This commentary highlights the critical role of Health in All Policies (HiAP), which is key to the complementary Health for All Policies strategy to enable positive outcomes across sectors and allow a broader policy integration. It discusses the impact of political determinants on the main public health risk factors related to tobacco, sugar, gambling and alcohol addressing the barriers hindering the implementation of HiAP in the example of Portugal. It highlights the need to funnel political determinants through a health equity framework to address inequalities. Inspired by the Portuguese experience, a CEIP-Framework is proposed to emphasize the need to strengthen HiAP, when a national agenda is absent. The CEIP-Framework considers comprehensive health legislation (C), enhanced reinforcement and monitoring (E), increased cross-sector collaboration (I), and public health investment (P) from Reaction to Prevention.
In this commentary, the importance of strengthening HiAP by addressing four key public health challenges is discussed, by debating the impact of political determinants on health outcomes and proposing the CEIP-framework for fostering effective cross-sector collaboration in Portugal.
Furthermore, this commentary gives insights related to barriers such as industry lobbying and cultural acceptance that hamper the effectiveness of health regulations targeting the key risk factors: tobacco, sugar, gambling, and alcohol and to propose a comprehensive framework for strengthening HiAP, emphasising the need for comprehensive health legislation, enhanced monitoring, increased cross-sector collaboration, and public health investment
This work has been developed under the scope of WP9 Health in All Policies of the JA Prevent NCD which aims to strengthen the implementation of HiAP across various sectors and governance levels, focusing particularly on key risk factors and determinants to prevent cancer and other non-communicable diseases.
Access the full commentary in The Public Health Reviews:
Public Health Rev, 21 March 2025, Volume 46 - 2025 |