Health Impact Assessment


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An introductory series of slides for the Maules Creek/Gunnedah health impact assessment meeting

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  • 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

    1. 1. 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
    2. 2. 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
    3. 3. • 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
    4. 4. HIA features • Prospective • Predictive • Systematic • Transparent processUNSW Research Centre for Primary Health Care & Equity
    5. 5. 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
    6. 6. 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.
    7. 7. 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
    8. 8. The steps of HIA Screening Scoping Identification Assessment Decision-making and recommendations Evaluation & monitoringCentre for Primary Health Care and EquityResearch that makes a
    9. 9. 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
    10. 10. Example of an Assessment Matrix
    11. 11. Assessment Recommendations If you If you make These will be These will be implement these the impacts the gains the proposal changesUNSW Research Centre for Primary Health Care & Equity
    12. 12. These slides are available @ben_hr or @hiablog