1. Integrated policies on inequality
- The Norwegian case
Tone P. Torgersen, Helsinki 13. June 2013

2. Tone P. Torgersen, Helsinki
13.07.2013
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The challenge of the gradient:
- two key messages for policy design
1. Measures should be
directed towards the
entire population (not
only high-risk groups)
2. Measures should be
directed towards social
structures (not only
towards individual
behaviour)

3. | 3
Intervention map
for comprehensive policies
Social reform
Upstream
Risk reduction
Midstream
Effect reduction
Downstream
Universal
measures
education,
taxes,
labour market
policies,
housing
working/living
environment,
structural
lifestyle
measures
universal health
service
Selective
measuers
means-tested
social
benefits
targeted
lifestyle
measures
targeted health
services
1
3
2
Tone P. Torgersen, Helsinki
13.07.2013

4. National Strategy
4
Tone P. Torgersen, Helsinki
13.07.2013
A fair distribution of resources is good public health policy
Decision line (red), communication line (blue)

5. Tone P. Torgersen, Helsinki
13.07.2013
Annual policy reviews
- indicators on determinants
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• Income
• Childhood conditions,
including education
Work
• Health behaviour
• Health systems
• Social inclusion

6. 2
Overview of public health
and health determinants
Strategic societal planning:
overall goals and strategies
policy
and
action
plans
Implementation
of measures
Evaluation
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New Public health act:
Health In All Policies locally
Objective: Societal development in order to promote public
health and reduce health inequalities
Principles:
• health equity
• health in all policies
• sustainable development
• the precautionary principle
• participation
Tone P. Torgersen, Helsinki
13.07.2013

7. New white paper
– HIAP nationally
Tone P. Torgersen, Helsinki
13.07.2013
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•White paper for parliament
•Guidelines to regional and
local municipalities
•Public health measures
•Health Impact Asessment
•Research and Development
•Public health challenges in
Norway
• Status public health work
•Public health monitoring
•Reporting
•Continous evaluation of
implementation
Evaluation
and
overview
Assessment
of status
and
challenges
Objectives
and
strategies
Implementin
g
measures

8. Health through the life course:
Early start, kindergartens, school, work, ageing
A health promoting society:
• Reduce inequalities in living conditions (income, social
protection, housing, inclusive working life
• Social support and inclusion
• Safe and health promoting environment (community
development, transport, safe food )
• Possibilities for healthy choices
Preventive health service
8
Tone P. Torgersen, Helsinki

9. Key messages
• Creating arenas for research – policy exchange
• Analyse political context, stakeholders, drivers and
restrainers
• Framing the challenge
• Challenge the role of the health sector - From
prescribtions to negotiating solutions
– Health in All Policies versus Healthy Policies
Tone P. Torgersen, Helsinki
13.07.2013
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10. 3. Gradient approach
10
Thank you!
healthy public policy is about a fair distribution of resources