A scoping review of the implementation of health in all policies at the local level

Maria Guglielmin, Carles Muntaner, Patricia O'Campo, Ketan Shankardass

Research output: Contribution to journalReview articlepeer-review

73 Citations (Scopus)


Objectives: Health in All Policies (HiAP) is an approach to public policies across sectors that systematically takes into account the health implications of decisions, seeks synergies, and avoids harmful health impacts in order to improve population health and health equity. HiAP implementation can involve engagement from multiple levels of government; however, factors contributing or hindering HiAP implementation at the local level are largely unexplored. Local is defined as the city or municipal level, wherein government is uniquely positioned to provide leadership for health and where many social determinants of health operate. This paper presents the results of a scoping review on local HiAP implementation. Methods: Peer reviewed articles and grey literature were systematically searched using the Arksey and O'Malley framework. Characteristics of articles were then categorized, tallied and described. Results: 23 scholarly articles and four government documents were identified, ranging in publication year from 2002 to 2016 and originating from 14 countries primarily from North America and Europe. A wide range of themes emerged relating to HiAP implementation locally including: funding, shared vision, national leadership, ownership and accountability, local leadership and dedicated staff, Health Impact Assessment, and indicators. Conclusion: Common themes were found in the literature regarding HiAP implementation locally. However, to better clarify these factors to contribute to theory development on HiAP implementation, further research is needed that specifically investigates the facilitators and barriers of HiAP locally within their political and policy context.

Original languageEnglish
Pages (from-to)284-292
Number of pages9
JournalHealth Policy
Issue number3
Publication statusPublished - 2018 Mar

Bibliographical note

Funding Information:
This work was supported by funds from the University of Toronto .

Publisher Copyright:
© 2017 Elsevier B.V.


  • Health in all policies
  • Health policy
  • Local government
  • Policy implementation

ASJC Scopus subject areas

  • Health Policy


Dive into the research topics of 'A scoping review of the implementation of health in all policies at the local level'. Together they form a unique fingerprint.

Cite this