Addressing Policy Coherence Between Health in All Policies Approach and the Sustainable Development Goals Implementation: Insights From Kenya

Document Type: Original Article

Authors

1 Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany

2 Département de Gestion, Évaluation et Politique de Santé, École de Santé Publique, Université de Montréal, Montreal, Canada

3 Department of Sociology, McGill University, Montreal, Canada

4 Department of Family and Community Health, School of Public Health, University of Health and Allied Health Sciences, Ho, Ghana

5 Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

6 Center for Evidence Based Health Care, Department of Global Health, Stellenbosch University, Stellenbosch, South Africa

7 Africa Centre for Evidence, University of Johannesburg, Johannesburg, South Africa

8 Institute of Political Science, Heidelberg University, Heidelberg, Germany

Abstract

Background
Addressing health in the Sustainable Development Goals (SDGs) calls for intersectoral strategies that mutually enhance both health promotion and sustainable development. Health in All Policies (HiAP) approach aims to address this as well as promote ownership among key stakeholders. Kenya was at the forefront of adopting the SDGs and has committed to the HiAP approach in its Health Policy document for the period 2014-2030. This study aims to assess how the adoption of the HiAP approach can leverage on SDGs implementation in Kenya.
 
Methods
This is an exploratory case study using qualitative data and some descriptive quantitative data. The Organisation for Economic Co-operation and Development’s (OECD’s) eight building blocks for policy coherence on sustainable development was our guiding framework. Qualitative data was derived from a review of relevant peer-reviewed and grey literature, as well as 40 key informant interviews and analyzed in NVIVO. Quantitative data was accessed from the United Nations SDG indicator database and exported to Excel.
 
Results
Kenya has expressed a strong political commitment to achieving the SDGs and has now adopted HiAP. The study showed that Kenya can leverage on local level implementation and long-term planning horizons that it currently has in place to address the SDGs as it rolls out the HiAP approach. The SDGs could be mapped out against the sectors outlined in the Adelaide statement on HiAP. It is also possible to map out how various ministries could coordinate to effectively address HiAP and SDGs concurrently. Funding for HiAP was not addressed in the OECD framework.
 
Conclusion
Kenya can advance a HiAP approach by leveraging the ongoing SDGs implementation. This will be made possible by facilitating coordinated intersectoral action both at national and local level. Funding for HiAP is crucial for its propagation, especially in low- and middle-income countries (LMICs) and can be considered in the budgetary allocations for SDGs.

Keywords


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