A health in all policies approach to promote active, healthy lifestyle in Israel

Israel Journal of Health Policy Research

Ruth Weinstein³  Daniel S Moran¹  Itamar Grotto²  Yonina Fleischman³  Nadav Davidovich²  Yannai Kranzler² 

[1]Faculty of Health Sciences at the Ariel University Center of Samaria, Ariel, Israel

[2]Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel

[3]Public Health Services, Israel Ministry of Health, 39 Yirmiyahu Street, Jerusalem, Israel

关键词: Health governance;    Intersectoral action;    Obesity;    Health in all policies;   

Others  :  804838
DOI  :  10.1186/2045-4015-2-16

 received in 2012-09-28, accepted in 2013-03-20,  发布年份 2013

【 摘 要 】

In December 2011, Israel launched the National Program to Promote Active, Healthy Lifestyle, an inter-ministerial, intersectoral effort to address obesity and its contribution to the country’s burden of chronic disease. This paper explores the National Program according to the “Health in All Policies” (HiAP) strategy for health governance, designed to engage social determinants of health and curb health challenges at the causal level. Our objective is twofold: to identify where Israel’s National Program both echoes and falls short of Health in All Policies, and to assess how the National Program can be utilized to enrich the Health in All Policies research-base.

We review Health in All Policies’ evolution, why it developed and how it is diverges from other approaches to intersectoriality in health. We describe why obesity and related chronic diseases necessitate an intersectoral response, cite obstacles and gaps to implementation and list examples of HiAP-type initiatives from around the world. We then analyze Israel’s National Program as it relates to Health in All Policies, and propose directions through which the initiative may constitute a useful case study.

We contend that joint planning, implementation and to a limited extent, budgeting, between the Ministries of Health, Education and Culture and Sport reflect an HiAP-approach, as does integrating health into the policymaking of other ministries. To further incorporate health in all Israeli policies, we suggest leveraging the Health Ministry’s presence on governmental and non-governmental committees in areas like building, land-use and urban planning, institutional food policy and environmental health, and focusing on knowledge translation according to the policy needs, strengths and limitations of other sectors. Finally, we suggest studying the National Program’s financing, decision-making and evaluation mechanisms in order to complement existing research on the implementation of Health in All Policies and intersectoral action for health.

【 授权许可】

   
2013 Kranzler et al.; licensee BioMed Central Ltd.

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