The South Australian Model of Health in All Policies
Health in All Policies continues to evolve and develop. The below model (Figure 1: South Australia’s Health in All Policies model 2008-2013) includes two key elements:
- Central governance and accountability
- A Health Lens analysis process.
This model captures the interactive and fluid nature of the HiAP approach. Beginning with clear governance and accountability, it moves through a flexible Health Lens analysis process, leading to improved policy or social determinants of health outcomes. The governance structure provides a mandate for horizontal collaboration and joined-up policy making, which underpins the HiAP work. The model seeks agreement on the policy focus and utilises robust methods of assessment and analysis to explore the links between the policy area and health and wellbeing of the population.
For more information on the history of the SA Health in All Policies model, view the HiAP background and practical guide version 2 (PDF 639KB).
Figure 1. South Australia’s Health in All Policies model 2008-2013.
Please note that the Health in All Policies approach in South Australia has evolved since this time. View the Evolution of the HiAP approach for more information.
Health Impact Assessments in Health in All Policies
Health Impact Assessment (HIA) considers the potential effects on population health from procedures, methods, and tools used in a policy, program, or project. The distribution of those effects within the population (1999 Gothenburg consensus statement) is also measured.
Elements of HIA are used in the Health in All Policies (HiAP) health lens analysis methodology. The systematic approach recommended by HIA models is helpful in structuring the discussion between the health agency and the other government departments.
HIA is applied in a more flexible manner in HiAP. The key difference between the traditional HIA approach and the HiAP health lens is that HIA tends to be applied after the policy, plan or proposal has been developed, but before it has been implemented. The HiAP health lens usually commences much earlier prior to a policy or proposal being developed.
More information can be found from the following publication:
Delany, T., Harris, P., Williams, C., Harris, E., Baum, F., Lawless, A., Wildgoose, D., Haigh, F., MacDougall, C., Broderick, D. and Kickbusch, I., 2014. Health impact assessment in New South Wales & Health in all policies in south Australia: Differences, similarities and connections. BMC public health, 14(1), p.1. [ http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-699