For those of us who could not make it to New Zealand below
is the next best thing, pdfs of the conference programme and the main
presentations.
Health in all Policies New Zealand Conference 2015 Programme
What is Health in All Policies?
Rob Quigley
Sugary Drinks and Public Policy
Dr Rob Beaglehole
Human Rights and HIA
Dr Fiona Haigh (University of New South Wales, Australia)
Health impact assessment (HIA) and human rights both
contribute to the promotion of physical and mental health and wellbeing. Human
rights provide an ethical and legal framework, while HIA provides
evidence-based methods and tools, derived from social and natural sciences, for
policy evaluation. Scholars have proposed that international human rights laws
and standards provide a legally binding and morally compelling framework for
HIA. Several human rights monitoring mechanisms – including
the UN Committee on the Rights of the Child, the UN Committee on Economic,
Social and Cultural Rights and the UN Special Rapporteur on the right to health
– have called on governments to perform human rights-based impact assessments.
It has been hypothesized that HIA can provide a well established evidence based
(scientific) method to systematically and transparently assess impacts on the
right to health; while human rights contribute a legally binding and morally
compelling framework that allows governments and governmental agencies to be
held accountable drawing attention to the legal and policy context within which
health interventions occur. Despite increasing attention given to human rights
and health by policy makers and researchers little has been achieved to date
when it comes to integrating human rights considerations into HIA work. Thus,
there are few methodologies and tools developed to identify and trace the
context specific pathways between a policy, human rights and health outcomes;
explain why relationships between these exist or what 'mechanisms' might
account for them. In the absence of such explanations it is difficult to decide
'what to do' to improve human rights and health outcomes.
This presentation explores integrating human rights into
Health Impact Assessment (HIA) methodology. In particular we report on research
examining the fit between HIA and human rights, how HRHIA could work and what
are the implications of integrating human rights into Health Impact Assessment
(HIA) methodology.
Pegasus Health the Evolution of Primary Care and Health in
All Policies
Emeritus Professor Andrew Hornblow
Trading Away Health: A Health Impact Assessment of the Trans
Pacific Trade Agreement
Dr Patrick Harris and Fiona Haigh
Good policy-making requires good science
Professor Sir Peter Gluckman
Relationships are the currency of the future
Ana Apatu and Henare O’Keefe
Introduction: Where to now
Mary Richardson
Mind the Gap
Associate Professor Susan Morton
A Canterbury That’s More Than Just All Right...
Dr Lucy D'Aeth
Te Ara Mua Future Streets: Engaging Communities and
Challenging Polices
Dr Adrian Field and Dr Alex Macmillan
Over half of the world’s population and three quarters of
OECD residents now live in cities. In the last century, New Zealand’s towns and
urban areas grew seven-fold while the rural population grew very little. Cities
in New Zealand and internationally are at the frontline of addressing public
health and environmental sustainability. Concerted and integrated responses
from planning, urban design and public health are key to securing an urban form
the meets the challenges of cities in the 21st century.
Transport infrastructure poses a particular challenge, where
the dominant paradigm often has the private car as is its centrepiece.
Transport infrastructure investments also emphasise economic and safety gains
while largely ignoring other public health, social and environmental impacts,
including impacts on social and health equity. The ideas and thinking that have
shaped transport infrastructure have contributed to such global health problems
as obesity and social dislocation.
Interventions to re-shape or retrofit existing urban communities
can have multiple co-benefits for social, physical, economic and environmental
wellbeing, and increasing community resilience to expected future threats.
Creating urban form for people rather than cars, improves people’s health,
improves perceptions of safety, improves opportunities for physical activity
and helps slow the growth of long-term conditions.
Te Ara Mua – Future Streets is a mixed methods intervention
study of suburb-wide street changes aimed at making cycling and walking safer
and more attractive in Mangere, Auckland.
The project, led by a consortium of universities and
consultancies, in partnership with Auckland Transport and New Zealand Transport
Agency, brings in leading international thinking in street design, allied with
an intensive participatory design process. Te Ara Mua will offer new approaches
to design, apply a participatory engagement approach in which knowledge is
shared, and look to challenge the ways in which the costs and benefits of
street infrastructure are measured, and how these in turn inform policy.
This pecha kucha presentation highlights the contribution
that the Te Ara Mua – Future Streets project makes to applying Health In All
Policies philosophy at a local level, in a way that challenges established
thinking in urban form.
Economic Perspectives on Health in All Policies
Professor Paul Dalziel
The Cancer Society: Long Term Plans, Pathway to Smokefree
New Zealand by 2025
Martin Witt and Amanda Dodd
Video component of the presentation by Martin Witt and
Amanda Dodd
As a community based organisation, the Cancer Society has
anestablished a suite of health promotion programmes designed to raise
awareness of lifestyle and cancer risk. Over the last five years the
organisation has placed a focus the role of public policy can play in achieving
positive health outcomes for our communities. In particular our tobacco control
work has placed importance on partnerships with local authorities and other key
partners, to facilitate creation of smokefree community spaces. As key steps
toward achieving the Smokefree Aotearoa goal by 2025 extending the scope of
these policies to go beyond the “greenspace” is essential. Public support for
more Smokefree community spaces is strong and there are encouraging signs that
other key stakeholders such as businesses are open to further discussions but
what do councils think?
With ten years to go to the goal, it is significant that
councils are now developing their Long Term Plans [LTP] for the same period
offering a timely opportunity for current partnerships to be strengthened. This
presentation will outline how the Cancer Society is supporting a Health in All
Policies approach, working in partnership to frame the need for councils to
demonstrate commitment and leadership in helping ensure that New Zealand does
indeed achieve its goal to be Smokefree by 2025. The presentation will address
how criteria have been developed to assess the extent to which councils
acknowledge their role in promoting Smokefree policy and
how this might develop over the next few years. Council
responses to submissions will be evaluated against these criteria.
Although there are examples of councils already
demonstrating strategies consistent with the 2025 goal, most notably Auckland
and Palmerston North , there need to be much stronger signs that other councils
recognise the significance of their role; a role that does not mean a large
financial commitment. LTP are by their nature based on the use of limited
resources, however they are also open to public consultation and intended to be
an outline of all council activities that help make communities safe places to
live work and play in. Failure to engage councils in the 2025 goal as part of
their LTP’s in 2015 would seem to be inconsistent with that intention.
Transport and Health in All Policies
Dr Alex Macmillan
Transport policy has a strong and complex influence on
population health, social and health equity, and environmental sustainability,
which underpins human health. Currently in New Zealand, transport policy
objectives are heavily focused on supporting economic growth through congestion
reduction and freight movement, while addressing road traffic injury. Although
some attempts have been made to incorporate wider public health objectives into
transport planning more recently, these have been hampered by knowledge,
skills, institutional and ideological barriers. Using more than a decade of
experience with influencing transport policy using an arsenal of approaches, I
will explore how successful this influence has been and the factors
underpinning more and less successful influence. I will also draw together some
insights from this experience for Health in all Policies more generally.
View the presentations from the Reflective Practice Day on
30th April 2015
Original Source: Healthy Christchurch