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The basics of health impact assessment (HIA): Part 1

The basics of health impact assessment (HIA): Part 1. Erica Ison Specialist Practitioner in HIA and HiAP Expert Adviser in HIA, WHO Network of European Healthy Cities, Phase IV. What is the overall purpose of HIA?. To improve the health of the population by:

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The basics of health impact assessment (HIA): Part 1

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  1. The basics of health impact assessment (HIA): Part 1 Erica Ison Specialist Practitioner in HIA and HiAP Expert Adviser in HIA, WHO Network of European Healthy Cities, Phase IV

  2. What is the overall purpose of HIA? To improve the health of the population by: • Encouraging an awareness and understanding of health at every level of policy- and decision-making • Establishing a desire to improve health as routine during policy- and decision-making • Making policy- and decision-making “healthy”

  3. What is the intention behind HIA? • The main intention when undertaking HIA is to provide information to support decision-making about a particular proposal: • Potential impacts of a proposal – beneficial and harmful; differential • Suggestions about ways to maximise the benefits and minimise the harms, and ways to reduce inequalities and/or inequities • HIA offers decision-makers the possibility of changing a proposal to protect and improve health, and to reduce inequalities/inequities, thereby achieving health gain

  4. Definition of HIA “a combination of procedures, methods and tools by which a policy, a program or project may be judged as to its potential effects on the health of a population and the distribution of effects within the population” WHO Gothenburg Consensus Paper, 1999

  5. HIA: How is the term used? • Concept • Process • Models • Methods • Tools • Approach

  6. Models of HIA

  7. What are the determinants of health? Determinants of health could be referred to as the conditions of living that have an influence on health: • Social conditions • Economic conditions • Environmental conditions • Cultural conditions • Political context

  8. Dahlgren & Whitehead: determinants of health

  9. Barton and Grant

  10. HIA: judging potential effects on health Any proposal has two main types of effect on health: • Direct • Indirect, through the determinants of health

  11. Investigating the potential impacts on health and well-being Proposal Direct Effects Indirect Effects HEALTH DETERMINANTS OF HEALTH

  12. Characteristics of HIA • Multidisciplinary • Intersectoral • Range of different methods • Use of quantitative and qualitative evidence • Focus on health inequalities • Participatory

  13. Values for HIA • Sustainability – work towards sustainable development or sustainable communities • Equity • Democracy – people’s democratic right to participate in open and transparent decision-making processes • Ethical use of evidence

  14. Classic process of HIA

  15. Classic process of HIA

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