Health in All Policies at the Local Level: What Facilitates Success? Comment on "A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland"

The paper by Guglielmin and colleagues1 examines the implementation of Health in All Policies (HiAP) a local government context Kuopio Finland. authors use realist explanatory case study design to explore what has supported HiAP with focus on two specific hypotheses leads success: common goals committed leadership staff. is well argued using appropriate methodology their findings support importance success factors tested hypotheses. However, narrowed just underrepresents complexity implementing at any level government, including government. Given its focus, would have been strengthened referencing lessons gained from Healthy Cities movement. Local critical setting for action address health equity there great potential continue research that adds knowledge base how successful implement HiAP. Finally, it important acknowledge Finland unique history. It recognised as global leader field, role differs many other countries. These may impact transferability findings.