The Health in All Policies (HiAP) approach, adopted by WHO, requires that health consequences be assessed in decisions across all sectors. Which landmark document formally established HiAP as a global health strategy?

• A Ottawa Charter for Health Promotion (1986)
• B Adelaide Statement on Health in All Policies (2010) ✓
• C Bangkok Charter for Health Promotion (2005)
• D Alma-Ata Declaration (1978)

Explanation

The Adelaide Statement on Health in All Policies (2010), produced at the WHO International Meeting on Health in All Policies in South Australia, formally established HiAP as an approach requiring that the health implications of decisions in all sectors (transport, agriculture, education, housing, finance) are accounted for. The Ottawa Charter (1986) established the five strategies of health promotion. The Bangkok Charter (2005) extended Ottawa to globalization. Alma-Ata focused on primary health care and intersectoral action but predates the formal HiAP framework.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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