Intersectorality

Intersectorality

Many of the policies and programmes that affect health originate outside the health sector. They include agriculture, education, environment, fiscal policies, gender equality, housing, transport, trade and many others. These policies and programmes have consequences for population health by shaping individual lifestyle factors, social and community contexts, living and working conditions, and the general socioeconomic and cultural context.

The need for intersectorality to tackle these health-relevant policies and programmes has been long acknowledged by governments. They have charged international agencies with developing intersectoral policies. The so-called Sustainability Development Goals set by the United Nations General Assembly in 2015 interlink 17 global goals for a better and more sustainable future for all. In all 17 of these goals there is broad scope for intersectoral action for health. However, the question remains, how to get more health into all of these goals.

The European Observatory’s work programme supports governments engaging in intersectorality by focusing on the governance aspects.

  • The politics of Agenda setting is important because health is often not considered as a priority by governments. The responses to the COVID-19 pandemic, however, have shown that intersectorality is possible and can be very effective if health moves up the political agenda;
  • Health in all policies (HiAP) is about aligning other policies with health-related objectives. Other sectors should include health considerations in the decision-making and implementation of their policies and programmes. Imposing health objectives on other sectors, however, has not always been welcomed or has turned out to be impractical;
  • One way of overcoming reservations with regards to intersectorality is to demonstrate that there are substantial specific co-benefits for these other sectors that can be gained by investing in health-related actions;
  • To facilitate intersectorality, governments can build on Intersectoral governance structures. These include cabinet committees and secretariats, parliamentary committees, interdepartmental committees and units, mega-ministries and mergers, joint budgeting, delegated financing, and public, stakeholder and industry engagement.

A recent article published in The Lancet entitled 'From Health in All Policies to Health for All Policies' looks at how sectors can and have worked together to improve health.

Related publications

What can intersectoral governance do to strengthen the health and care workforce?: Structures and mechanisms to improve the education, employment and retention of health and care workers

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Connecting food systems for co-benefits: how can food systems combine diet-related health with environmental and economic policy goals?

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Investing in health literacy: what do we know about the co-benefits to the education sector of actions targeted at children and young people?

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Intersectoral governance and Health in All Policies

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Intersectoral governance for health in all policies: structures, actions and experiences

Many of the policies and programmes that affect health originate outside the health sector. Governments therefore need to address population health using...

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