Nine questions to guide development and implementation of Health in All Policies

Leeuw, Evelyne de; Peters, Dorothee

doi:10.1093/heapro/dau034

Cited by 61 publications

(61 citation statements)

References 19 publications

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“…The process of developing and implementing a HiAP approach is not linear; feedback loops and interactions connect HiAP activities, outputs, outcomes, and contextual factors. As described in other conceptualizations of HiAP implementation, 11,25 the processes used to build relationships, train staff, communicate with decision-makers, frame problems, analyze data, and develop policy alternatives, operate in a complex and iterative web. Early successes of one activity, for example, may lead to changes in the level of stakeholder buy-in, which may facilitate implementation of additional activities.…”

Section: Resultsmentioning

confidence: 99%

A Practice-Grounded Approach for Evaluating Health in All Policies Initiatives in the United States

Gase¹,

Schooley

Lee

et al. 2017

Journal of Public Health Management and Practice

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Objective In order to address the social determinants of health, an increasing number of public health practitioners are implementing Health in All Policies initiatives aimed at increasing cross-sector collaboration and integrating health considerations into decisions made by “non-health” sectors. Despite the growth in practice nationally and internationally, evaluation of Health in All Policies is a relatively new field. In order to help inform evaluation of Health in All Policies initiatives in the United States, this study sought to develop a practice-grounded approach, including a logic model and a set of potential indicators, which could be used to describe and assess Health in All Policies activities, outputs, and outcomes. Design Methods included: a) a review of the literature on current Health in All Policies approaches, practices, and evaluations; and b) consultation with experts with substantive knowledge in implementing or evaluating Health in All Policies initiatives. Feedback from experts was obtained through individual (n=11) and group (n=14) consultation. Results The logic model depicts a range of potential inputs, activities, outputs, and outcomes of Health in All Policies initiatives; example indicators for each component of the logic model are provided. Case studies from California, Washington, and Nashville highlight emerging examples of Health in All Policies evaluation and the ways in which local context and goals inform evaluation efforts. Conclusions The tools presented in this article synthesize concepts present in the emerging literature on Health in All Policies implementation and evaluation. Practitioners and researchers can the tools to facilitate dialogue among stakeholders, clarify assumptions, identify how they will assess progress, and implement data-driven ways to improve their Health in All Policies work.

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Section: Resultsmentioning

confidence: 99%

A Practice-Grounded Approach for Evaluating Health in All Policies Initiatives in the United States

Gase¹,

Schooley

Lee

et al. 2017

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

show abstract

“…We were commissioned by the World Health Organization to develop a tool that would guide the development and application of Health in All Policies (de Leeuw and Peters 2014). Through discussions with key stakeholders around the world we identified 10 issues that need to be analysed and mapped in order to enhance the feasibility of HiAP development.…”

Section: Jugglingmentioning

confidence: 99%

“…It will be clear that such roles, objectives, and techniques require a certain degree of mastery of the theoretical foundations for network mapping, management, and operations as quite tentatively outlined above. The professionals and activists engaging in these entrepreneurial roles will also have to possess great skills and knowledge around issues of knowledge utilisation (de Leeuw et al 2008). Mostly, throughout our analyses we have seen the importance of mastery of language, and rhetorical tools to mobilise and frame policy agendas.…”

Section: Jugglingmentioning

confidence: 99%

“…Rhetorically, however, this is a troubled area. Many concepts are proposed and peddled, for example, Healthy Public Policy, Health in All Policy, and intersectoral policy (Peters et al 2014), with only nominal differences in flavor or perspective. We would prefer the simple designation “policy for health.” Such policy consists of different subsets of sector or issue driven policies, jointly addressing the broad determinants of health.…”

Section: Introductionmentioning

confidence: 99%

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Juggling Multiple Networks in Multiple Streams

Leeuw

Hoeijmakers²,

Peters

2016

European Policy Analysis

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This paper suggests a new conceptual gaze at theorizing the policy process. Alternating between practical, empirical, and theoretical perspectives, we describe how the hybridization of Multiple Streams, Policy Network, and Frame theories leads to a juggling metaphor to describe the process. From the initiation of this research program, we found that the information our research yielded was vastly more complex and dynamic than what is generally reported in similar research. In particular we discovered that dynamic interactions between actors in the different (policy, problem, and politics) streams, when appraised through a policy network lens, produce different network configurations in each stream. We also found that Kingdon's “Policy entrepreneurs” are likely to engage more in shaping the problem stream network configuration (through the process Kingdon labels “alternative specification”—which requires great perspicacity with words) than in the other streams. We therefore postulate that hybridization of policy network theory with Multiple Streams theory would create a more powerful conceptual toolbox. This toolbox can be enhanced further by insights from network management conceptualisations and frame theory. Finally, we have embraced the criticism that has been voiced of the stages heuristic and proposes that a more useful metaphor for policy processes is juggling: those processes may appear chaotic, but keen discipline, coordination, and acuity are required for policy students and operators to keep all balls in the air.

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“…Such an approach is consistent with framing theory 25 and the messages on language use in policy discourse by Stone. Moving Forward -Connected Calls made by Carey and Friel 1 for public administration, and our team for political theory 2,27 are important in shaping scholarship and a degree of (ivory tower) activism to deal with SDH, and health equity. But as long as work in these fields is not sustained and fed by a strong foundation in concerns and hopes held by the community, it remains aloof and essentially pointless.…”

mentioning

confidence: 99%

We Need Action on Social Determinants of Health – but Do We Want It, too? Comment on "Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities"

Leeuw

2016

Int J Health Policy Manag

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Recently a number of calls have been made to mobilise the arsenal of political science insights to investigate -and point to improvements in -the social determinants of health (SDH), and health equity. Recently, in this journal, such a rallying appeal was made for the field of public administration. This commentary argues that, although scholarly potential should justifiably be redirected to resolve these critical issues for humanity, a key ingredient in taking action may have been neglected. This factor is 'community. ' Community health has been a standard element of the public health and health promotion, even political, repertoire for decades now. But this commentary claims that communities are insufficiently charged, equipped or appreciated to play the role that scholarship attributes (or occasionally avoids to identify) to them. Community is too important to not fully engage and understand. Rhetorical tools and inquiries can support their quintessential role.

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Nine questions to guide development and implementation of Health in All Policies

Cited by 61 publications

References 19 publications

A Practice-Grounded Approach for Evaluating Health in All Policies Initiatives in the United States

A Practice-Grounded Approach for Evaluating Health in All Policies Initiatives in the United States

Juggling Multiple Networks in Multiple Streams

We Need Action on Social Determinants of Health – but Do We Want It, too? Comment on "Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities"

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