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Being Strategic with Health in All Policies and Governing for Racial Equity

Carmen Gil, MPA/HSA – Health in All Policies Manager, Monterey County Health Department

Krista Hanni, MS, PhD – Program Manager II, Monterey County Health Department

Elsa Jimenez, MPH – Director of Health, Monterey County Health Department


Local Health Departments are tasked to be the health strategists in the 21st century to address emerging health issues while also maintaining mandated services. This has necessitating developing new partnerships and may require new approaches. Health in All Policies (HiAP) provides a framework by which local health departments can position themselves with public and private partners to deepen efforts to address social health inequities and in turn create support for mandated services. Monterey County Health Department in California has used a Health in All Policies Framework for over seven years, informing work from developing its community health assessment through addressing emerging needs including housing, transportation, chronic disease, and opioid use reduction. HiAP in Monterey County has been an effective framework for educating new partners in public health and encouraging intersectoral work across numerous disciplines. Strategies have worked to increase understanding within the Health Department and with a variety of community partners. Surveys have indicated improved understanding of the concepts of health equity along with deeper understanding of strategic alignment across systems and with an overarching vision for health. The efforts were augmented by a variety of systems change and collaboration tools and approaches. These will be discussed and presented. They will include community engagement and empowerment tools, partner development stages and domains that have relevance for intersectoral action and implementation, and concepts and questions to be asked prior to and during implementation. In addition to HiAP a broader effort across county government and with community partners in Monterey County has included the use of Governing for Racial Equity (GRE). Similarities and complimentary aspects for both efforts will also be presented and methods for integrating GRE into a local Health Department’s HiAP efforts will also be presented and demonstrated as integral to the HiAP process. Participants will be provided opportunities to learn how to use the frameworks and tools and which to apply with different audiences.


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