Where is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”
1
Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
2
Bergen Centre for Ethics and Priority Setting, University of Bergen, Bergen, Norway
Abstract
Health equity is no longer a central feature of Health in All Policies (HiAP) approaches despite its presence in select definitions of HiAP. In other words, HiAP is not just about considering health, but also health equity. But as HiAP has become more mainstream, its success around health equity has been muted and largely non-existent. Given the normative underpinning and centrality of equity in HiAP, equity should be better considered in HiAP and particularly when considering what ‘successful’ implementation may look like. Raising health on the radar of policymakers is not mutually exclusive from considering equity. Taking an incremental approach to considering equity in HiAP can yield positive results. This article discusses these ideas and presents potential actions to restore HiAP’s once central equity objectives, which include: seeking synergies focused on health equity with those who hold different convictions, both in terms of goals and measures of success; considering the conditions that allow HiAP to be fostered, such as good governance; and drawing on research on HiAP and other multisectoral approaches.
Pan American Health Organization. About Health in All Policies. https://www3.paho.org/hq/index.php?option=com_content&view=article&id=9360:2014 about-health-all-policies&Itemid=40177&lang=en. Published n.d. Accessed.
Rudolph L, Caplan, J., Ben-Moshe, K., & Dillon, L. Health in All Policies: A Guide for State and Local Governments. Washington, DC and Oakland, CA: American Public Health Association and Public Health Institute.;2013.
Guglielmin M, Shankardass K, Bayoumi A, O’Campo P, Kokkinen L, Muntaner C. A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland. International Journal of Health Policy and Management. 2022.
Lawless A, Baum F, Delany-Crowe T, et al. Developing a Framework for a Program Theory-Based Approach to Evaluating Policy Processes and Outcomes: Health in All Policies in South Australia. Int J Health Policy Manag. 2018;7(6):510-521.
Amri M, Chatur A, O'Campo P. An umbrella review of intersectoral and multisectoral approaches to health policy. Social Science & Medicine. 2022;315:115469.
Amri M, M., Jessiman-Perreault G, Siddiqi A, O’Campo P, Enright T, Di Ruggiero E. Scoping review of the World Health Organization’s underlying equity discourses: apparent ambiguities, inadequacy, and contradictions. International Journal for Equity in Health,. 2021;20(1):70.
Amri M, O’Campo, P., Enright, T., Siddiqi, A., Di Ruggiero, E., & Bump, J. B. Probing key informants’ views of health equity within the World Health Organization’s Urban HEART initiative. BMC Public Health. 2022.
Lee K, Kamradt-Scott A. The multiple meanings of global health governance: a call for conceptual clarity. Globalization and Health. 2014;10(1):28.
Ortenzi F, Marten R, Valentine NB, Kwamie A, Rasanathan K. Whole of government and whole of society approaches: call for further research to improve population health and health equity. BMJ Global Health. 2022;7(7):e009972.
Holt DH, Carey G, Rod MH. Time to dismiss the idea of a structural fix within government? An analysis of intersectoral action for health in Danish municipalities. Scandinavian Journal of Public Health. 2018;46(22_suppl):48-57.
Amri M, Chatur A, O'Campo P. Intersectoral and multisectoral approaches to health policy: an umbrella review protocol. Health Res Policy Syst. 2022;20(1):21.
Amri M. Healthy Governance for Cities: Synergizing Health in All Policies (HiAP) and Healthy Cities Approaches. Journal of Urban Health. 2022.
Tumusiime P, Karamagi H, Titi-Ofei R, et al. Building health system resilience in the context of primary health care revitalization for attainment of UHC: proceedings from the Fifth Health Sector Directors’ Policy and Planning Meeting for the WHO African Region. BMC Proceedings. 2020.
Karamagi H, Titi-Ofei R, Amri M, et al. Cross country lessons sharing on practices, challenges and innovation in primary health care revitalization and universal health coverage implementation among 18 countries in the WHO African Region. PAMJ. 2022;41(159).
Articles in Press, Accepted Manuscript Available Online from 19 March 2023
Amri, M., & Bump, J. B. (2023). Where is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”. International Journal of Health Policy and Management, (), -.
MLA
Michelle Amri; Jesse B. Bump. "Where is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”". International Journal of Health Policy and Management, , , 2023, -.
HARVARD
Amri, M., Bump, J. B. (2023). 'Where is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”', International Journal of Health Policy and Management, (), pp. -.
VANCOUVER
Amri, M., Bump, J. B. Where is Equity in HiAP?; Comment on “A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland”. International Journal of Health Policy and Management, 2023; (): -.
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