support they need to succeed. This is an example of inter-sectoral coordination in the presence of a social determinant of health.
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.
1998
National Commission of Health and Tourism CONSATUR
The CONSATUR experience in the Dominican Republic was born in 1998 motivated by the need to bring together two engines of national development: Tourism and Health of its inhabitants and of those who visit. They have gradually been shifting from specific coordination actions to consolidate a space of alliance seeking a common goal: to create favorable conditions for health of people and to foster tourism as an important economic activity. It is a good example of practices previous to the HiAP initiative, since back then it was incorporating already many of its criteria.
2012
Glasses to perceive gender roles: Play and teach Health in School
In some schools in Havana, there are boys and girls who have classes that do not seem like classes, because there is no one dictating things but the narrative comes from the children experiencing and starring in them. In their classrooms children learn to use the" gender glasses" which help them to understand how they learn to be men or women, to play these roles, and how they can decide what to keep, discard or transform from that social inheritance. This program was initiated at the National School of Public Health in Cuba, which involves different disciplines and sectors, and includes faculty and families. This is the story of an action research project focusing on the Social Determinants of Health.