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HEALTH IN ALL
POLICIES
T RAINING MANUAL bbHbbiAP TRAINING MANUAL
WHO
Contact
Social Determinants of Health
World Health Organization, Avenue Appia
CH-1211 Geneva 27
Switzerland
Email: hiap@who.int http://www.who.int/social_determinants/en/
ISBN 978 92 4 150798 1


HEALTH IN ALL
POLICIES
T RAINING MANUAL bdiv
WHO Library Cataloguing-in-Publication Data:
Health in all policies training manual.
1.Health Policy. Health Status Disparities. National Health Programs. Teaching Materials. I.World Health
Organization.
ISBN 978 92 4 150798 1
(NLM classification WA 525)
© World Health Organization 2015
All rights reserved. Publications of the World Health Organization are available on the WHO website (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland tel +41 22 791 3264; fax +41 22 791 4857; email bookorders@who.int).
Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press through the WHO website (www.who.int/about/licensing/
copyright_form/en/index.html).
The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate borderlines for which there may not yet be full agreement.
The mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.
All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.
Editor: Vivien Stone.
Design and layout L’IV Com Sàrl, Villars-sous-Yens, Switzerland.
Printed in Italy.


iii
CONTENTS
ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi
ABBREVIATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii
Purpose of training manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii
Summary of contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii
Educational approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x
WHO HEALTH IN ALL POLICIES TRAINING COURSE OPTIONS . . . . . . . . . . . . . . . . . . . . xi Executive course for politicians and senior policymakers . . . . . . . . . . . . . . . . . . . . xi Course for policy and programme managers . . . . . . . . . . . . . . . . . . . . . . . . . xiii


Module 1: introduction and the determinants of health
Module 2: 21st-century health dynamics and inequality
Module 3: health in all policies (hiap)
Module 4: the policy-making process
Module 5: the role of government in hiap/whole-of-government
Module 6: preparing policy briefs
Module 7:the role of non-government stakeholders in hiap/whole-of-
Module 8: negotiating for health
Module 11: the leadership role of the health sector in hiap
Moduleoverview
Additional modules
Content overview
Who should attend the executive course?
Executive course structure
Who should attend this longer course?
Start timeworkshop module
Workshop module
Health in all policies (hiap)
Total time 1h 40 mins
United nations universal declaration of human rights (1948)
Ottawa charter (1986)
If time permits, you may want to extend the duration of this group activity.
Figure 1.1: country health rankings model
Figure 1.2: the main determinants of health
Total time 1h 30 mins
Figure 2.1: most ncds are strongly associated and causally linked with four particular risk factors
Figure 2.2: beyond the boundary
Figure 2.3: the health gradient
If time permits, you may want to extend the duration of this part of
Module 3: health in all policies (hiap)optional
Module 3: health in all policies (hiap)group activity health linkages with other sectors
If time permits, you may want to extend the duration of this
Figure 3.1: policy situations where a hiap approach should be considered
It is recommended the group now takes a break before starting part
If time permits, you may want to extend the duration of this group
Figure 4.1: the complex combination of factors behind obesity
Figure 4.2: problem types
Figure 4.3: stages of the policy cycle
Total time1h 30 mins
Module 5: the role of government in hiap/whole-of-government approachesoptional
Whole-of-government
Figure 5.3: policy situations where a hiap approach should be considered
Figure 5.4: degrees of collaboration
Figure 5.5: structures and mechanisms for intersectoral collaboration
Total time1h 45 mins
Module 6: preparing policy briefslecture: effective writing and policy briefs
Figure 6.1: policy briefs – agenda setting and policy formulation
Module 6: preparing policy briefs6. understandable
Module 6: preparing policy briefs1. health argument.
Alternative one
Figure 7.1: policy formulation and development – the role of nongovernmental stakeholders
Figure 7.2: the triangle that moves mountains
Stakeholder type 1: crowd
Stakeholder type 3: influencers
Highstakeholder 3
Name of stakeholder
Pre-reading for role play
Negotiating“out”
Figure 8.3 the four main approaches to policy negotiation
Cooperative and ethical negotiating
Module 8: negotiating for healthpre-reading for role play
Alternative two
Figure 9.1 the policy implementation stage of the policy cycle
International health regulations
Module 9: hiap implementation at local, regional and global levelswho framework convention for tobacco control
Module 9: hiap implementation at local, regional and global levelswho (2013) tobacco control measures:3 mins
Module 10: measuring progress in health key reading for participantsrecommended
Module 10: measuring progress in healthfigure 10.1: me in the review stage of the policy cycle
Figure 10.2: five stages of the health monitoring cycle
Action, where appropriate, to monitor
Module 10: measuring progress in healthoptional group discussion data sources for hiap
Who global health observatory
Who world health statistics reports
Who indicator and measurement registry
Who factsheets –
Module 10: measuring progress in healthfigure 10.4: gapminder world shows important global trends
Module 11: the leadership role of the health sector in hiapfigure 11.1: international migration of doctors
Module 12: next steps and roundup b. monitor and evaluate progress
Appendicesa: learning objectivesmodule 1: introduction and the determinants of health
Module 3: health in all policies (hiap)
Module 5: the role of government in hiap/whole-of-government approaches
Module 8: negotiating for health
Module 11: the leadership role of the health sector in hiap
Part two1h 15 mins
Module 1: introductions and the determinants of health
Module 2: 21st-century health dynamics and inequality
Appendicesmodule 4: the policy-making process
Module 6: preparing policy briefs
Appendicesmodule 9: hiap implementation at local, regional and global levels
Module 10: measuring progress in health
Module 4: the policy-making process
Appendicese: teaching resources/handoutshandout 2.1: contemporary burden of diseaseactivity template –
Diseases (alphabetical order)
Rankdisease (1990)
Yearinternational milestone
Appendiceshandout 3.3: identifying the hiap approachexamples of health-related initiatives for discussion
Cook islands tobacco control action plan
Immunization campaign across the middle east
Healthy mobility week kuala lumpur
Gene therapy for treating heart attack victims
Improving the quality of life of older people in vienna
Appendiceschild nutrition rwanda
Health worker training
Risk of imported chikungunya in caribbean and south america
Caesar salad recalled over possible listeria contamination
British alcohol strategy
Intimate partner violence
Scope of the problem
Impact on children
What are overweight and obesity?
Facts about overweight and obesity
What causes obesity and overweight?
What are common health consequences of overweight and obesity?
Policy brief template
Example of whole-of-society approach to hiap: awareness campaign on mental
Example of whole-of-society approach to hiap: occupational safety and health
Appendiceshandout 7.2: stakeholder analysisinstructions
Templatename of
Know what is non-negotiable
Keep your promises
Commit to saying no if necessary
Go with your gut
Walk away from unacceptable deals
Appendicesmayor (chairperson/facilitator) (all cities)
Health ministry (all cities)
Education ministry (all cities)
Infrastructure, transport and housing ministry (all cities)
Finance ministry (all cities) (optional)
Ngo (all cities)
Tobacco lobby (mexico city, shanghai, nairobi, tehran, all cities (optional)
Appendicesfood and beverages lobby (mexico city, shanghai, nairobi, tehran (all cities) (optional)
Cattle farmers association (so paulo, buenos aires)
Outputsservice access and readiness
Appendiceshandout a hia case study1background information and task description
Hia terms of reference
Participants’ training evaluation
Appendicestemplate twoend of workshop evaluation
Training evaluation form
Appendicesfacilitator



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