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Health in All Policies

APHA promotes a health in all policies approach as a strategy for addressing the complex factors that influence health and equity, also referred to as the social determinants of health, which include educational attainment, housing, transportation options, and neighborhood safety.

HIAP GuideHealth in All Policies: A Guide for State and Local Governments was created by the American Public Health Association, Public Health Institute and the California Department of Public Health, in response to growing interest in using collaborative approaches to improve population health by embedding health considerations into decision-making processes across a broad array of sectors. The Guide draws heavily on the experiences of the California Health in All Policies Task Force and incorporates information from the published and gray literature and interviews with people across the country. 

Health in All Policies: A Guide for State and Local Government (169 pages; PDF) 

An Introduction to Health in All Policies: A Guide for State and Local Governments (4 pages; PDF)

Health in All Policies and the Law (APHA webinar)

Learn more about Health in All Policies at the state and local  levels

Baltimore's Cross Agency Health Task Force includes representatives from all city agencies working together to support 10 priority areas, which include promoting access to quality health care for all and reducing drug use and alcohol abuse.

Boston's Health in All Policies Task Force brings together city agencies and community leaders to use health impact assessments to examine the impact of all decisions and policies on health.

California's Health in All Policies Task Force relies on interagency collaboration to pursue health, equity and sustainability considerations into decisions making processes that impact the future of California.

The Colorado Association of Local Public Health Officials is collecting resources, analyzing data and reviewing case studies to reveal the potential of Health in All Policies as it currently stands within the state of Colorado.

Oregon’s Coalition of Local Health Officials has created a Health in All Policies Workgroup  that will work with local Health departments around the state in a collaborative approach to policymaking.

The City of Richmond, California, has implemented a variety of programs and strategies to adopt a Health in all Policies approach following a community development process in 2012.

Under the principles of fairness and justice, Seattle-King County, Washington, has begun a six-year cross sector strategic plan to create equity in eight social determinants including child, and transportation and mobility.

Vermont has established a cabinet level body for health in all policies which particularly targets vulnerable populations.

More Health in All Policies Resources

The Association of State and Territorial Health Officials has developed a framework for the history of HiAP in the US and around the world. They have outlined success stories and key strategies in local and state polices for implementation along with potential longitudinal outcomes.

The CDC Health in All Policies Resource Center supports a collaborative approach to health promotion that recognizes the importance of including health considerations when making decisions about things like transportation, education and other areas that impact our communities.

Health People 2020 proposes health in all policies as a strategy for addressing the social determinants of health.

NACCHO follows implementation and provides support for health in all policies at the local level.

The Public Health Institute provides technical support for Health in All Policies initiatives at the local and state levels.

The World Health Organization looks to the implementation of Health in All Policies across countries. Their training manual aims "to increase understanding of the importance of Health in All Policies among health and other professionals.”

Pan American Health Organization offers a list of resources and resolutions regarding Health in All Policies.

Implemented since 2007, South Australia's Health in All Policies Initiative seeks to improve population health and wellbeing by working across the government.


Gase, Lauren N., et al. "A practice-grounded approach for evaluating health in all policies initiatives in the United States." Journal of Public Health Management and Practice 23.4 (2017): 339-347. https://www.ncbi.nlm.nih.gov/pubmed/27598713

Gase, Lauren N., Radha Pennotti, and Kenneth D. Smith. " “Health in All Policies”: taking stock of emerging practices to incorporate health in decision making in the United States." Journal of public health management and practice 19.6 (2013): 529-540. https://www.ncbi.nlm.nih.gov/pubmed/24080816  

Wernham, Aaron, and Steven M. Teutsch. “Health in All Policies for Big Cities.” Journal of Public Health Management and Practice 21.Suppl 1 (2015): S56–S65. PMC. Web. 17 July 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4243805/