2.I. Workshop: Implementing local health equity policies in Europe – Needs, governance and tools

• Published in: European journal of public health 2020-09, Vol.30 (Supplement_5)
• Main Authors: Chair persons: Tuulia Rotko - Finland, Christina Plantz - Germany, Organised by: THL (Finland), BZgA (Germany), JAHEE
• Format: Article
• Language: English
• Subjects: Collaboration; Commitment; Context; Decision making; Ecosystems; Everyday life; Fairness; Governance; Health disparities; Housing; Inequalities; Inequality; Languages; Living conditions; Local government; Municipalities; Physical activity; Physical fitness; Policies; Policy implementation; Politics; Public health; Rural areas; Rural development; Rural planning; Urban development
• ISSN: 1101-1262; 1464-360X
• DOI: 10.1093/eurpub/ckaa165.116

Abstract The effects of health inequalities within and between European countries are widely recognized, and reducing health inequalities is on the agenda of many countries. Despite an increasing concern and awareness on health inequalities, a wide gap exists in Europe in terms of political response. Health is created and lived by people within the settings of their everyday life; where they learn, work, play and love. Healthy urban development has a great potential to reduce health inequalities. Healthy living environments can only be created if sectors other than the health sector are involved. Health in all policies (HiAP) is an approach promoted by WHO since the Ottawa Charta (1986). It acknowledges the need for an integrated approach to health involving different policy fields. The reduction of health inequalities is one core aim. Including HiAP is a smart - and feasible - policy choice and one concrete measure it to use prospective Health Impact Assessment focusing on equity. Working with other government sectors requires an understanding of different mandates and goals, and may involve crossing administrative and budgetary barriers between sectors. Different policy actors and professional disciplines have their own languages and approaches to the problems and opportunities in societal development. For this reason, HiAP needs to promote an understanding of the language, goals and working methods across government sectors. Municipal governments need to build trusting and collaborative relationships both between internal sector silos, and across stakeholders within society. The municipal context offers comprehensive entry points for action. Municipalities seek to provide education throughout the life course, create appropriate conditions for housing as well as for physical activity and healthy eating. Municipalities can also promote the creation of a stable ecosystem. Moreover, a focus on municipalities addresses the local political context, local political regulations and urban or rural planning and development, which are important contributions to improving living conditions. There is valid information on health, health inequalities and its determinants available, but the information is not automatically transformed to concrete policy actions and measures. Besides knowledge, policy implementation requires many other elements to be effective: political will and commitment, collaboration, resources and governance. This session presents current findings