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Annu Rev Public Health. 2017 Mar 20;38:329-349. doi: 10.1146/annurev-publhealth-031816-044309. Epub 2017 Jan 11.

Engagement of Sectors Other than Health in Integrated Health Governance, Policy, and Action.

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Centre for Health Equity Training, Research and Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health, A Member of the Ingham Institute, Liverpool Hospital, Liverpool, New South Wales 1871, Australia; email:


Health is created largely outside the health sector. Engagement in health governance, policy, and intervention development and implementation by sectors other than health is therefore important. Recent calls for building and implementing Health in All Policies, and continued arguments for intersectoral action, may strengthen the potential that other sectors have for health. This review clarifies the conceptual foundations for integral health governance, policy, and action, delineates the different sectors and their possible engagement, and provides an overview of a continuum of methods of engagement with other sectors to secure integration. This continuum ranges from institutional (re)design to value-based narratives. Depending on the lens applied, different elements can be identified within the continuum. This review is built on insights from political science, leadership studies, public health, empirical Health in All Policy research, knowledge and evidence nexus approaches, and community perspectives. Successful integration of health governance, policy, and action depends on integration of the elements on the continuum.


Health in All Policy; community; intersectoral; joined-up-government; knowledge; politics

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