Butting Our Heads Against A Wall?
Ben Harris-Roxas
Centre for Health Equity Training, Research & Evaluation (CHETRE)
Part ...
OR,
MOVING BEYOND WHAT
WE'VE ALWAYS DONE IN
ORDER TO GET HEALTH
MEANINGFULLY CONSIDERED
HIA TEAM AT CHETRE
Elizabeth Harris
Marilyn Wise
Ben Harris-Roxas
Patrick Harris
Harrison Ng Chock
Fiona Haigh
Roger Lyle
...
SYDNEY SOUTH WEST AREA
HEALTH SERVICE
PEOPLE WE WORK WITH
NSW CONTEXT
HIA IS BEING USED IN
A VARIETY OF
SETTINGS AND FOR A
VARIETY OF
PURPOSES
WHAT WE HAVE
DONE
WE NEED TO BE
REFLECTIVE
AND EMPIRICAL
WHAT DO WE NEED TO DO
FOR HEALTH TO BE
MEANINGFULLY
CONSIDERED?
HOW CAN WE LEARN FROM
WHAT HAS AND HASN’T
WORKED?
WORKING ON HIA SINCE
2003
REVIEWING CHETRE’S
HIA WORK
(PUTTING EQUITY AND
CAPACITY BUILDING TO ONE
SIDE)
HIA AT THE LOCAL
GOVERNMENT LEVEL
HEALTH WITHIN MAJOR
PROJECT ASSESSMENT
PROGRESS IN SOME
AREAS, BUT NOT IN
OTHER AREAS
WHY IS THAT?
AND WHAT CAN WE LEARN
FROM IT?
HIA HAS A HIGHER
PROFILE
LOCAL GOVERNMENT IS
IMPORTANT
MAJOR PROJECT
ASSESSMENT IS ALSO
IMPORTANT
RENEWED IMPETUS FOR
INTERSECTORAL ACTION
FOR HEALTH
A NARRATIVE REVIEW OF
CHETRE’S RESEARCH ON
HIA
REVIEWING HIA
REPORTS
COMPLETED IN
AUSTRALIA AND
NEW ZEALAND
BETWEEN
2005 AND 2009
WHAT HIA ENABLES
PROVIDING
A NEW
SOURCE
OF EVIDENCE
HEALTH CHECKS ON
DESIGN
INTERNAL
ADVOCACY
IMPROVED
RELATIONSHIPS
BETWEEN
ORGANISATIONS
CONDITIONS
FOR SUCCESS
STEERING
COMMITTEE
COMPOSITION
OVERCOMING
ORGANISATIONAL
SILOS
MEANINGFUL HEALTH
SECTOR SUPPORT
CHALLENGES
VERY FEW MAJOR PROJECT
ASSESSMENTS ARE
REFERRED TO HEALTH
AGENCIES IN NSW, BUT
LOCAL GOVERNMENT IS
ALMOST ALWAYS INVOLVED
PEOPLE HAVE TO BE
PART OF ENVIRONMENTAL
IMPACT
Framework for Analysing the Consideration of the
Broader Determinants of Health within EIAs
1. Social impacts that can imp...
WHAT SORT OF EVIDENCE
SHOULD BE USED TO
MAKE DECISIONS?
REPORTING
CAN BE
IMPROVED
SO WHAT?
THE HEALTH SECTOR
NEEDS TO REDOUBLE ITS
EFFORTS TO WORK WITH
LOCAL GOVERNMENT
TWO PRACTICAL THINGS
INTRODUCE YOURSELF
TO TWO PEOPLE FROM
LOCAL GOVERNMENT
USE THE HIA
REVIEW
PACKAGE TO
REVIEW YOU
REPORT
BEFORE YOU
PUBLISH IT
YOU CAN LEARN
IMPORTANT THINGS FROM
BORING PROCESSES
YOU DON'T NEED A
COMPLICATED TO LEARN
A LOT ABOUT HIA
PRACTICE
HEAD BUTTING?
MAYBE NOT.
BUT IT’S TIME TO TACKLE
THE BIGGER CHALLENGES
FACING US
SPECIAL ISSUE OF EIA
REVIEW ON HIA IN THE
ASIA PACIFIC
b.harris-roxas@unsw.edu.au
@hiablog
j.mp/hia2010pres
www.delicious.com/tag/HIA2010
www.hiaconnect.edu.auW
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered
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Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered

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Plenary for the HIA2010 3rd Asia Pacific Health Impact Assessment Conference in Dunedin, New Zealand.

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Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered

  1. 1. Butting Our Heads Against A Wall? Ben Harris-Roxas Centre for Health Equity Training, Research & Evaluation (CHETRE) Part of the UNSW Research Centre for Primary Health Care and Equity
  2. 2. OR, MOVING BEYOND WHAT WE'VE ALWAYS DONE IN ORDER TO GET HEALTH MEANINGFULLY CONSIDERED
  3. 3. HIA TEAM AT CHETRE Elizabeth Harris Marilyn Wise Ben Harris-Roxas Patrick Harris Harrison Ng Chock Fiona Haigh Roger Lyle Trish Menzies
  4. 4. SYDNEY SOUTH WEST AREA HEALTH SERVICE
  5. 5. PEOPLE WE WORK WITH
  6. 6. NSW CONTEXT
  7. 7. HIA IS BEING USED IN A VARIETY OF SETTINGS AND FOR A VARIETY OF PURPOSES
  8. 8. WHAT WE HAVE DONE
  9. 9. WE NEED TO BE REFLECTIVE AND EMPIRICAL
  10. 10. WHAT DO WE NEED TO DO FOR HEALTH TO BE MEANINGFULLY CONSIDERED? HOW CAN WE LEARN FROM WHAT HAS AND HASN’T WORKED?
  11. 11. WORKING ON HIA SINCE 2003
  12. 12. REVIEWING CHETRE’S HIA WORK (PUTTING EQUITY AND CAPACITY BUILDING TO ONE SIDE)
  13. 13. HIA AT THE LOCAL GOVERNMENT LEVEL
  14. 14. HEALTH WITHIN MAJOR PROJECT ASSESSMENT
  15. 15. PROGRESS IN SOME AREAS, BUT NOT IN OTHER AREAS
  16. 16. WHY IS THAT? AND WHAT CAN WE LEARN FROM IT?
  17. 17. HIA HAS A HIGHER PROFILE
  18. 18. LOCAL GOVERNMENT IS IMPORTANT
  19. 19. MAJOR PROJECT ASSESSMENT IS ALSO IMPORTANT
  20. 20. RENEWED IMPETUS FOR INTERSECTORAL ACTION FOR HEALTH
  21. 21. A NARRATIVE REVIEW OF CHETRE’S RESEARCH ON HIA
  22. 22. REVIEWING HIA REPORTS COMPLETED IN AUSTRALIA AND NEW ZEALAND BETWEEN 2005 AND 2009
  23. 23. WHAT HIA ENABLES
  24. 24. PROVIDING A NEW SOURCE OF EVIDENCE
  25. 25. HEALTH CHECKS ON DESIGN
  26. 26. INTERNAL ADVOCACY
  27. 27. IMPROVED RELATIONSHIPS BETWEEN ORGANISATIONS
  28. 28. CONDITIONS FOR SUCCESS
  29. 29. STEERING COMMITTEE COMPOSITION
  30. 30. OVERCOMING ORGANISATIONAL SILOS
  31. 31. MEANINGFUL HEALTH SECTOR SUPPORT
  32. 32. CHALLENGES
  33. 33. VERY FEW MAJOR PROJECT ASSESSMENTS ARE REFERRED TO HEALTH AGENCIES IN NSW, BUT LOCAL GOVERNMENT IS ALMOST ALWAYS INVOLVED
  34. 34. PEOPLE HAVE TO BE PART OF ENVIRONMENTAL IMPACT
  35. 35. Framework for Analysing the Consideration of the Broader Determinants of Health within EIAs 1. Social impacts that can impact on human health, 2. Economic impacts that can impact on health, 3. Physical environmental impacts that can impact on health, 4. Biological human impacts that can impact on health, and 5. Other impacts with no impact on health.
  36. 36. WHAT SORT OF EVIDENCE SHOULD BE USED TO MAKE DECISIONS?
  37. 37. REPORTING CAN BE IMPROVED
  38. 38. SO WHAT?
  39. 39. THE HEALTH SECTOR NEEDS TO REDOUBLE ITS EFFORTS TO WORK WITH LOCAL GOVERNMENT
  40. 40. TWO PRACTICAL THINGS
  41. 41. INTRODUCE YOURSELF TO TWO PEOPLE FROM LOCAL GOVERNMENT
  42. 42. USE THE HIA REVIEW PACKAGE TO REVIEW YOU REPORT BEFORE YOU PUBLISH IT
  43. 43. YOU CAN LEARN IMPORTANT THINGS FROM BORING PROCESSES
  44. 44. YOU DON'T NEED A COMPLICATED TO LEARN A LOT ABOUT HIA PRACTICE
  45. 45. HEAD BUTTING? MAYBE NOT.
  46. 46. BUT IT’S TIME TO TACKLE THE BIGGER CHALLENGES FACING US
  47. 47. SPECIAL ISSUE OF EIA REVIEW ON HIA IN THE ASIA PACIFIC
  48. 48. b.harris-roxas@unsw.edu.au @hiablog j.mp/hia2010pres www.delicious.com/tag/HIA2010 www.hiaconnect.edu.auW

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