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Popular or political? Trade-offs in health impact assessent

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Slides for a workshop session at the HIA20120 Conference in Quebec http://www.hia2012.ca/

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Popular or political? Trade-offs in health impact assessent

  1. 1. Popular or Political? Trade-offs in HIA Centre for Primary Health Care and Equity Ben Harris-Roxas Consultant, Harris-Roxas Health Conjoint Lecturer, University of New South Wales, SydneyHealth Section Co-Chair, International Association for Impact Assessment
  2. 2. Draws on the findings of the first phase of the Australia-New Zealand HIA effectiveness study Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan R, Dannenberg A, Sukkumnoed D, Wendel A. The effectiveness of health impactassessments conducted in Australia and New Zealand; Australian Research Council Discovery Project Grants; 2010-2011. [DP1096211]
  3. 3. Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan R, Dannenberg A, SukkumnoedD, Wendel A. The effectiveness of health impact assessments conducted in Australia and New Zealand; AustralianResearch Council Discovery Project Grants; 2010-2011. [DP1096211]
  4. 4. Was there community involvement in the HIA? Yes n = 33 (73%) No n = 12 (27%)
  5. 5. Was there any controversy and/or opposition tothe proposal? Yes n = 26 (58%) No n = 19 (42%)
  6. 6. If yes, what was the level of controversy? (n = 30) Column1 10 9 9 8 6 6 6 4 2 0 Low Some Medium High
  7. 7. Comparing community involvement and controversy (n = 45) 25 21 20 12 15 7 10 5 5 No Controversy 0 Controversy Community Involvement No Community Involvement
  8. 8. Comparing community involvement and level of controversy (n = 30)9 8 8876 554 33210 Low Some Medium High Community Involvement No Community Involvement
  9. 9. Comparing controversy by proposal type (n = 45)16 15141210 8 6 4 4 4 3 2 0 Plan Policy Program Project Controversy No Controversy
  10. 10. Modification of pending decisions Yes No Direct Effectiveness General Effectiveness Health adequately acknowledged HIA-related changes in the Reasons provided for not decision following HIA recommendations Yes Due to the HIA the project was Health consequences are dropped negligible or positive Decision was postponed HIA has raised awareness among policy-makers Opportunistic Effectiveness No effectiveness The decision would have been The HIA was ignored No made anyway The HIA was dismissedSource: Wismar M, Blau J, Ernst K, Figueras J (Eds.) (2007) The Effectiveness of Health Impact Assessment: Scopeand limitations of supporting decision-making in Europe, European Observatory on Health Systems andPolicies, World Health Organization: Copenhagen. ISBN 978 92 890 7295 3
  11. 11. Comparing controversy by type of effectiveness (n = 45)25 20201510 5 5 1 0 0 Direct General Opportunistic No Controversy No Controversy
  12. 12. Murky pictureDoes community involvement lead to controversy, or vice versa And does it matter?
  13. 13. An example of trade-offs: Lithgow
  14. 14. Some important trade-offs are never public
  15. 15. These slides are available atwww.slideshare.net/benharrisroxas ben@harrisroxashealth.com @ben_hr or @hiablog healthimpactassessment.blogspot.com linkedin.com/in/benharrisroxas

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