Health in All Policies

Health in All Policies

Health in All Policies (HiAP) is an encompassing approach which goes beyond the boundaries of the public health sector. HiAP can be defined as a collaborative approach that integrates and articulates health considerations into policy making and programming across sectors, and at all levels, to improve the health of all communities and people. HiAP requires public health practitioners to collaborate with other sectors to define and achieve mutually beneficial goals.

The State of HiAP Report

Building upon our previous work, ASTHO has developed a report that provides a background on HiAP, including linkages to health equity, and looks at case studies from nine states across the country that have integrated HiAP activities into the work of the state health agency. The report provides “quick facts” about each state initiative, including year started, partners involved, type of partnerships, funding, and more. The report also describes known impacts of the HiAP programs, keys to success, challenges, and common program themes across the states.

HiAP Framework

ASTHO has developed a HiAP framework which outlines a history of HiAP in the United States and around the world, showcases state and local examples of successes, and provides strategies for implementation. It also includes key elements of HiAP practice and potential short-, intermediate-, and long-term outcomes of HiAP initiatives. The framework complements many of the other resources that can be found on this HiAP webpage.

Environmental Health in All Policies

Environmental health is concerned with how interactions between humans and their environments impact human health. The field emerged to protect people from chemical or biological threats in their environment like air pollution and waterborne diseases. More recently, the field focuses on creating health promoting environments, such as homes, workplaces, schools, neighborhoods and communities. HiAP provides a framework for working with other sectors to address these multifaceted issues.

HiAP Toolkit Highlights Innovative Leadership to Support the National Prevention Strategy

In support of the National Prevention Strategy, ASTHO produced this innovative resource to educate and empower public health leaders to promote a Health in All Policies (HiAP) approach to policymaking and program development. By collaborating across multiple sectors to address health disparities and empower individuals, promoting healthy communities, and ensuring quality clinical and community preventive services, we can increase the number of Americans who are healthy at every stage of life. To support your efforts, a description of the National Prevention Strategy is enclosed along with key talking points to explain a HiAP approach to other leaders in your state or locality's government, characteristics of successful cross-sector collaboration, and a collection of state stories meant to inspire you into action! The toolkit is available in a page-turning digital edition as well as a PDF.

An Assessment of Cross-sector Collaboration in State Health Agencies

Promoting Health in All Policies: An Assessment of Cross-Sector Collaboration Among State Health Agencies (2018)
Following up on a 2012 report from ASTHO, this assessment describes the partners and types of collaboration happening between state health agencies (SHAs) and other groups. Data for the new assessment pulls from the recent ASTHO Profile of State and Territorial Public Health, Vol. 4 (Profile Survey). Results indicate that SHAs are collaborating with many partners in their communities and across governmental sectors at the local, state, federal, and tribal levels, as well as with many non-governmental agencies such as hospitals, schools, faith communities, and businesses. Collaboration can occur through many different activities, such as information sharing, formal agreements like memorandums of understanding (MOUs), and even funding mechanisms. This report summarizes the breadth of activities that are instrumental for HiAP approaches.

An Assessment of Cross-sector Collaboration Among State Health Agencies (2012)
Across ASTHO, we promote and highlight the collaboration of state health agencies with other partners to help individuals be healthy at every stage of life. To further this effort, we leveraged national initiatives such as the National Prevention Strategy and the concept of Health in All Policies. The initial phase of this assessment entailed an environmental scan to describe the current level of cross- sector collaboration among state health agencies. This analysis creates a baseline that will be utilized in coming years to gauge how collaboration changes.


Kerry Wyss, Director, Environmental Health
Kathleen Dolan, Senior Analyst, Environmental Health