In this Section
227552 Supporting Social Justice through Health in All Policies planning: A Public Health Imperative framed in a Post-disaster context
Wednesday, November 10, 2010 : 10:30 AM - 10:45 AM
Initiating a Health in All Policies (HAP) approach to local planning can face a number of challenges. But in Galveston, Texas, a small city of 60,000, we found that a natural disaster—Hurricane Ike, which damaged 70% of the city's structures—created a window of opportunity for supporting a HAP approach that would have been difficult to achieve under normal circumstances. Galveston, which had unusually large social and health inequities prior to the disaster, faced even worse inequities after the hurricane. This presentation explores lessons in relation to accelerating local planning to address social determinants of health and health inequities through a HAP approach in post-disaster contexts, and the generalizability of those lessons. Working with local government, civil society, and others, our Center adapted the Healthy Development Measurement Tool to establish a baseline of health- and recovery-relevant indicators related to environmental stewardship, transportation, social cohesion, essential goods and services, housing, and the economy. This baseline was used to identify recovery planning needs and fed into the city's Comprehensive Plan and Master Redevelopment Plan. The presentation will outline lessons learned on implementing the work (and compare that experience to lessons described in the literature), the critical features that create that “window of opportunity” for accelerating a Health in All Policies approach and how to recognize that window even when a natural disaster has not struck, strategies for framing messages and advancing action to support a social determinants approach within such contexts, and tools found to be effective in our experience.
Learning Areas:Administration, management, leadership
Advocacy for health and health education
Public health or related public policy
Keywords: Policy/Policy Development, Disasters
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am overseeing post-disaster work on social determinants of health, including this project to advance health in all policies in Galveston, Texas.
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
Back to: 5099.0: Health During Tough Times: Learning Disaster-Based Lessons