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Health Impact Assessments in Strategic Decision-making. The basics of HIA A case study – experience from local action of implementing HIA. This Presentation. How can we use the term HIA?. Concept Process Methodology Model Tool Approach. What is HIA?.
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The basics of HIA A case study – experience from local action of implementing HIA This Presentation
How can we use the term HIA? • Concept • Process • Methodology • Model • Tool • Approach
What is HIA? Health impact assessment is a combination of procedures, methods and tools by which a policy, program or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population. Gothenburg Consensus Paper, ECHP and WHO Regional Office for Europe. (1999)
Why did the methodolgy develop? • Inadequate appraisal of impacts on human health in environmental impact assessment (EIA) and social impact assessment (SIA) • To raise the profile of health particularly in policymaking • To show the impact of non-health sectors on health
What is HIA? Health impact assessment is a specific methodology that can be used to answer the following questions: • What are the impacts on health and well-being of a particular proposal on a group, community or population? • What can we do to increase any beneficial effects and reduce or avoid any harmful effects? By Ms Erica Ison
HIA is Not…. • Simply monitoring health and other indicators • Simply using the evidence base to make policy
EU Strategy for Sustainable development 2006 • ….all EU institutions should ensure that major policy decisions are based on proposals that have undergone high quality impact assessments in a balanced way to the social environmental and economic dimensions of sustainable development
Phase IV 2003-2008 Health Impact Assessment is a core theme WHO Healthy Cities Network
Aalborg Commitments: 7. Local Action for Health 7:4 Promote health impact assessment as a means for all sectors to focus their work on health and the quality of life.
Taking the Principles of Healthy Cities and the Aalborg Commitments to the streets of Helsingborg
Health Impact Assessment on the Proposal for Traffic Plan in Helsingborg 2006 Photo: Torsten Nilsson
Approach • A new assessment-tool was used which had been developed by a local multidisciplinary and cross-sector team. • The tool is based on local conditions including the city’s 7 areas of improvement and with focus on vulnerable groups. • Developed in cooperation with the WHO’s Healthy Cities program and expert adviser Ms Erica Ison.
The questions in the tool • What will be influenced? How? Who are the stakeholders? Dialog? • Economical impact? • Impact on specific areas of improvement? • Identify target groups, vulnerable groups, geographical areas? • Impact on health and wellbeing, short-term, long-term?
Conclusion and recommendation • The proposal will not affect any area of improvement negatively, with the possible exception of a few targeted housing areas. Neither will the proposal increase the health differences, except for certain vulnerable groups, living within a few identified neighbourhoods of the city.
Strong political support Involved in global movements Support for strategic, long-term structural work, including planning, monitoring and evaluation General awareness of health inequalities and environmental problems Why has Helsingborg succeed so far?
An ongoing process…. • Be patient, work systematically and get help from your friends!
Further Information • www.helsingborg.se/hallbarutveckling • www.euro.who.int/healty-cities