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. 2014 Aug;91(4):623-36.
doi: 10.1007/s11524-014-9886-3.

Health in All Urban Policy: city services through the prism of health

Jason Corburn  1 , Shasa Curl, Gabino Arredondo, Jonathan Malagon
Affiliations

Health in All Urban Policy: city services through the prism of health

Jason Corburn et al. J Urban Health. 2014 Aug.

Abstract

In April, 2014, the City of Richmond, California, became one of the first and only municipalities in the USA to adopt a Health in All Policies (HiAP) ordinance and strategy. HiAP is increasingly recognized as an important method for ensuring policy making outside the health sector addresses the determinants of health and social equity. A central challenge facing HiAP is how to integrate community knowledge and health equity considerations into the agendas of policymakers who have not previously considered health as their responsibility or view the value of such an approach. In Richmond, the HiAP strategy has an explicit focus on equity and guides city services from budgeting to built and social environment programs. We describe the evolution of Richmond's HiAP strategy and its content. We highlight how this urban HiAP was the result of the coproduction of science policy. Coproduction includes participatory processes where different public stakeholders, scientific experts, and government sector leaders come together to jointly generate policy goals, health equity metrics, and policy drafting and implementation strategies. We conclude with some insights for how city governments might consider HiAP as an approach to achieve "targeted universalism," or the idea that general population health goals can be achieved by targeting actions and improvements for specific vulnerable groups and places.

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Figures

FIG. 1
FIG. 1
Richmond, California life expectancy, 2010.
FIG. 2
FIG. 2
Cumulative toxic stressors model used in Richmond’s health equity in all policies strategy.
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FIG. 3
Governance and leadership HiAP intervention area: relational diamond indicators.
FIG. 4
FIG. 4
Health equity diamond: Richmond HiAP strategy.
FIG. 5
FIG. 5
Health inequities diamond: Richmond HiAP strategy.
See this image and copyright information in PMC

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