Health Impact Assessment What is it? What does it offer? Case studies Acknowledgements   Dr Margaret Douglas – NHS Lothian...
Health improvement model
What is Health Impact Assessment? <ul><li>Health Impact Assessment is a combination of procedures, methods and tools by wh...
Purpose of HIA <ul><ul><li>Make explicit: </li></ul></ul><ul><ul><ul><li>what the health consequences are (intended and  <...
Identifying Impacts <ul><li>Can be used at different levels: </li></ul><ul><li>A way of thinking </li></ul><ul><li>A check...
<ul><li>What is HIA about? </li></ul><ul><li>Better policy making </li></ul><ul><li>Opportunity to assess health inequalit...
When might a HIA be used? <ul><li>Does need to be about a specific proposal in a local context </li></ul><ul><li>When it i...
HIA steps <ul><li>Screen: decide whether HIA is  </li></ul><ul><li>needed </li></ul><ul><li>Scope: set the boundaries of t...
Rapid screening tool - process <ul><li>Using the HIA tool: </li></ul><ul><li>Identify populations affected </li></ul><ul><...
<ul><li>Personal/family lifestyles and characteristics </li></ul><ul><ul><li>diet,  exercise/physical activity, substance ...
Rapid screening tool – process ctd. <ul><li>Identify populations affected </li></ul><ul><li>Consider checklist of determin...
HIA - Making it happen  some challenges: <ul><li>Making it a routine part of planning </li></ul><ul><li>Gaining commitment...
Integrated / other assessments? <ul><li>The policies that are the most successful in sustaining and improving the health o...
Contacts <ul><li>Please keep us updated if you are doing HIA </li></ul><ul><li>National HIA network  </li></ul><ul><li>www...
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Health Impact Assessment Slides Pip Farman

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A really useful poerpoint to demonstrate Health improvement work is progressing locally in Highland. Acknowlegdements to Pip Farman.

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  • Summary of key points about HIA which we hope might aid some of the JHIP work Acknowledge Margaret Douglas (Lothian) and Bobby Jones (West Dumbartonshire) from whom most of what about to present has been plagiarised (not reinventing wheels) Work is being progressed at international, national and local levels on HIA JHIP Working group in Highland progressing HIA work - more about group at end
  • Health Impact Assessment Slides Pip Farman

    1. 1. Health Impact Assessment What is it? What does it offer? Case studies Acknowledgements Dr Margaret Douglas – NHS Lothian Bobby Jones - West Dumbartonshire Council Pip Farman - North of Scotland Public Health Network Coordinator & Public Health Specialist NHS Highland
    2. 2. Health improvement model
    3. 3. What is Health Impact Assessment? <ul><li>Health Impact Assessment is a combination of procedures, methods and tools by which a policy, programme or project may be judged as to its potential effects on the health of a population , and the distribution of those effects within the population. (WHO 1999) </li></ul>A mechanism to support you to deliver in your role(s) as a health improving organisation(s)
    4. 4. Purpose of HIA <ul><ul><li>Make explicit: </li></ul></ul><ul><ul><ul><li>what the health consequences are (intended and </li></ul></ul></ul><ul><ul><ul><li>unintended…) </li></ul></ul></ul><ul><ul><ul><li>who will bear those consequences. </li></ul></ul></ul><ul><ul><li>Make recommendations (evidence based) to: </li></ul></ul><ul><ul><ul><li>minimise harm… </li></ul></ul></ul><ul><ul><ul><li>maximise benefits. </li></ul></ul></ul><ul><li>In order to inform decision making </li></ul>
    5. 5. Identifying Impacts <ul><li>Can be used at different levels: </li></ul><ul><li>A way of thinking </li></ul><ul><li>A checklist of impacts (rapid) </li></ul><ul><li>An analysis of evidence </li></ul><ul><li>Further research </li></ul>
    6. 6. <ul><li>What is HIA about? </li></ul><ul><li>Better policy making </li></ul><ul><li>Opportunity to assess health inequalities </li></ul><ul><li>Make explicit impacts on health / demonstrate the health gain of proposals </li></ul><ul><li>Facilitates joint working </li></ul><ul><li>Provides a mechanism for community consultation </li></ul><ul><li>Informing the decision making process to improve health </li></ul><ul><li>What it is not….. </li></ul><ul><li>Not an alternative to decision making (contributes information to the decision making process) </li></ul><ul><li>Not an evaluation of interventions intended to improve health </li></ul><ul><li>Not new methods or research </li></ul><ul><li>Not an end in itself (more a way of thinking) </li></ul>Health impact assessment
    7. 7. When might a HIA be used? <ul><li>Does need to be about a specific proposal in a local context </li></ul><ul><li>When it is possible to change the proposal </li></ul><ul><li>Concerns for example, that vulnerable groups of people may be disadvantaged by a proposal </li></ul><ul><li>Negative results may be irreversible </li></ul><ul><li>Where there is conflict or disagreement about a proposal and it is agreed a HIA may help to resolve it </li></ul><ul><li>But ..are time, money and expertise available? </li></ul>
    8. 8. HIA steps <ul><li>Screen: decide whether HIA is </li></ul><ul><li>needed </li></ul><ul><li>Scope: set the boundaries of the </li></ul><ul><li>HIA </li></ul><ul><li>Identify impacts </li></ul><ul><li>Assess the impacts </li></ul><ul><li>Make recommendations </li></ul><ul><li>Monitor future impacts </li></ul>
    9. 9. Rapid screening tool - process <ul><li>Using the HIA tool: </li></ul><ul><li>Identify populations affected </li></ul><ul><li>Consider checklist of determinants </li></ul>
    10. 10. <ul><li>Personal/family lifestyles and characteristics </li></ul><ul><ul><li>diet, exercise/physical activity, substance use, risk taking behaviour, education & learning </li></ul></ul><ul><li>Social environment </li></ul><ul><ul><li>social status, employment (paid or unpaid), social/family support, participation, stress, income </li></ul></ul><ul><li>Equity </li></ul><ul><ul><li>discrimination, equality of opportunity , relations between groups </li></ul></ul><ul><li>Physical environment </li></ul><ul><ul><li>living conditions, working conditions, pollution, climate, accidental injuries, public safety, transmission of infectious disease </li></ul></ul><ul><li>Access to and quality of services </li></ul><ul><ul><li>social services, housing, leisure, transport, education, health services </li></ul></ul>
    11. 11. Rapid screening tool – process ctd. <ul><li>Identify populations affected </li></ul><ul><li>Consider checklist of determinants </li></ul><ul><li>Summarise positive and negative impacts </li></ul><ul><li>Would further evidence help decision making? </li></ul><ul><li>Make recommendations if appropriate </li></ul>
    12. 12. HIA - Making it happen some challenges: <ul><li>Making it a routine part of planning </li></ul><ul><li>Gaining commitment to HIA </li></ul><ul><li>Time pressures </li></ul><ul><li>Support for more detailed assessment (if required) </li></ul><ul><li>Evidence base (availability and access) </li></ul><ul><li>Assessing the right proposals </li></ul><ul><li>Timing of screening and HIA </li></ul><ul><li>Addressing the findings </li></ul>
    13. 13. Integrated / other assessments? <ul><li>The policies that are the most successful in sustaining and improving the health of the population are those which deal with economic growth, human development and health in an integrated way: </li></ul><ul><li>Environmental Impact Assessment </li></ul><ul><li>Equality and Diversity Impact Assessment </li></ul>
    14. 14. Contacts <ul><li>Please keep us updated if you are doing HIA </li></ul><ul><li>National HIA network </li></ul><ul><li>www.hiagateway.org.uk </li></ul><ul><li>Contact – Pip Farman 01463 704897 </li></ul><ul><li>[email_address] </li></ul>

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