Community maturity to implement Health in All Policies



To provide a fundament for practical guidance on implementation of HiAP to Danish Municipalities HiAP.


This study is based on a descriptive case study design where a mixed method is used. A questionnaire survey with 64 respondents was conducted in the five political sectors of Esbjerg municipality and it was followed up by four semi-structured interviews with key respondents based on a Dutch prototype model from 2014; The Capability Maturity Model for HiAP.


The Maturity Model was applied in Esbjerg Municipality and proved practical for the assessment of the growth process of HiAP. Esbjerg municipality is assessed to be at maturity level 2 in the implementation process of HiAP, where the approach is recognized and considered to tackle health inequalities.


The Maturity Model for HiAP has proved suitable for assessing the implementation process of HiAP on a municipality level and establishes a fundament for practical guidance in the area.

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Correspondence to Gabriel Gulis.

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Conflict of interest

Author Jonas Bech Andersen declares that he has no conflict of interest. Author Gabriel Gulis declares that he has no conflict of interest.


No specific funding provided for the work as all is based on a master thesis of the first author of manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was not considered relevant for this study as it does not contain individual information.

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Andersen, J.B., Gulis, G. Community maturity to implement Health in All Policies. Int J Public Health 62, 605–612 (2017).

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  • Health in All Policies
  • Implementation
  • Local government
  • Municipality
  • Intersectoral action