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The New Era of HIA in Thailand HIA Development Report 2006 and the future HIA development strategy 2007-2011. Suphakit Nuntavorakarn Healthy Public Policy Foundation and HPP-HIA Program, Health Systems Research Institute, Thailand.
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The New Era of HIA in ThailandHIA Development Report 2006 and the future HIA development strategy 2007-2011 Suphakit NuntavorakarnHealthy Public Policy Foundation andHPP-HIA Program, Health Systems Research Institute, Thailand Paper presentation in the HIA concurrent sessionIAIA’07, Seoul, Korea
Introduction • Many organizations have joined hand in HIA development for many years • But never produced a report, nor setting a common and concrete action plan together. • The HIA Development Report 2006 • To evaluate and summarize HIA development progress • To develop visions, goals, and action plan 2007-2011
The involved organizations onHIA Development Report 2006 • Department of Health • Department of Disease Control • Office of Natural Resources and Envi. Policy and Planning • King Prajadhipok’s Institute • Health Systems Research Institute • Healthy Public Policy Foundation • Universities • National Economic and Social Advisory Council • National Health Reform Office • We Love Tha Chin River Society • The HIA Session in the National Health Assembly 2006
The National Health System ReformThe origin and the framework ofHIA development in Thai society
Department of HealthThe Sanitation and HIA Division - Studying and applying HIA to several cases - E.g. Urban dev., Waste management, HELI International Project on Pesticide, etc. - Capacity strengthening for Intersectoral HIA
Health Systems Research InstituteThe Research and Development Program on Healthy Public Policy and HIA - Analytical Frameworks for the Thai context - Critical Mass through capacity building and networking - Enabling Environment through public communication - Institutional Framework
Health System Reform Office • The drafting and advocating process on the National Health Act since 2000 • Facilitate and supports the Health Assembly at all level
The Health Assemblies • Several area-base and issue-base Health Assemblies use HIA as a tool • We Love Tha Chin River Society • The Eco-Cultural Study Group on the potash mining • Loei Civil Society, the gold mining project • NGOs and communities in Chiang Mai on the chemical use for agriculture • Etc.
Office of Natural Re. and Envi. Policy and Planning • Developing HIA in the EIA system • Set up a working group of related organizations to explore the integration and develop a guideline
Department of Disease Control • Developing HIA approaches for projects that require EIA • Some examples are the draft guidelines for airport and cement industry project
NESAC and the Cabinet’s Resolution • Developed and submitted the recommendation on HIA development for healthy public policy • The Ministerial Cabinet’s Resolution on 31st May 2005, assigned roles and responsibilities to Ministry of Public Health
The 10th National Economic and Social Development Plan 2007 - 2011 • DevelopHIAin the EIA system • Develop/apply SEA both for policy issues and area development
The Bangkok Charter for Health Promotion in a Globalized World • adopted at the 6th Global Conference on Health Promotion in 2005 • the importance of HIA in international policies in this era of globalization
Key issues fromthe past HIA development • Lack of coordinating system or mechanism to support the works of one another • More effective mechanisms to coordinate and link the Health Assemblies to policy advocacy works • Human resource capacity building and long-term development of teaching and learning system
HIA development at community and local level • HIA development in EIA system, which is at project level • HIA development for healthy public policy • HIA development for trans-boundary impacts and international policies From the pastto future HIA development
Indications in the 10th National Dev. Plan of HIA in the EIA and SEA development • HIA for public policy development at local level • HIA for Healthy Public Policy in other policy issues • The cornerstone and mechanism for knowledge enhancement, also long-term plan for HIA human resource • Tran-boundary health impacts and inter. policy dev. The challenges
HIA application at local level • Approarches, guideline, and case studies • HIA for legislation by local governments and communities • Build and support HIA capacities, also campaign for awareness • Synthesis of the experiences
HIA in the EIA system • Develop concepts and guidelines • Application of good governance principles • Capacity strengthening • People Guideline on HIA application in the EIA system
HIA for Healthy Public Policy • HIA concepts, processes, and tools for SEA • Develop healthy policy alternatives • Diverse spaces for public deliberation • Concepts and approaches of policy process analysis
HIA beyond the border • Coordinating & networking with neighboring countries • Contacts with international policy practitioners • International research and development • Policy process of relevant international organizations
HIA according tothe National Health Act B.E.2550 (2007) • Developing the institutional structure of the HIA system • Supporting the Health Assemblies at all level
The other strategies for future HIA development • Knowledge base development • Public communication system • Goals and the Action Plan for 2007
The mechanisms for governance and coordination • Executive level • National Health Commission and National Health Assembly • Directive level • Set up a commission of senior staffs from various sectors • Operational level • Set up the HIA Development Coordination Committee of all organizations working on HIA development
The emerging challenges forfurther HIA development • The operating and coordinating system for HIA according to the National Health Act • Integration of HIA in the EIA system • Supporting the Regional Health Promotion Centers • Applying SEA, Policy process analysis, learning-by-practicing • Strengthening cooperation and resource mobilization • Knowledge base dev. and the coordinating mechanism