SlideShare a Scribd company logo
1 of 61
Health Impact Assessments  to Promote  Healthy Neighborhoods History and Overview Nisha Botchwey, Ph.D. University of Virginia  Associate Professor of  Urban + Environmental Planning  and Public Health Sciences MAPP Lilian Peake, MD, MPH Director, Thomas Jefferson Health Department Charlottesville/Albemarle District VAPHA’s Annual Conference Advancing Health Equity from Theory to Practice September 10-11, 2009
HIAs to Promote Healthy Neighborhoods ,[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
What is Health? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Community Design and Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Related to land use Related to automobile dependency Related to social processes HIAs    MAPP   Evaluating Sites for FQHC
What is an HIA? ,[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Value of  Health Impact Assessment ,[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
A Vision of  Health Impact Assessment ,[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Steps in Conducting an HIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Scoping:  Health Impacts to Consider in an HIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Voluntary vs. Regulatory Approach to Using an HIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Environmental Impact Assessments Performed by planners, consultants, environmental scientists, etc. Explores effect of policies, programs and projects on the environment  Began in US in the 1970s   Statutory requirement in many countries to undertake EIA EIA does not typically include assessment of health effects; when it does it may be narrowly focused and solely quantitative in nature.   HIAs    MAPP   Evaluating Sites for FQHC                                                                                                      
HIA Relationship to Environmental Impact Assessment (EIA) ,[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
HIA Level of Complexity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Review of 38  Health Impact Assessments Conducted in the  United States,  1999-2008 HIAs    MAPP   Evaluating Sites for FQHC
AK 4 CA 16 CO 1 FL 1 MA 2 NJ 1 Completed HIAs in the United States 1999–2008  (N = 38) MN 4 GA 3 WA 3 OR 1 OH 1 PA 1 HIAs    MAPP   Evaluating Sites for FQHC
HIAs in the U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Quantitative and Qualitative Health Indicators in HIAs in U.S.  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
HIAs in the U.S. (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
HIA Capacity Building Activities ,[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
U.S. HIA Training Materials Available On-line ,[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
HIA in the United States: Next Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
MAPP HIAs    MAPP   Evaluating Sites for FQHC
Charlottesville HIA Framework
America’s Healthiest City “ All residents have access to high-quality health care services.  We have a community-wide commitment to personal fitness and wellness, and all residents enjoy our outstanding recreational facilities, walking trails, and routes to schools.  We have a strong support system in place for families and for the elderly and disabled.  Our emergency response time is among the nation’s best.” -Charlottesville City  Council  Vision Statement HIAs    MAPP   Evaluating Sites for FQHC
Demographics HIAs    MAPP   Evaluating Sites for FQHC
Factors for Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Air Quality ,[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Convenience ,[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Quality of Design ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Safety ,[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Community Space ,[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
Creating a Framework HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
Framework Applied ,[object Object],HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
HIAs    MAPP   Evaluating Sites for FQHC
Methods for Identifying Completed HIAs in the U.S. ,[object Object],[object Object],[object Object],[object Object]
HIAs of Projects (N=19) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIAs of Projects continued  (N=19) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIAs of Policies (N=19) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIAs of Policies  continued (N=19) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Decision-Making Organization for Project or Policy (n=38) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Organizations that Conducted 38 HIAs in the US, 1999-2008 ,[object Object],[object Object],[object Object],[object Object]
Funder of HIA (n=27) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scoping:  Health Determinants Considered in HIAs in U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Population Affected by Project  or Policy in 27 HIAs in U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Community Involvement in Conduct of 27 HIAs in U.S. ,[object Object],[object Object]
Conduct of HIAs in U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key Results in HIAs in U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Impact of HIA on Subsequent Decisions in 27 HIAs in U.S.  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Challenges in  Conducting HIAs in the U.S. ,[object Object],[object Object],[object Object],[object Object]

More Related Content

Viewers also liked

Metodologia del diseño 1, 2, 3 capitulo
Metodologia del diseño 1, 2, 3 capituloMetodologia del diseño 1, 2, 3 capitulo
Metodologia del diseño 1, 2, 3 capitulolong2493
 
Fernando Sampedro Espejel
Fernando Sampedro EspejelFernando Sampedro Espejel
Fernando Sampedro Espejelsampedros
 
Au demand stats - gdt q1 2016_gold_demand_statistics
Au demand stats  - gdt q1 2016_gold_demand_statisticsAu demand stats  - gdt q1 2016_gold_demand_statistics
Au demand stats - gdt q1 2016_gold_demand_statisticsJohn M Riggs
 
Variantes según estado de la demanda.marketing turistico
Variantes según estado de la demanda.marketing turisticoVariantes según estado de la demanda.marketing turistico
Variantes según estado de la demanda.marketing turisticoninadavila
 
יד אליהו מפגש הצגת פרויקטים 18092016
יד אליהו מפגש הצגת פרויקטים 18092016יד אליהו מפגש הצגת פרויקטים 18092016
יד אליהו מפגש הצגת פרויקטים 18092016noaregev
 
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...MEASURE Evaluation
 
Microbiological safety of milk and processing and consumption behaviour in pa...
Microbiological safety of milk and processing and consumption behaviour in pa...Microbiological safety of milk and processing and consumption behaviour in pa...
Microbiological safety of milk and processing and consumption behaviour in pa...ILRI
 
Augmentation des Barêmes de salaires en Côte d'Ivoire
Augmentation des Barêmes de salaires en Côte d'IvoireAugmentation des Barêmes de salaires en Côte d'Ivoire
Augmentation des Barêmes de salaires en Côte d'IvoireRomuald N'TAKPE
 

Viewers also liked (13)

recomendation0001
recomendation0001recomendation0001
recomendation0001
 
IDCC 2717 Avenant 13
IDCC 2717 Avenant 13IDCC 2717 Avenant 13
IDCC 2717 Avenant 13
 
Metodologia del diseño 1, 2, 3 capitulo
Metodologia del diseño 1, 2, 3 capituloMetodologia del diseño 1, 2, 3 capitulo
Metodologia del diseño 1, 2, 3 capitulo
 
Fernando Sampedro Espejel
Fernando Sampedro EspejelFernando Sampedro Espejel
Fernando Sampedro Espejel
 
Documento
DocumentoDocumento
Documento
 
íNdex unitat 2.divisibilitat
íNdex unitat 2.divisibilitatíNdex unitat 2.divisibilitat
íNdex unitat 2.divisibilitat
 
Au demand stats - gdt q1 2016_gold_demand_statistics
Au demand stats  - gdt q1 2016_gold_demand_statisticsAu demand stats  - gdt q1 2016_gold_demand_statistics
Au demand stats - gdt q1 2016_gold_demand_statistics
 
Variantes según estado de la demanda.marketing turistico
Variantes según estado de la demanda.marketing turisticoVariantes según estado de la demanda.marketing turistico
Variantes según estado de la demanda.marketing turistico
 
יד אליהו מפגש הצגת פרויקטים 18092016
יד אליהו מפגש הצגת פרויקטים 18092016יד אליהו מפגש הצגת פרויקטים 18092016
יד אליהו מפגש הצגת פרויקטים 18092016
 
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
 
Test
TestTest
Test
 
Microbiological safety of milk and processing and consumption behaviour in pa...
Microbiological safety of milk and processing and consumption behaviour in pa...Microbiological safety of milk and processing and consumption behaviour in pa...
Microbiological safety of milk and processing and consumption behaviour in pa...
 
Augmentation des Barêmes de salaires en Côte d'Ivoire
Augmentation des Barêmes de salaires en Côte d'IvoireAugmentation des Barêmes de salaires en Côte d'Ivoire
Augmentation des Barêmes de salaires en Côte d'Ivoire
 

Similar to Health Impact Assessments to Promote Healthy Neighborhoods

RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...
RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...
RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...Rail~Volution
 
Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013
Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013
Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013Design South East
 
Vientiane Panel Oct08 Salmela V4
Vientiane Panel Oct08 Salmela V4Vientiane Panel Oct08 Salmela V4
Vientiane Panel Oct08 Salmela V4IDS
 
Day 3 imcha m&e april 26 2017
Day 3 imcha m&e april 26 2017Day 3 imcha m&e april 26 2017
Day 3 imcha m&e april 26 2017ea-imcha
 
Health Datapalooza 2013: Datalab - Steven Cohen
Health Datapalooza 2013: Datalab - Steven CohenHealth Datapalooza 2013: Datalab - Steven Cohen
Health Datapalooza 2013: Datalab - Steven CohenHealth Data Consortium
 
Aldine EST Poster_AN
Aldine EST Poster_ANAldine EST Poster_AN
Aldine EST Poster_ANAman Narayan
 
The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...HFG Project
 
The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...HFG Project
 
HIA in Decision Making: What We Know and What We Need to Know
HIA in Decision Making: What We Know and What We Need to Know HIA in Decision Making: What We Know and What We Need to Know
HIA in Decision Making: What We Know and What We Need to Know Francesca Viliani
 

Similar to Health Impact Assessments to Promote Healthy Neighborhoods (20)

RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...
RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...
RV 2015: Back to the Future: Considering Health (Again) in Project Developmen...
 
Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013
Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013
Health Impact Assessment & Planning- Sue Wright, RTPI CPD June 2013
 
Online Course on Health Impact Assessment (HIA): A Tool for Developing Health...
Online Course on Health Impact Assessment (HIA): A Tool for Developing Health...Online Course on Health Impact Assessment (HIA): A Tool for Developing Health...
Online Course on Health Impact Assessment (HIA): A Tool for Developing Health...
 
EDRA44Providence plenary presentation 05.31.13
EDRA44Providence plenary presentation 05.31.13EDRA44Providence plenary presentation 05.31.13
EDRA44Providence plenary presentation 05.31.13
 
Vientiane Panel Oct08 Salmela V4
Vientiane Panel Oct08 Salmela V4Vientiane Panel Oct08 Salmela V4
Vientiane Panel Oct08 Salmela V4
 
Day 3 imcha m&e april 26 2017
Day 3 imcha m&e april 26 2017Day 3 imcha m&e april 26 2017
Day 3 imcha m&e april 26 2017
 
Rensing
RensingRensing
Rensing
 
Rensing
RensingRensing
Rensing
 
HIA 101 April 29 2014
HIA 101 April 29 2014HIA 101 April 29 2014
HIA 101 April 29 2014
 
Health Datapalooza 2013: Datalab - Steven Cohen
Health Datapalooza 2013: Datalab - Steven CohenHealth Datapalooza 2013: Datalab - Steven Cohen
Health Datapalooza 2013: Datalab - Steven Cohen
 
PHSSR Agenda - AcademyHealth ARM 2011
PHSSR Agenda - AcademyHealth ARM 2011PHSSR Agenda - AcademyHealth ARM 2011
PHSSR Agenda - AcademyHealth ARM 2011
 
Aldine EST Poster_AN
Aldine EST Poster_ANAldine EST Poster_AN
Aldine EST Poster_AN
 
Makin' chli
Makin' chliMakin' chli
Makin' chli
 
Epe meeting power point
Epe meeting power pointEpe meeting power point
Epe meeting power point
 
PHSSR Agenda - NACCHO 2011
PHSSR Agenda - NACCHO 2011 PHSSR Agenda - NACCHO 2011
PHSSR Agenda - NACCHO 2011
 
752573
752573752573
752573
 
The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...
 
The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...The Governance of Quality: Defining Experiences and Success Factors in Instit...
The Governance of Quality: Defining Experiences and Success Factors in Instit...
 
Incorporating Health Into the Planning and Design of Transportation Improvements
Incorporating Health Into the Planning and Design of Transportation ImprovementsIncorporating Health Into the Planning and Design of Transportation Improvements
Incorporating Health Into the Planning and Design of Transportation Improvements
 
HIA in Decision Making: What We Know and What We Need to Know
HIA in Decision Making: What We Know and What We Need to Know HIA in Decision Making: What We Know and What We Need to Know
HIA in Decision Making: What We Know and What We Need to Know
 

More from VDH, Office of Minority Health and Public Health Policy

More from VDH, Office of Minority Health and Public Health Policy (20)

Social Determinants of Health
Social Determinants of HealthSocial Determinants of Health
Social Determinants of Health
 
Health Equity Considerations For Virginia's African American Children
Health Equity Considerations For Virginia's African American ChildrenHealth Equity Considerations For Virginia's African American Children
Health Equity Considerations For Virginia's African American Children
 
Community Connections for Health: VCU’s Center on Health Disparities Communit...
Community Connections for Health: VCU’s Center on Health Disparities Communit...Community Connections for Health: VCU’s Center on Health Disparities Communit...
Community Connections for Health: VCU’s Center on Health Disparities Communit...
 
Health Impact Assessments
Health Impact AssessmentsHealth Impact Assessments
Health Impact Assessments
 
Civic Entrepreneurship: Revenue Generating Strategies Government and Nonprofi...
Civic Entrepreneurship: Revenue Generating Strategies Government and Nonprofi...Civic Entrepreneurship: Revenue Generating Strategies Government and Nonprofi...
Civic Entrepreneurship: Revenue Generating Strategies Government and Nonprofi...
 
Putting Social Determinants in Perspective for Policymakers
Putting Social Determinants in Perspective for PolicymakersPutting Social Determinants in Perspective for Policymakers
Putting Social Determinants in Perspective for Policymakers
 
Achieving Health Equity Will Require More than Equity in Health Care
Achieving Health Equity Will Require More than Equity in Health CareAchieving Health Equity Will Require More than Equity in Health Care
Achieving Health Equity Will Require More than Equity in Health Care
 
Show Me the Money: Strategies for Identifying Potential Funders and Writing S...
Show Me the Money: Strategies for Identifying Potential Funders and Writing S...Show Me the Money: Strategies for Identifying Potential Funders and Writing S...
Show Me the Money: Strategies for Identifying Potential Funders and Writing S...
 
Health, Equity and the Built Environment: What do Healthy Communities Look Like?
Health, Equity and the Built Environment: What do Healthy Communities Look Like?Health, Equity and the Built Environment: What do Healthy Communities Look Like?
Health, Equity and the Built Environment: What do Healthy Communities Look Like?
 
Social Determinants of Health and Equity: The Impacts of Racism on Health
Social Determinants of Health and Equity: The Impacts of Racism on HealthSocial Determinants of Health and Equity: The Impacts of Racism on Health
Social Determinants of Health and Equity: The Impacts of Racism on Health
 
Medical Interpretation in Virginia
Medical Interpretation in VirginiaMedical Interpretation in Virginia
Medical Interpretation in Virginia
 
Southside Connect
Southside ConnectSouthside Connect
Southside Connect
 
The Cameron Foundation
The Cameron FoundationThe Cameron Foundation
The Cameron Foundation
 
Community-Based Participatory Approaches: Coalition Building in Real Communities
Community-Based Participatory Approaches: Coalition Building in Real CommunitiesCommunity-Based Participatory Approaches: Coalition Building in Real Communities
Community-Based Participatory Approaches: Coalition Building in Real Communities
 
Mobilizing for Action through Planning and Partnerships (MAPP)
Mobilizing for Action through Planning and Partnerships (MAPP)Mobilizing for Action through Planning and Partnerships (MAPP)
Mobilizing for Action through Planning and Partnerships (MAPP)
 
Greater Prince William Community Health Center: Advocacy Techniques, Success ...
Greater Prince William Community Health Center: Advocacy Techniques, Success ...Greater Prince William Community Health Center: Advocacy Techniques, Success ...
Greater Prince William Community Health Center: Advocacy Techniques, Success ...
 
Moving Beyond the Map: Geospatial Analysis applied to Public Health and the C...
Moving Beyond the Map: Geospatial Analysis applied to Public Health and the C...Moving Beyond the Map: Geospatial Analysis applied to Public Health and the C...
Moving Beyond the Map: Geospatial Analysis applied to Public Health and the C...
 
Community Health Centers and National Advocacy
Community Health Centers and National AdvocacyCommunity Health Centers and National Advocacy
Community Health Centers and National Advocacy
 
Building Stronger Communities for Better Health: Moving from Science to Polic...
Building Stronger Communities for Better Health: Moving from Science to Polic...Building Stronger Communities for Better Health: Moving from Science to Polic...
Building Stronger Communities for Better Health: Moving from Science to Polic...
 
The Spatial Analysis of Health Data: Health Disparities and the Development o...
The Spatial Analysis of Health Data: Health Disparities and the Development o...The Spatial Analysis of Health Data: Health Disparities and the Development o...
The Spatial Analysis of Health Data: Health Disparities and the Development o...
 

Recently uploaded

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 

Health Impact Assessments to Promote Healthy Neighborhoods

  • 1. Health Impact Assessments to Promote Healthy Neighborhoods History and Overview Nisha Botchwey, Ph.D. University of Virginia Associate Professor of Urban + Environmental Planning and Public Health Sciences MAPP Lilian Peake, MD, MPH Director, Thomas Jefferson Health Department Charlottesville/Albemarle District VAPHA’s Annual Conference Advancing Health Equity from Theory to Practice September 10-11, 2009
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Environmental Impact Assessments Performed by planners, consultants, environmental scientists, etc. Explores effect of policies, programs and projects on the environment Began in US in the 1970s Statutory requirement in many countries to undertake EIA EIA does not typically include assessment of health effects; when it does it may be narrowly focused and solely quantitative in nature. HIAs MAPP Evaluating Sites for FQHC                                                                                                   
  • 12.
  • 13.
  • 14. Review of 38 Health Impact Assessments Conducted in the United States, 1999-2008 HIAs MAPP Evaluating Sites for FQHC
  • 15. AK 4 CA 16 CO 1 FL 1 MA 2 NJ 1 Completed HIAs in the United States 1999–2008 (N = 38) MN 4 GA 3 WA 3 OR 1 OH 1 PA 1 HIAs MAPP Evaluating Sites for FQHC
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. MAPP HIAs MAPP Evaluating Sites for FQHC
  • 24. America’s Healthiest City “ All residents have access to high-quality health care services. We have a community-wide commitment to personal fitness and wellness, and all residents enjoy our outstanding recreational facilities, walking trails, and routes to schools. We have a strong support system in place for families and for the elderly and disabled. Our emergency response time is among the nation’s best.” -Charlottesville City Council Vision Statement HIAs MAPP Evaluating Sites for FQHC
  • 25. Demographics HIAs MAPP Evaluating Sites for FQHC
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32. Creating a Framework HIAs MAPP Evaluating Sites for FQHC
  • 33. HIAs MAPP Evaluating Sites for FQHC
  • 34. HIAs MAPP Evaluating Sites for FQHC
  • 35. HIAs MAPP Evaluating Sites for FQHC
  • 36.
  • 37. HIAs MAPP Evaluating Sites for FQHC
  • 38. HIAs MAPP Evaluating Sites for FQHC
  • 39.
  • 40. HIAs MAPP Evaluating Sites for FQHC
  • 41. HIAs MAPP Evaluating Sites for FQHC
  • 42. HIAs MAPP Evaluating Sites for FQHC
  • 43. HIAs MAPP Evaluating Sites for FQHC
  • 44. HIAs MAPP Evaluating Sites for FQHC
  • 45. HIAs MAPP Evaluating Sites for FQHC
  • 46. HIAs MAPP Evaluating Sites for FQHC
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.