Online Program

Arizona's Successful Initiative: Influencing Local Health Policy Where People Live, Work, Learn and Receive Care

Tuesday, November 3, 2015 : 8:45 a.m. - 9:00 a.m.

Sherry Haskins, MPA, Division of Public Health Services, Arizona Department of Health Services, Phoenix, AZ
Sheila Sjolander, MSW, Office of the Assistant Director, Arizona Department of Health Serives, Arizona Department of Health Services, Phoenix, AZ
Teresa Manygoats, MPA, Health Systems Development, Arizona Department of Health Services, Phoenix, AZ
Patricia Tarango, MSW, Office of Health Systems Development, Arizona Department of Health Services, Phoenix, AZ
Maia Ingram, MPH, Community, Environment & Policy Division, University of Arizona, Tucson, AZ
Jill Guernsey de Zapien, B.A., Health Promotion Sciences Division, University of Arizona College of Public Health, Tucson, AZ
In a statewide effort to encourage local health departments (LHDs) to take a leadership role in shaping health policy within the environments in which they live, work, learn and receive care, the Arizona Department of Health Services (ADHS) launched the Health in Arizona Policy Initiative (HAPI) in 2010. The HAPI program is a collaborative approach that pooled resources and staff across the ADHS Division of Public Health Services. LHDs are to develop evidence-based policy, system and environmental strategies related to Worksite Wellness, Healthy Community Design, School Health, Clinical Community Linkages and Nutrition Procurement.  ADHS provides ongoing training to LHD HAPI policy managers on how to advance population health through the implementation of policy, system and environmental (PSE) approaches. PSE training focuses on health policy development, PSE evaluation and sustainable strategies. 

HAPI is a three- year project.  In the second year of implementation, an evaluation was conducted.  Interviews with Public Health Officers in the third year explored the impact of HAPI on overall LHD approach to public health policy.  Counties most often addressed healthy community (40%) and school policy (48%).    Across the four stages of policy development, 39% of counties were in the formation stage, 25% were in the enactment stage, and 33% of counties reported reaching the policy implementation or maintenance modification stage.  

The success of HAPI is attributed to the synergistic effect of local collaboration, leadership, and the concerted, sustained effort of ADHS to provide LHDs with funding, guidance on evidence-based strategies, and technical support for health policy efforts.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
Describe the components of an initiative designed to assist Local Health Departments (LHD) in formulating and influencing public health policies. Discuss specific strategies available to LHDs to engage community stakeholders and develop policy initiatives. 3) Apply Health in Arizona Policy Initiative framework to design similar initiatives at the level of state level.

Keyword(s): Chronic Disease Prevention, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As the Assistant Director, I led our team in the development and implementation of the innovative Health in Arizona Policy Initiative focusing on policy, system and environmental changes to impact population health at the local level.
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.