Abstract
The research involved a collaboration between University researchers and public servants who were involved in implementing Health in All Policies (HiAP) in South Australia. Drawing on our published work about this research, our chapter describes the contribution our work has made to knowledge, to HiAP implementation, and to methodological and theoretical approaches for studying complex policy interventions. We examined the reasons HiAP was established, the contextual and policy factors that made this possible, and the ways in which the initiative navigated a changing policy context. High-level support including from the Premier and an emphasis on supporting other sectors through “win-win” strategies designed to achieve benefits for health and the other sectors were crucial. Trust was also important. We used program theory to determine HiAP’s likely impacts on health and equity. We supported the program logic with a range of different policy theories including those relating to trust, agenda-setting, policy processes, and implementation norm changes. We used institutional theory to examine how a mix of ideational, institutional, and actor factors combined to make the intersectoral action initiated by HiAP either effective or not. These theories were used to assist our understanding of what makes for successful intersectoral action.
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References
Baum, F., Lawless, A., MacDougall, C., Delany, T., McDermott, D., Harris, E., & Williams, C. (2015). New norms new policies: Did the Adelaide thinkers in residence scheme encourage new thinking about promoting well-being and Health in All Policies? Social Science & Medicine, 147, 1–9. https://doi.org/10.1016/j.socscimed.2015.10.031
Baum, F., Delany-Crowe, T., MacDougall, C., Lawless, A., van Eyk, H., & Williams, C. (2017). Ideas, actors and institutions: Lessons from South Australian Health in All Policies on what encourages other sectors’ involvement. BMC Public Health, 17(1), 811. https://doi.org/10.1186/s12889-017-4821-7
Baum, F., Delany-Crowe, T., MacDougall, C., van Eyk, H., Lawless, A., Williams, C., & Marmot, M. (2019a). To what extent can the activities of the South Australian Health in All Policies initiative be linked to population health outcomes using a program theory-based evaluation? BMC Public Health, 19(1), 88. https://doi.org/10.1186/s12889-019-6408-y
Baum, F., Graycar, A., Delany-Crowe, T., de Leeuw, E., Bacchi, C., Popay, J., Orchard, L., Colebatch, H., Friel, S., MacDougall, C., Harris, E., Lawless, A., McDermott, D., Fisher, M., Harris, P., Phillips, C., & Fitzgerald, J. (2019b). Understanding Australian policies on public health using social and political science theories: Reflections from an Academy of the Social Sciences in Australia workshop. Health Promotion International, 34(4), 833–846. https://doi.org/10.1093/heapro/day014
Chaufan, C., Yeh, J., Ross, L., & Fox, P. (2015). You can’t walk or bike yourself out of the health effects of poverty: Active school transport, child obesity, and blind spots in the public health literature. Critical Public Health, 25(1), 32–47. https://doi.org/10.1080/09581596.2014.920078
Commission on Social Determinants of Health. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. World Health Organization.
Delany, T., Harris, P., Williams, C., Harris, E., Baum, F., Lawless, A., Wildgoose, D., Haigh, F., MacDougall, C., Broderick, D., & Kickbusch, I. (2014). Health Impact Assessment in New South Wales & Health in All Policies in South Australia: Differences, similarities and connections. BMC Public Health, 14(1), 699. https://doi.org/10.1186/1471-2458-14-699
Delany, T., Lawless, A., Baum, F., Popay, J., Jones, L., McDermott, D., Harris, E., Broderick, D., & Marmot, M. (2016). Health in All Policies in South Australia: What has supported early implementation? Health Promotion International, 31(4), 888–898. https://doi.org/10.1093/heapro/dav084
Delany-Crowe, T., Popay, J., Lawless, A., Baum, F., MacDougall, C., van Eyk, H., & Williams, C. (2019). The role of trust in joined-up government activities: Experiences from Health in All Policies in South Australia. Australian Journal of Public Administration, 78(2), 172–190. https://doi.org/10.1111/1467-8500.12383
Duckett, S., Swerissen, H., & Wiltshire, T. (2016). A sugary drinks tax: Recovering the community costs of obesity. Grattan Institute.
Exworthy, M., & Hunter, D. J. (2011). The challenge of joined-up government in tackling health inequalities. International Journal of Public Administration, 34(4), 201–212. https://doi.org/10.1080/01900692.2011.551749
Exworthy, M., Blane, D., & Marmot, M. (2003). Tackling health inequalities in the United Kingdom: The progress and pitfalls of policy. Health Services Research, 38(6 Pt 2), 1905–1921. https://doi.org/10.1111/j.1475-6773.2003.00208.x
Finnemore, M., & Sikkink, K. (1998). International norm dynamics and political change. International Organization, 52(4), 887–917.
Gawith, L. (2012). Information sheet 1: Background information on health in all policies (HiAP). Canterbury Health in All Policies Partnership (CHIAPP).
Giddens, A. (1991a). The consequences of modernity. Stanford University Press.
Giddens, A. (1991b). Modernity and self-identity: Self and society in the late modern age. Stanford University Press.
Howlett, M., Ramesh, M., & Perl, A. (2009). Studying public policy: Policy cycles and policy subsystems (3rd ed.). Oxford University Press.
Khayatzadeh-Mahani, A., Ruckert, A., & Labonté, R. (2018). Obesity prevention: Co-framing for intersectoral ‘buy-in’. Critical Public Health, 28(1), 4–11. https://doi.org/10.1080/09581596.2017.1282604
Kickbusch, I. (2008). Healthy societies: Addressing 21st century health challenges. Adelaide Thinkers in Residence.
Kingdon, J. (2014). Agendas, alternatives, and public policies (updated 2nd ed., Longman Classics in Political Science ed.). Longman.
Lawless, A., Baum, F., Delany-Crowe, T., MacDougall, C., Williams, C., McDermott, D., & van Eyk, H. (2018). Developing a framework for a program theory-based approach to evaluating policy processes and outcomes: Health in All Policies in South Australia. International Journal of Health Policy and Management, 7(6), 510–521. https://doi.org/10.15171/ijhpm.2017.121
McGreevy, D. M., MacDougall, C., Fisher, D. M., Henley, M., & Baum, F. (2021). Expediting a renewable energy transition in a privatised market via public policy: The case of South Australia 2004-18. Energy Policy, 148, 111940. https://doi.org/10.1016/j.enpol.2020.111940
Merkel, B. (2010). European Union experience and perspectives. Adelaide 2010 – Health in All Policies international meeting. Adelaide, South Australia.
Otero, G. (2018). The neoliberal diet: Healthy profits, unhealthy people. University of Texas Press.
Sabatier, P. A. (1988). An advocacy coalition framework of policy change and the role of policy-oriented learning therein. Policy Sciences, 21(2), 129–168. https://doi.org/10.1007/BF00136406
Sabatier, P. A., & Jenkins-Smith, H. (1993). Policy change and learning: An advocacy coalition approach. Westview Press.
Scott, W. (2014). Institutions and organizations, ideas, interests and identities. Sage.
Scott, R. J., & Bardach, E. (2019). A comparison of management adaptations for joined-up government: Lessons from New Zealand. Australian Journal of Public Administration, 78(2), 191–212. https://doi.org/10.1111/1467-8500.12348
Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. World Health Organization.
South Australian Government (2017) How the governance and practice of Health in All Policies has changed over time in South Australia: Exploring the evolution 2007–2017. Government of South Australia.
Storm, I., Harting, J., Stronks, K., & Schuit, A. J. (2014). Measuring stages of Health in All Policies on a local level: The applicability of a maturity model. Health Policy, 114(2–3), 183–191. https://doi.org/10.1016/j.healthpol.2013.05.006
St-Pierre, L. (2009). Governance tools and framework for Health in All Policies. National Collaborating Centre for Healthy Public Policy.
van Eyk, H., Harris, E., Baum, F., Delany-Crowe, T., Lawless, A., & MacDougall, C. (2017). Health in All Policies in South Australia – did it promote and enact an equity perspective? International Journal of Environmental Research and Public Health, 14(11), 1288. https://doi.org/10.3390/ijerph14111288
van Eyk, H., Baum, F., & Delany-Crowe, T. (2019a). Creating a whole-of-government approach to promoting healthy weight: What can Health in All Policies contribute? International Journal of Public Health, 64(8), 1159–1172. https://doi.org/10.1007/s00038-019-01302-4
van Eyk, H., Delany-Crowe, T., Lawless, A., Baum, F., MacDougall, C., & Wildgoose, D. (2019b). Improving child literacy using South Australia’s Health in All Policies approach. Health Promotion International, 35(5), 958–972. https://doi.org/10.1093/heapro/daz013
van Eyk, H., Friel, S., Sainsbury, P., Boyd-Caine, T., Harris, P., MacDougall, C., Delany-Crowe, T., Musolino, C., & Baum, F. (2020). How do advisory groups contribute to healthy public policy research? International Journal of Public Health, 65(9), 1581–1591. https://doi.org/10.1007/s00038-020-01504-1
Acknowledgements
We acknowledge the input of all Chief and Associate Investigators who have contributed to the design of this research: Angela Lawless, Jennie Popay, Elizabeth Harris, Dennis McDermott, Danny Broderick, Ilona Kickbusch, Kevin Buckett, Sandy Pitcher, Andrew Stanley, and Deborah Wildgoose. We acknowledge the significant role and contribution of Toni Delany-Crowe, who was the project manager for this research from 2012–2016.
This work was supported by the Australian National Health and Medical Research Council (grant number 1027561).
The views expressed in this paper do not necessarily reflect those of the South Australian Government.
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Baum, F., van Eyk, H., MacDougall, C., Williams, C. (2022). Researching Health for All in South Australia: Reflections on Sustainability and Partnership. In: Potvin, L., Jourdan, D. (eds) Global Handbook of Health Promotion Research, Vol. 1. Springer, Cham. https://doi.org/10.1007/978-3-030-97212-7_49
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