Local Health Action Network of Andalusia (RELAS)

Abstract Nearly 50% of the factors contributing to morbidity and mortality are determinants which often lie outside the healthcare system's direct control, emphasizing the importance of intersectoral interventions. The ‘Health in All Policies’ (HiAP) approach seeks to address these determinants by promoting policies across sectors ensuring that health considerations are integrated into all decision-making processes. At the local level, this approach becomes especially vital. The proximity to communities allows local authorities to identify specific needs, address root causes, and maximize the positive effects of health determinants, ultimately building healthier and more equitable environments for their populations. The Local Health Action Network (RELAS, in Spanish) is a program promoted since 2008 by the Andalusian Ministry of Health and Consumer Affairs, aligned with the Strategy for Promoting a Healthy Life in Andalusia (Spain). It focuses on bringing health initiatives to the local level, empowering municipalities to apply HiAP principles creating environments that encourage healthier lifestyles and provide safer and more supportive settings. RELAS emphasizes addressing social determinants of health, such as education, employment, housing, and access to clean water, within neighbourhoods and communities. Municipal councils are key drivers of this initiative, coordinating efforts across public and private sectors while engaging citizens to protect their health and promote quality of life. RELAS supports municipalities in developing Local Health Plans to tackle specific risks and challenges in their areas. Currently the population of the municipalities affiliated with RELAS represents 71% of the Autonomous Community's population. By fostering local health action, RELAS strengthens community-focused solutions and encourages active participation in improving public health outcomes.