Canterbury Health in All Policies PartnershipExcellence Award Nomination Form
The CHIAPP Partnership Excellence Award will be presented to a nominated project that explicitly accounts for population health outcomes and incorporates technical and/or strategic aspects of Health in All Policies (HiAP) work. The recipient of this Award will be honored on Thursday, 30 April 2015 at the Canterbury HiAP Reflective Practice event.
Completed nomination for must be returned no later than 30 March 2015, to:
Jane Murray
Health in All Policies
Community and Public Health
PO Box 1475
Christchurch
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Name of project being nominated: ......
Project Timeframe:
Starting Period ...... Ending Period (if applicable) ...... Ongoing...... .....
Who are the stakeholders involved? (funders, participants, audience etc):
......
Project Team Members and their organisations
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Nomination submitted by:
Title: ...... First name: ...... Last name: ......
Address: ......
Post code: ...... Phone number: ......
Email: ......
Organisation/s (if applicable): ......
Signature: ......
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AWARD CRITERIA: Please discuss how the nominated:
- Contributes to theTechnical Health in All Policies criteria. (Please refer next page)
- DemonstratesStrategic/Partnership HiAPcriteria. (Please refer next page)
What Next?
Invitations to the Award Ceremony on 30 April 2015 will be sent to project team members to announce the winning project.
THANK YOU FOR TAKING THE TIME TO FILL OUT THIS NOMINATION FORM
Project Name: ......
(Please tell us little or as much as appropriate, but preferably less than 10 pages)
A. Technical Criteria Description:1 / Were any health, wellbeing, sustainability or equity issues explicitly addressed in any policy or strategy? If yes, tell us why and how?
2 / Was the project intended to address or improve any health outcomes OR mitigate any health disparities? If yes, was it successful? Tell us what differences the project made.
3 / Did the project use a model or framework that acknowledges the social determinants of health e.g. uses Health lens analysis/Health Impact Assessment methodologies? If yes, tell us how you used it and the results.
4 / Address a health goal, even if the health sector is not involved?
5 / Did the project assess health consequences of alternative options within the policy development process? If yes, tell us about the results if the assessment?
6 / Build HiAP capacity through better mechanisms, resources, agency support and skilled and dedicated staff? Tell us how the project did this?
B. Strategic/Partnership Criteria Description: Did the project involve:
1 / Cross-sector teams of inter-agency committees or working party? Tell us who was involved.
2 / Community consultations and engagement? Tell us what these were, who participated
3 / Integrated or cross sectoral visions, objectives and programmes? Tell us what these were, who participated.
4 / Sharing of budgets by Integrating cross sectoral budgets and accounting?
5 / Joint development of strategies, plans, policies and workforce development? If yes, tell us what they were and any results.
6 / Integrated or cross sectoral data collection, analysis and sharing information? Tell us what these were, who participated.
7 / The creation of opportunities for dialogue and problem solving across sectors? Tell us what these were, who participated.
Project Achievements to date:
......
......
Anything further you would like to say on this nomination?
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NOTE: Photos about the nominated project can be included with your submission, if applicable.