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Using Win-Win Strategies to Implement Health in All Policies: A Cross-Case Analysis

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  • Agnes Molnar
  • Emilie Renahy
  • Patricia O’Campo
  • Carles Muntaner
  • Alix Freiler
  • Ketan Shankardass

Abstract

Background: In spite of increasing research into intersections of public policy and health, little evidence shows how policy processes impact the implementation of Health in All Policies (HiAP) initiatives. Our research sought to understand how and why strategies for engaging partners from diverse policy sectors in the implementation of HiAP succeed or fail in order to uncover the underlying social mechanisms contributing to sustainable implementation of HiAP. Methods: In this explanatory multiple case study, we analyzed grey and peer-review literature and key informant interviews to identify mechanisms leading to implementation successes and failures in relation to different strategies for engagement across three case studies (Sweden, Quebec and South Australia), after accounting for the role of different contextual conditions. Findings: Our results yielded no support for the use of awareness-raising or directive strategies as standalone approaches for engaging partners to implement HiAP. However, we found strong evidence that mechanisms related to “win-win” strategies facilitated implementation by increasing perceived acceptability (or buy-in) and feasibility of HiAP implementation across sectors. Win-win strategies were facilitated by mechanisms related to several activities, including: the development of a shared language to facilitate communication between actors from different sectors; integrating health into other policy agendas (eg., sustainability) and use of dual outcomes to appeal to the interests of diverse policy sectors; use of scientific evidence to demonstrate the effectiveness of HiAP; and using health impact assessment to make policy coordination for public health outcomes more feasible and to give credibility to policies being developed by diverse policy sectors. Conclusion: Our findings enrich theoretical understanding in an under-unexplored area of intersectoral action. They also provide policy makers with examples of HiAP across wealthy welfare regimes, and improve understanding of successful HiAP implementation practices, including the win-win approach.

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  • Agnes Molnar & Emilie Renahy & Patricia O’Campo & Carles Muntaner & Alix Freiler & Ketan Shankardass, 2016. "Using Win-Win Strategies to Implement Health in All Policies: A Cross-Case Analysis," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-19, February.
    • Handle: RePEc:plo:pone00:0147003
    DOI: 10.1371/journal.pone.0147003
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    References listed on IDEAS

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    1. Ketan Shankardass & Orielle Solar & Kelly Murphy & Lorraine Greaves & Patricia O’Campo, 2012. "A scoping review of intersectoral action for health equity involving governments," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 25-33, February.
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    Cited by:

    1. Tanja Brüchert & Paula Quentin & Sabine Baumgart & Gabriele Bolte, 2021. "Barriers, Facilitating Factors, and Intersectoral Collaboration for Promoting Active Mobility for Healthy Aging—A Qualitative Study within Local Government in Germany," IJERPH, MDPI, vol. 18(7), pages 1-17, April.
    2. Friel, Sharon & Townsend, Belinda & Fisher, Matthew & Harris, Patrick & Freeman, Toby & Baum, Fran, 2021. "Power and the people's health," Social Science & Medicine, Elsevier, vol. 282(C).
    3. Nuan-Ching Huang & Hsien-Wen Kuo & Te-Jen Hung & Susan C. Hu, 2019. "Do Healthy City Performance Awards Lead to Health in All Policies? A Case of Taiwan," IJERPH, MDPI, vol. 16(6), pages 1-13, March.
    4. Stéphanie Gamache & Thierno Amadou Diallo & Ketan Shankardass & Alexandre Lebel, 2020. "The Elaboration of an Intersectoral Partnership to Perform Health Impact Assessment in Urban Planning: The Experience of Quebec City (Canada)," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
    5. Liz Green & Kathryn Ashton & Mark A. Bellis & Timo Clemens & Margaret Douglas, 2021. "‘Health in All Policies’—A Key Driver for Health and Well-Being in a Post-COVID-19 Pandemic World," IJERPH, MDPI, vol. 18(18), pages 1-16, September.
    6. Natascha J. E. van Vooren & Hanneke W. Drewes & Esther de Weger & Inge M. B. Bongers & Caroline A. Baan, 2020. "Cross-Sector Collaboration for a Healthy Living Environment—Which Strategies to Implement, Why, and in Which Context?," IJERPH, MDPI, vol. 17(17), pages 1-15, August.
    7. Gesa Lehne & Claudia Voelcker-Rehage & Jochen Meyer & Karin Bammann & Dirk Gansefort & Tanja Brüchert & Gabriele Bolte, 2019. "Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework," IJERPH, MDPI, vol. 16(3), pages 1-17, February.
    8. Yannai Kranzler & Yael Parag & Nadav Davidovitch, 2019. "Public Health from the Middle-Out: A New Analytical Perspective," IJERPH, MDPI, vol. 16(24), pages 1-16, December.
    9. Guglielmin, Maria & Muntaner, Carles & O’Campo, Patricia & Shankardass, Ketan, 2018. "A scoping review of the implementation of health in all policies at the local level," Health Policy, Elsevier, vol. 122(3), pages 284-292.

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