About the Institute
The Institute for Health Alignment was established to steward and advance the Health Promotion Alignment Framework, a governance architecture designed to align the societal conditions that produce health. The Institute and its work are intended primarily to support governments and public institutions seeking a more coherent way to organise multisectoral action around positive population health outcomes. It is not an advocacy body centred on particular issue areas, population groups, service sectors, or medical-system reform.
Across many countries, public policy remains heavily oriented toward medical service delivery while the broader conditions shaping health remain fragmented across sectors, organisations, and systems. Clinical care remains indispensable to treat illness and disability, but it cannot by itself produce the conditions required for people to live healthy lives across the life course. The Institute was created because this work required a clear public and institutional home.
The Health Promotion Alignment Framework is more than a single paper, diagram, or policy proposal. It is a body of work concerned with governance, strategic coherence, and the long-term challenge of organising collective action around the conditions that allow people to live healthy lives.
The Institute exists to steward that work with discipline: to maintain the integrity of the Framework, to support its communication and interpretation, to make its core materials accessible, and to create a credible platform through which policymakers, institutions, and others can engage with it.
At the centre of the Institute’s work
The Health Promotion Alignment Framework provides a defined strategic architecture through which governments and public institutions can organise coordinated action around positive health outcomes across the life course. It brings together developmental transitions, positive health outcomes, influencing factors, contributor domains across society, and evidence-based strategies within a single model for planning, alignment, and measurement.
Rather than displacing existing programmes, advocacy efforts, or medical service delivery, the Framework addresses a different problem: the fragmentation of efforts that shape the attainment of positive health outcomes across society. It offers a way to connect those efforts more coherently around shared outcome goals, influencing factors, and coordinated responsibility.
The Institute was created because this work required a clear public and institutional home. The Health Promotion Alignment Framework is more than a single paper, diagram, or policy proposal. It is a body of work concerned with governance, strategic coherence, and the long-term challenge of organising collective action around the conditions that allow people to live healthy lives.
The Institute exists to steward that work with discipline: to maintain the integrity of the Framework, to support its communication and interpretation, to make its core materials accessible, and to create a credible platform through which policymakers, institutions, and others can engage with it.
It is therefore not an advocacy body centred on particular issue areas, population groups, service sectors, or medical-system reform. Its purpose is to steward and advance the Framework and to contribute to the wider policy and governance discussion about how societies can better align the conditions that produce health.
Origin
The Health Promotion Alignment Framework emerged over three decades of research, policy analysis, and cross-sector consultation and reflection on how societies might better organise efforts to improve population health outcomes. It reflects practical experience in policy and systems work, as well as sustained engagement with Canadian and international researchers in health promotion, the social determinants of health, and human development. As the Framework evolved, it was also informed by international experts working across the life course, including specialists in early childhood development, adolescents, adulthood, and healthy ageing.
It builds on longstanding traditions in health promotion, life-course thinking, socio-ecological analysis, and public policy, while responding to a persistent structural problem: although many societies recognise that health is shaped by a broad range of social and institutional determinants, few, if any, possess a governance architecture capable of aligning action around those conditions in a disciplined and measurable way.
The Framework was developed in response to that gap. The Institute, an independent public-interest body based in Canada, was created so that the work could be stewarded, refined, and shared through an institutional platform capable of supporting its continued development and practical application.
Founder and Director
The Institute was founded by Marc Dupont, a strategist, researcher, and executive advisor whose work has long focused on systems change, health service delivery modelling, governance innovation, public policy, and health promotion. He developed the Health Promotion Alignment Framework and has guided its evolution over time through research, policy analysis, and cross-sector consultation.
Over the course of his career, he has worked across government, civil society, and the private sector on issues involving strategy, institutional change, policy development, public health, leadership, and health system reform. His experience includes senior advisory work, large-scale facilitation and consultation processes, and contributions to major international and Canadian initiatives in areas including child development, tobacco control, healthy urban planning, public health goals, and mental health.
Looking ahead
The Institute is intended to serve as an evolving platform for the continued advancement of the Health Promotion Alignment Framework and for ongoing policy and governance discussion about how societies can better align the conditions that produce health.
Over time, this may include further development of supporting materials, practical implementation tools, comparative policy applications, and a stronger body of evidence and examples related to positive health status indicators and cross-sector alignment. It may also include more structured implementation supports, including a curated and evolving inventory of evidence-based strategies by contributor domain and examples that jurisdictions could consult in adapting the Framework to their own policy and governance contexts.
For now, the priority is clear: to establish a credible intellectual home for the Framework and to make its core architecture and supporting materials accessible to those considering its uptake and implementation in their own jurisdictions.
Inquiries
The Institute welcomes serious inquiries from governments, public institutions, researchers, and others with a substantive interest in the Health Promotion Alignment Framework and its application in policy, governance, and public-system contexts.
For inquiries related to policy application, institutional use, research dialogue, or access to additional materials, contact the Institute.