Health in All Policies: Ways of Working
There are many ways to apply the Health in All Policies (HiAP) approach to ensure health, wellbeing, sustainability and equity issues are explicitly addressed through policies or decision making.
Complex problems need innovative solutions. The essence of the Canterbury HiAP approach is to identify shared societal goals, and strengthen the link between health and non-health sectors – making improving population health a shared priority. HiAP is an evolving and ongoing process, that works at both strategic and operational levels – for example:
- through assessments;
- by developing formal partnerships; or
- by collaborating on plans and policies.
The HiAP team at Community and Public Health has advisors and a public health specialist based at Community and Public Health. The team also develops resources to suit the unique challenges of the region, and looks to build capacity within and outside the health sector to understand:
- the social determinants of health; and
- the ways policies and plans can be adapted to create places that promote good health and wellbeing for all.
HiAP tools developed by Community and Public Health
A number of tools and frameworks are available for use to ensure that health and wellbeing are explicitly considered and addressed in plans and policies. The HiAP team at Community and Public Health have developed some tools purpose-fit for the local environment – in partnership with other local organisations – for planners, designers, policy analysts, developers and others.
- Integrated Planning Guide for a healthy, sustainable and resilient future – Version 3 expanded the focus beyond recovery and provides a versatile tool to help integrate outcomes thinking relevant to health, wellbeing and sustainability into policy and plan making (Community and Public Health 2019).
Tools to support a Health in All Policies Approach: A guide for moving from theory to practice
The HiAP team have developed a Health in All Policies guide to highlight some of tools and how they can be used. Contact the HiAP team for further information or to discuss which tool or framework might be most appropriate for a certain situation.
Examples of HiAP Tools in action
- Ōtākaro Avon River Corridor Recovery: Integrated Assessment (2017 – 2018);
Working in partnership in Canterbury
Health in All Policies in Canterbury is supported by a network of formal and informal relationships between the Canterbury District Health Board (DHB) and partner agencies.
Waka Toa Ora (Healthy Greater Christchurch) is a formal Canterbury DHB-led cross-sector partnership that has enabled collaborative HiAP work in Canterbury since its initiation in 2005. Over 200 Healthy Greater Christchurch signatories agree to work collaboratively with the understanding that “all sectors and groups have a role to play in creating healthy cities, whether their specific focus is recreation, employment, youth, environmental enhancement, transport, housing or any other aspect of city life.” Signatories include government agencies, businesses, not for profits, voluntary sector groups, networks and residents associations.
Canterbury DHB also has Joint Work Plans in place with the Christchurch City Council (CCC) and Environment Canterbury Regional Council (ECan). These are used to plan and monitor collaborative work. The Joint Work Plans cover six main focus areas covering a diverse range of topics, from strengthening communities, to transport, and supporting healthier homes and environments.
The Greater Christchurch Partnership (GCP) is another way that Canterbury DHB is involved in inter-sectoral action. This collaboration between councils, government agencies and iwi focuses on planning and managing the impacts of growth and development on the Greater Christchurch area, including towns in the Selwyn and Waimakariri Districts. The collaboration is based upon of series of key planning documents, including the Greater Christchurch Urban Development Strategy and the Resilient Greater Christchurch Plan. While wellbeing is weaved throughout the plans, the GCP also has an explicit Community and Health committee at the implementation level. Healthy Greater Christchurch was identified as the mechanism to deliver on the community and health aspects of the plans.
Other recent joint projects include:
- Healthy Commute Programme supports interested Canterbury DHB staff to reduce their private car use and increase their use of other modes of transport, such as walking, cycling, bussing and car sharing.
Watch a video on the Healthy Commute Challenge and see who gets to the hospital the quickest.
Building local capacity in Health in All Policies practices
Spreading the word about the determinants of health and building capacity in HiAP practices are important elements of the HiAP approach in Canterbury. The team have developed and delivered a number of presentations and workshops to support understanding and implementation of HiAP.
Broadly Speaking is a free interactive workshop delivered by Community and Public Health staff that aims to develop a greater understanding of those factors, beyond the health sector, that impact on the health of populations. It is delivered three times per year to a mix of CDHB and external participants. Over 200 people have attended so far.
Other workshops and resources to build capacity
- An online workshop was hosted by Community and Public Health for colleagues working in HiAP related public health roles across New Zealand (5th July 2022). Participants had the opportunity to reflect and discuss existing strengths within public health in relation to HiAP, how this mahi relates to Te Tiriti o Waitangi and consider the new opportunities for HiAP in the transition to a National Public Health Service.
- Integrated Assessment: A Guide is a Canterbury-developed impact assessment tool that helps to assess the potential outcomes of draft strategies, policies and plans. Community and Public Health have supported early uses of the tool with local projects.
- A Reflective Practice Day and Conference Day was held to acknowledge and celebrate the significant achievements of 10 years of HiAP in New Zealand (30th April and 1st May 2015). The Conference featured presentations by Professor Sir Peter Gluckman, Henare Ngaera O’Keefe, Rob Quigley, and Professor Paul Dalziel.
- A two-day HIA training course at Community and Public Health was delivered by Dr Anna Stevenson working with Martin Ward and Rob Quigley (2014). The course provided an introduction to the determinants of health and provided practical training on HIA and wider HiAP approaches.
- Training for using the IRPG was delivered internally within the Canterbury DHB as well as externally to partner agencies (2011/2012).
- The Christchurch City Health and Wellbeing Profile (2010 with a update in 2012) provides a snapshot of the city’s population, factors that influence their health and what people valued about life in Christchurch.
Presentations by the HiAP Team
The HiAP team present at a number of conferences across NZ and internationally. Here is a sample of presentations not available elsewhere:
Making submissions to impact the determinants of health
Submissions are an important way to influence the decisions of other organisations and promote public health in decision making – since most factors that affect the health and wellbeing of Cantabrians lie outside of the health system.
Health in All Policies Advisors have a strong focus on having input very early on in policy development (especially for Long Term Plans or District Plans). They also coordinate and prepare submissions on many issues on behalf of the Canterbury DHB, with the assistance of other public health staff and the wider organisation.
For further information, contact:
Health in All Policies Team
Ph: +64 3 364 1777
Climate Change and Health in Waitaha Canterbury
The Policy and Information Teams at Te Mana Ora | Community and Public Health collaborated to produce this report to increase understanding of the interactions between people, the environment, and the climate in Waitaha Canterbury.
It is designed to provide planners and decision-makers and the wider community with information that can shape the development of effective responses to climate change.
This report describes a broad range of determinants of health and the wellbeing impacts of climate change across Waitaha Canterbury.
Working towards an accessible and inclusive Christchurch
Community and Public Health (through Healthy Christchurch) is supporting planning for a healthy city including healthy urban design. This includes working towards an accessible and inclusive Christchurch.
Get the latest on Health in All Policies in Canterbury
The Canterbury Health in All Policies Newsletter is produced by the Policy Team at Community and Public Health. It features HiAP approach in action in Canterbury as well as useful resources and links.