Screening is about asking if a HIA is required: Is the proposal developed enough ? HIA is no substitute for planning – there needs to be a clear proposal that’s being assessed. Is a HIA possible within the time requirements? Are there resources to undertake a HIA? Is there an opportunity to change the proposal ? There’s no point in proceeding if decision-makers aren’t going to listen to you. Are the impacts of sufficient level to warrant a HIA? It’s worth considering the cumulative impact a number of developments may have, as I mentioned previously. The final aspect of screening to consider is the distribution of impacts . Even if the impacts appear minor overall but severe for one group it may still be worth doing a HIA. By the end of screening you should have a clear rationale for why you’re proceeding with the HIA.
Health Impact Assessment
Health Impact Assessment Centre for Primary Health Care and Equity Ben Harris-Roxas Conjoint Lecturer, University of New South Wales, SydneyHealth Section Co-Chair, International Association for Impact Assessment Consultant, Harris-Roxas Health
What is HIA? 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 European Centre for Health Policy (1999) Gothenburg Consensus Paper on Health Impact Assessment: main concepts and suggested approach, WHO Europe: BrusselsUNSW Research Centre for Primary Health Care & Equity
• Identify how the proposals affect health and wellbeing • Who it affects • What can we do about it – Maximise positives – Minimise negativesUNSW Research Centre for Primary Health Care & Equity
HIA features • Prospective • Predictive • Systematic • Transparent processUNSW Research Centre for Primary Health Care & Equity
HIA features • Considers intended and unintended effects • Considers distribution of impacts • Involves developing recommendations • Is an aid to decision making (it doesn’t make the decision)UNSW Research Centre for Primary Health Care & Equity
HIA considers how a proposal impacts on the determinants of healthDahlgren G, Whitehead M. Policies and Strategies to Promote Social Equity inHealth. Stockholm: Institute of Futures Studies, 1991.
At a minimum HIA should consider differential impacts in terms of Age Gender Socio-economic status Location Culture and ethnicity Current levels of health and disabilityUNSW Research Centre for Primary Health Care & Equity
The steps of HIA Screening Scoping Identification Assessment Decision-making and recommendations Evaluation & monitoringCentre for Primary Health Care and EquityResearch that makes a differencewww.cphce.unsw.edu.au
Scoping the scale of the HIA Comprehensive HIA High Investment and capacity Level of Intermediate HIA Rapid HIA Low Desk-Based Low High Magnitue of potential health impactsUNSW Research Centre for Primary Health Care & Equity