Online Program

Working towards Health Equity: The Coproduction of a Health in All Policies (HiAP) Strategy and Ordinance in Richmond, CA

Monday, November 2, 2015 : 2:35 p.m. - 2:50 p.m.

Shasa Curl, MA, City of Richmond, City of Richmond, Richmond, CA
Jason Corburn, PhD, Dept of City and Regional Planning, University of California Berkeley, Berkeley, CA
Gabino Arredondo, MA, City Manager's Office, City Of Richmond, Richmond, CA
In April, 2014, the City of Richmond, California, became one of the first and only municipalities in the USA to adopt a Health in All Policies (HiAP) ordinance and strategy. HiAP is increasingly recognized as an important method for ensuring policy making outside the “health sector” addresses the determinants of health and social equity. A central challenge facing HiAP is how to integrate community knowledge and health equity considerations into the agendas of policymakers who have not previously considered health as their responsibility or view the value of such an approach. In Richmond, the HiAP strategy and ordinance has an explicit focus on equity and guides city services from budgeting to built environment improvements, violence prevention, education, access to health care and social environment programs. In this presentation we will describe the evolution of Richmond’s HiAP strategy and its content. Highlighting how this HiAP was the result of the coproduction of science policy. Coproduction includes participatory processes where different public stakeholders, scientific experts, and government sector leaders come together to jointly generate policy goals, health equity metrics and evaluation, and policy drafting and implementation strategies. We conclude with some insights for how public health professionals, university partners and city governments might consider HiAP as an approach to achieve “targeted universalism,” or the idea that general population health goals can be achieved by targeting actions and improvements for specific vulnerable groups and places to achieve health equity.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Demonstrate how traditionally underrepresented communities expertise was leveraged to come together to learn and develop a HiAP strategy focusing on equity; Describe how institutionalized racism impacts health disparities and how this concept is discussed; Demonstrate how City government is operationalizing their Health and Wellness Element and General Plan with a health equity perspective through the development of a Health in All Policies Strategy; Discuss how cross sector partnerships can work together (Health Department, School District, University Partners, Funders) with community based organizations and residents to make policy level and built environment changes with the goal to improve health equity; Define background terms and evolution of Health Equity work in the field of Public Health and Planning and how it is influencing California and local municipalities with a concrete example of Richmond, CA; Demonstrate how to work internally across City departments to make health equity a priority; Explain preliminary work to evaluate a health equity initiative that involves a wide sector of partners.

Keyword(s): Health Disparities/Inequities, Community-Based Partnership & Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Co-author of paper; assistant to city manager implementing HiAP Ordinance; Administrative Chief, City of Richmond, CA; MS, UCLA.
Any relevant financial relationships? No

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.