Integrated Governance

The social, political, economic, and environmental factors which influence health are multiple and complex. In order to act on health problems, it is therefore necessary that public health activities bring those factors to bear on the health sector. This perspective was already current at the time of the Ottawa Charter: to produce healthy public policies, we must mobilize different spheres and multiple levels of government. It is also necessary to engage other actors, beyond policy-makers: for example, community organizations/the not-for-profit sector are important actors.

Inspired by this movement, integrated governance initiatives or multisectoral governance have expanded in recent years.

Image of two routes merging © iStockphoto.com/ zxcynosure        Seeking to be more effective, participants in these initiatives or the researchers who observe them have considered their work from various angles.

 As well as being able to increase the impact of the actions of different actors, the employment of a multisectoral approach changes the shape of governance (their logics) as well as the relations between actors.
Note, for example, questions of accountabilitiy, costs, the implementation of a coordination structure, to name a few. To guide their actions, public health actors have expressed a need for the different approaches that are available to them to be documented.

In this project area, the Centre is seeking to make explicit how multisectoral approaches can be developed in order to favour the implementation of healthy public policies.

Integrated impact assessement (IAA)
Integrated impact assessment (IIA) is a prospective analytical tool intended to support governmental decision-making processes. It is increasingly being considered to reduce the administrative burden associated with the multiplication of specific impact analyses (environmental, gender, commercial, economic, etc.). The NCCHPP published a series of six briefing notes on various dimensions related to IIA. To learn more, click here.

Healthy Food Policies
Food security and the policies implemented to ensure that everyone has equitable access to healthy food is a major population health consideration. The Centre is developing work to help public health actors to better understand some of the issues and challenges related to the food system at the local, national and international levels. Our first document in this area introduces food policy councils, multisectoral organizations that promote and develop healthy food policies. To learn more, click here.



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The production of the NCCHPP website has been made possible through a financial contribution from the Public Health Agency of Canada.