title: Evaluation of Health in All Policies: concept, theory and application.
abstract: This article describes some of the crucial theoretical, methodological and practical issues that need to be considered when evaluating Health in All Policies (HiAP) initiatives. The approaches that have been applied to evaluate HiAP in South Australia are drawn upon as case studies, and early findings from this evaluative research are provided. The South Australian evaluation of HiAP is based on a close partnership between researchers and public servants. The article describes the South Australian HiAP research partnership and considers its benefits and drawbacks in terms of the impact on the scope of the research, the types of evidence that can be collected and the implications for knowledge transfer. This partnership evolved from the conduct of process evaluations and is continuing to develop through joint collaboration on an Australian National Health & Medical Research Council grant. The South Australian research is not seeking to establish causality through statistical tests of correlations, but instead by creating a 'burden of evidence' which supports logically coherent chains of relations. These chains emerge through contrasting and comparing findings from many relevant and extant forms of evidence. As such, program logic is being used to attribute policy change to eventual health outcomes. The article presents the preliminary program logic model and describes the early work of applying the program logic approach to HiAP. The article concludes with an assessment of factors that have accounted for HiAP being sustained in South Australia from 2008 to 2013.
authors.affiliation: Southgate Institute for Health Society and Equity, Flinders University, Adelaide, South Australia fran.baum@flinders.edu.au.
authors.forename: Fran
authors.initials: F
authors.lastname: Baum
authors.affiliation: Southgate Institute for Health Society and Equity, Flinders University, Adelaide, South Australia.
authors.forename: Angela
authors.initials: A
authors.lastname: Lawless
authors.affiliation: Southgate Institute for Health Society and Equity, Flinders University, Adelaide, South Australia.
authors.forename: Toni
authors.initials: T
authors.lastname: Delany
authors.affiliation: Discipline of Public Health, Flinders University, Adelaide, South Australia.
authors.forename: Colin
authors.initials: C
authors.lastname: Macdougall
authors.affiliation: Health in All Policies Unit, Department of Health and Ageing, Adelaide, South Australia.
authors.forename: Carmel
authors.initials: C
authors.lastname: Williams
authors.affiliation: SA Health, Department of Health and Ageing, Adelaide, South Australia.
authors.forename: Danny
authors.initials: D
authors.lastname: Broderick
authors.affiliation: Health in All Policies Unit, Department of Health and Ageing, Adelaide, South Australia.
authors.forename: Deborah
authors.initials: D
authors.lastname: Wildgoose
authors.affiliation: Centre for Health, Equity, Training, Research and Evaluation, University of New South Wales, Sydney, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Harris
authors.affiliation: The Poche Centre for Indigenous Health and Well-Being, Flinders University, Adelaide, South Australia.
authors.forename: Dennis
authors.initials: D
authors.lastname: Mcdermott
authors.affiliation: Graduate Institute of International and Development Studies, Geneva, Switzerland.
authors.forename: Ilona
authors.initials: I
authors.lastname: Kickbusch
authors.affiliation: Institute for Health Research, Lancaster University, Lancaster, UK.
authors.forename: Jennie
authors.initials: J
authors.lastname: Popay
authors.affiliation: Epidemiology and Public Health, University College London, London, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Marmot
mesh_terms: D001315:Australia; D003299:Cooperative Behavior; D014943:Global Health; D006291:Health Policy; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D011050:Policy Making
keywords: Health in All Policies; evaluation; policy; social determinants of health