Öz

Health in All Policies is an approach that emphasizes the necessity of prioritizing health when planning public policies. This approach includes systematically considering the positive and negative health impacts and avoiding harmful health outcomes of public policies across sectors. Although there are successful examples of Health in All Policies in practice, it is far from being internalized as a perspective by governments. This study presents the basis of the Health in All Policies approach with examples from Turkey and the globe. It aims to draw attention to the importance of the Health in All Policies approach to combatting inequalities in health.

Anahtar Kelimeler

• Health in all policies
• health inequities
• determinants of health

Tüm Politikalarda Sağlık Yaklaşımına Neden İhtiyacımız Var?

Öz

Tüm Politikalarda Sağlık, kamu politikaları planlanırken sağlığın öncelenmesi gerekliliğini vurgulayan bir yaklaşımdır. Bu yaklaşım, tüm sektörlerde kamu politikalarının olumlu ve olumsuz sağlık etkilerinin sistematik olarak dikkate alınması ve zararlı sağlık sonuçlarından kaçınılmasını içermektedir. Tüm Politikalarda Sağlık uygulamalarının başarılı örnekleri bulunmakla birlikte, yönetimler tarafından bir bakış açısı olarak içselleştirilmekten uzak olduğu görülmektedir. Bu çalışmada, Tüm Politikalarda Sağlık yaklaşımının temellerine Türkiye’den ve dünyadan örneklerle yer verilmiştir ve sağlıkta eşitsizliklerle mücadelede Tüm Politikalarda Sağlık yaklaşımının önemine dikkat çekilmesi amaçlanmıştır.

Anahtar Kelimeler

• Tüm politikalarda sağlık
• sağlıkta eşitsizlikler
• sağlığın belirleyicileri

Kaynakça

1. 1. Social determinants of health. World Health Organization. Accessed April 10, 2022, at https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1
2. 2. World health statistics 2019: monitoring health for the SDGs, sustainable development goals. World Health Organization. Accessed April 10, 2022, at https://apps.who.int/iris/handle/10665/324835.
3. 3. Health in all policies:Helsinki statement Framework for country action. World Health Organization & Finland Ministry of Social Affairs and Health. 2014. Accessed April 10, 2022, at https://apps.who.int/iris/handle/10665/112636
4. 4. Bahar-Özvarış Ş. Sağlığı Geliştirme ve Sağlık Eğitimi. 2nd ed. Ankara: Hacettepe Üniversitesi Yayınları; 2016.
5. 5. Global strategy for health for all by the year 2000. World Health Organization.1981. Accessed April 10, 2022, at https://apps.who.int/iris/handle/10665/38893
6. 6. Milestones in health promotion : statements from global conferences. World Health Organization. 2009. Accessed April 10, 2022, at https://apps.who.int/iris/handle/10665/70578
7. 7. Report of a conference on Intersectoral Action for Health : a cornerstone for health-for-all in the twenty-first century, 20-23 April 1997, Halifax, Nova Scotia, Canada. World Health Organization. 2017. Accessed April 10, 2022, at https://apps.who.int/iris/handle/10665/63657
8. 8. Closing the gap in a generation : health equity through action on the social determinants of health : final report of the commission on social determinants of health. World Health Organization Commission on Social Determinants of Health. 2008. Accessed April 10, 2022, at https://apps.who.int/iris/handle/10665/43943

9. 9. Adelaide statement on health in all policies: moving towards a shared governance for health and wellbeing. World Health Organization & Government of South Australia. 2010. Accessed April 10, 2022, at https://apps.who.int/iris/handle/10665/44365
10. 10. Freiler A, Muntaner C, Shankardass K, et al. Glossary for the implementation of Health in All Policies (HiAP). J Epidemiol Community Health 2013;67(12):1068-1072.
11. 11. Green L, Ashton K, Bellis MA, Clemens T, Douglas M. ‘Health in All Policies’—A Key Driver for Health and Well-Being in a Post-COVID-19 Pandemic World. Int. J.Environ. Res. Public Health 2021;18:9468.
12. 12. Hahn RA. Two Paths to Health in All Policies: The Traditional Public Health Path and the Path of Social Determinants. Am J Public Health 2019;109(2):253-254.
13. 13. Guglielmin M, Muntaner C, O'Campo P, Shankardass K. A scoping review of the implementation of health in all policies at the local level. Health Policy 2018;122(3):284-292.
14. 14. Wernham A, Teutsch SM. Health in all policies for big cities. Journal of public health management and practice:JPHMP 2015;21 Suppl 1(Suppl 1):S56–S65.
15. 15. Health impact assessments. World Health Organization. Accessed April 10, 2022, at https://www.who.int/health-topics/health-impactassessment#tab=tab_3
16. 16. Acheson D. Independent Inquiry Into Inequalities in Health Report. UK Stationery Office, 1998.
17. 17. Health in all policies: a manual for local government. Local Government Association. 2016. Accessed April 10, 2022, at https://www.local.gov.uk/publications/health-all-policies-manual-local-government
18. 18. Framework Convention on Tobacco Control (WHO FCTC). World Health Organization. Accessed April 10, 2022, at https://fctc.who.int/
19. 19. Ståhl T. Health in All Policies: From rhetoric to implementation and evaluation - the Finnish experience. Scand J Public Health 2018;46(20_suppl):38-46.
20. 20. Puska P, Jaini P. The North Karelia Project: Prevention of Cardiovascular Disease in Finland Through Population-Based Lifestyle Interventions. American journal of lifestyle medicine 2020;14(5):495–499.
21. 21. Tan X, Liu X, Shao H. Healthy China 2030: A Vision for Health Care. Value in health regional issues 2017;12:112–114.
22. 22. WHO European Healthy Cities Network. World Health Organization. Accessed April 10, 2022, at https://www.who.int/europe/groups/who-european-healthy-cities-network.
23. 23. Rudolph L, Caplan J, Ben-Moshe K, Dillon L. Health in All Policies: A Guide for State and Local Governments. American Public Health Association and Public Health Institute. 2013. Accessed April 10, 2022, at https://www.apha.org/-/media/Files/PDF/factsheets/Health_inAll_Policies_Guide_169pages.ashx
24. 24. Özkan S. Türkiye'de Sağlıkta Sektörler Arası İşbirliği. Turkiye Klinikleri J Public Health-Special Topics 2018;4(2):86-91.
25. 25. Türkiye bulaşıcı olmayan hastalıklar çok paydaşlı eylem planı 2017-2025. T.C. Sağlık Bakanlığı/Dünya Sağlık Örgütü Avrupa Bölge Ofisi. 2017. Accessed April 10, 2022, at https://www.euro.who.int/__data/assets/pdf_file/0006/346695/BOH_TR.pdf
26. 26. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Çok Paydaşlı Sağlık Sorumluluğunu Geliştirme Programı. Accessed April 10, 2022, at https://hsgm.saglik.gov.tr/tr/cevresagligi-suguvenligi/su-guvenligi-ve-kaplicalar-birimi/%C3%A7ok-payda%C5%9Fl%C4%B1-sa%C4%9Fl%C4%B1k-sorumlulu%C4%9Funu-geli%C5%9Ftirme-program%C4%B1.html
27. 27. T.C. Sağlık Bakanlığı 2019-2023 Stratejik Planı Güncellenmiş Versiyon. 2022. Accessed April 10, 2022, at http://www.sp.gov.tr/upload/xSPStratejikPlan/files/Pfghc+saglik_bakanligi_sp.pdf
28. 28. Ünlü TN, Deniz D, Sevimli E. Türkiye’de Sağlık Politikalarını Belirlemede Dış Paydaş Analizi. Uluslararası Sosyal Bilimler Akademi Dergisi 2020;4:534-553.
29. 29. Türkiye Sağlıklı Kentler Birliği. Accessed April 10, 2022, at https://www.skb.gov.tr/
30. 30. Pala K. Yerel Yönetimlerde Sağlıkta Sektörler Arası İşbirliği. Türkiye Klinikleri J Public Health-Special Topics 2018;4(2):92-98.