Health in All Policies: Ways of Working
There are many ways of applying 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 the identification of shared societal goals, and strengthening 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 is made up of 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 that can be used 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 that are purpose-fit for the local environment – in partnership with other local organisations – to provide resources for planners, designers, policy analysts, developers and others.
- The Pandemic Supplement to the Integrated Planning Guide provides additional questions and considerations to those in the Integrated Planning Guide Version 3.0 across key dimensions of health specific to planning during recovery from a pandemic or to build ongoing resilience to public health emergencies (Community and Public Health 2020).
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 the tools and how they can be used. Contact the HiAP team for further information and to discuss which tool or framework might be most appropriate for a certain situation.
Examples of HiAP Tools in action
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. The 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 relating to 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:
- The Canterbury Wellbeing Index was redeveloped in 2018 as an online tool providing information on the wellbeing of the population of greater Christchurch across 85 indicators, including 19 that reflect a Māori view of wellbeing. The Index was initially developed by the Canterbury Earthquake Recovery Authority (CERA) and has been produced by Community and Public Health with the support of a number of agencies since 2014.
- The Christchurch Alcohol Action Plan (CAAP) was developed in response to community concern about alcohol-related harm. It provides a collective vision, strategies and actions aimed at achieving a sustained reduction in alcohol-related harm across Christchurch. The Plan is supported by the Canterbury DHB, Christchurch City Council and the NZ Police.
- The Accessibility Charter gives organisations an opportunity to lead the implementation of best practice accessible design in their communities. The Canterbury DHB is a foundation signatory, and is working both internally and externally to reduce barriers to accessibility.
- 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
- 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
Fax: +64 3 379 6125
Spotlight on: Pandemic Supplement to the Integrated Planning Guide
The response to COVID-19 reinforces how policies and actions outside of the health sector can protect wellbeing and foster resilience. Three key priorities should be taken into account while planning the recovery from this pandemic:
- health and equity;
- addressing climate sustainability; and
- incorporating wider social goals.
The Pandemic Supplement to the Integrated Planning Guide for a healthy, sustainable and resilient future provides strategic questions and considerations across key dimensions of health specific to pandemic planning and recovery.
This 5-page supplement was developed with key partners, and is intended for use alongside the Integrated Planning Guide Version 3. Use these additional prompts when developing plans or projects for both pandemic recovery and to build ongoing resilience to public health emergencies.
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.