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Health in All Policies (HiAP)

New in 2023! Implementation Guide for HiAP Strategies

The term Health in All Policies, or HiAP, has been used to describe the larger goal of HIA– ensuring that health is considered in public policies. HIA is a powerful and effective tool used to achieve the larger goal of HiAP.  HiAP is 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. (ASTHO, 2012)

In 2010, the World Health Organization inspired international momentum with the Adelaide Statement on Health in All Policies. Since then, countries like Australia and Finland have taken the lead on implementing nationwide strategies for HiAP. In the United States, the governor of California established the HiAP task force by executive order in 2010. California has since implemented several very successful state-level cross-agency collaborations that prioritize health. In Massachusetts, the Healthy Transportation Compact was signed into law in 2009, requiring the health and transportation departments to work together on implementing certain transportation projects.

HIA is one of several tools that has been used to advance a HiAP approach. Other tools include: health notes, health impact review, health lens analysis and the use of health matrices. Communities can begin their HiAP journey using one of these tools which employ the seven HiAP strategies as defined by Gase, et. al (2013): develop and structure cross-sector relationships; incorporate health into decision making; enhance workforce capacity; coordinate funding and investments; integrate research, evaluation, and data systems; synchronize communications and implement accountability structures. 

Health in All Policies Resources:


APHA HiAP Resources

Pan American Health Organization HiAP

California HiAP Guide for State and Local Governments

Rural Health Information Hub Toolkit

ChangeLab Solutions HiAP Toolkit



WHO HiAP Manual

Community Commons

HiAP Screening Guide (SOPHIA, 2017)

A Practice-Grounded Approach for Evaluating Health in All Policies Initiatives (Gase et. al, 2017)

Taking stock of emerging practices to incorporate health in decision making (Gase et. al, 2013)


Social Determinants of Health

Social Determinants of Health | CDC

Social Determinants of Health - Healthy People 2030 |

Social Determinants of Health to Advance Equity (

WHO Closing the Gap in a Generation Report

Social Determinants of Health and Healthy People - NACCHO

Social Determinants of Health - RWJF

Tools to Implement Health in All Policies

Health Impact Assessment:

NEHA's HIA Resources


NACCHO HIA Resources for Local Health Departments

ASTHO's resource for state health departments

APHA's Health in All Policies: A Guide for State and Local Governments


Health Lens Analysis:

Kent County, Michigan Health Lens Analysis Checklist

Tacoma Pierce County Health Lens Analysis

Health Lens Analysis of Urban Agriculture Policy in Cambridge, MA  

University of Denver Health Assessment Lens Tool

Health Notes/Health Impact Review:

Washington State Health Impact Review

Harris County, TX Health Impact Review

Public Health Matrix:

Creating a Public Health Matrix Tutorial



Parks and Trails Health

Riverside County Healthy Development Checklist


The Heart Foundation's Healthy By Design Tool

Hi-C Checklist Kansas Health Institute

Denver's Healthy Living Toolkit

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