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This article discusses the use of outcome mapping to monitor the progress of Health Impact Assessments (HIA) in Thailand. It explores the different HIA development areas, such as HIA in environmental and health policies, and HIA for local governments and communities. The article also highlights the importance of outcome mapping in measuring behavioral and activity changes in HIA programs.
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Outcome Mapping and Monitoring HIA Progressin Thailand Decharut Sukkumnoed Rungthip Sukkumnoed Duangjai Rungrojcharuenkij Health Public Policy Foundation
HIA Driving Forces in Thailand • New Constitution 2007 - section 67 Environmental and Health IA • National Health Act 2007 - Section 11 Right of people to ask for and participate in HIA of any public policy • National Development Plan (2007-2011) - Integration of Health in EIA system - Application of SEA with health considerations in main section and spatial planning • Decentralization
HIA Development Areas • HIA in EIA • HIA for local Government and community • HIA for Health Public Policy • HIA in National Health Act • HIA across the Border • Knowledge base for HIA
Application of Outcome Mapping OUTCOME MAPPING Building Learning and Reflection into Development ProgramsSarah Earl, Fred Carden, and Terry SmutyloIDRC 2001ISBN 0-88936-959-3e-ISBN 1-55250-021-7120 pp.
INPUTS ACTIVITIES OUTPUTS OUTCOMES IMPACT Concept of Outcome Mapping Outcomes are defined as changes in behavior , relationships, activities, or actions of the people, groups and organizations with whom a program works directly
Why Outcomes? (Not Impact) • The main reasons to focus on the outcomes rather than the results (or impacts) is to avoid • The myth of linear, cause and effect thinking, which contradicts the understanding of development as a complex process that occurs in open system. • the replacing of agreements and partnerships based on shared values by bureaucratic programming based on plan, budgets, and accounts. • the overlooking of multiple endogenous contributions and their interactions within development processes. • The rejections of the new initiatives and actions, which results from the attempt to achieve the measurable or actionable results.
HIA Development Plan The Real World Focus on Boundary Partners O = Boundary Partners = individuals, groups, and organizations with whom the program interacts directly and with whom program anticipants opportunities for influence to make change in the real world
FACILITATOR/ CHANGE AGENT Organizational Practices Strategies &Activities Spheres for Monitoring BOUNDALY PARTNER Outcome Challenges &Progress Markers
Outcome Mapping Design • Why ? (vision) • Who ? (boundary, partners) • What ? (outcome, challenges and progress markers) • How ? (mission, strategy maps, organizational practices)
Why?HIA Vision To development HIA to be a social learning process for development healthy public policies in various sectors and various levels - HIA in EIA - HIA for local Government and Community - HIA for Public Policy - HIA in National Health Act - HIA across the Border - Knowledge base for HIA
How?: Eight Organizational Practices • Prospecting for new ideas, opportunities, and resources. • Seeking Feedback from key informants. • Obtaining the support of your next highest power • Assessing and (re) designing products, services, systems and procedures • Checking up on those already served to add value • Sharing your best wisdom with the world • Experimenting to remain innovative • Engaging in organization reflection
Monitoring Three Parallel Processes • An Outcome Journal – monitoring the boundary partners 'achievement of progress markers. • A Strategy Journal – monitoring program’s (or facilitator’s) actions in support of the boundary partners • A Performance Journal – monitoring the organizational practices being employed by the program (or facilitator)
Performance Journal monitoring the organizational practices HIA Development Plan HPPF Strategy Journal Monitoring the strategic action in support of the boundary partners Outcome Journal monitoring the progress markers of boundary partners Monitoring Mapping Inside-Out and Outside In
Please follow up our experiment and lessons in HIA 2008 in Chiang Mai Thailand
2008 Asia Pacific Conference on Health Impact Assessment Empowering People Ensuring Health Visit www.HIA2008chiangmai.com for more information and updated news