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Health impact assessment

Health impact assessment. Alex Scott-Samuel IMPACT International Health Impact Assessment Consortium, University of Liverpool . What is HIA?.

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Health impact assessment

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  1. ihia.org.uk

  2. Health impact assessment Alex Scott-Samuel IMPACT International Health Impact Assessment Consortium, University of Liverpool ihia.org.uk

  3. What is HIA? A combination of procedures, methods and tools by which a policy, programme 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 Source: WHO Gothenburg consensus paper, 1999 ihia.org.uk

  4. Important characteristics of HIA • Prospective • Decision support tool, not evaluation method • Trade-off between brevity and rigour ihia.org.uk

  5. Uses of HIA • creation of healthy public policies / projects • social and economic development • health advocacy • advocacy for disadvantaged groups • personal development • partnership building ihia.org.uk

  6. Early origins: 1970-1990 • environmental impact assessment • healthy public policy ihia.org.uk

  7. IMPACT • Research • Consultancy • Training • Capacity building ihia.org.uk

  8. Some IMPACT HIA projects • MerITS • Foresight Vehicle Initiative • CATCH • Merseytram Line 1 • Public housing regeneration • Policy HIA for the EU – European Employment Strategy • Capacity building in Liverpool ihia.org.uk

  9. Broad perspective Tight perspective Two perspectives of HIA View of health Holistic Definition and observation Disciplinary roots Sociology, epidemiology Epidemiology, toxicology Ethos Democratic Technocratic Quantification In general terms Towards exact measurement Types of evidence Key informant data Measurements Precision Low High Source: National Assembly for Wales (1999) Developing health impact assessment in Wales.   ihia.org.uk

  10. Ron Labonte. Inequalities in Health in the City of Toronto. 1991 ihia.org.uk

  11. The Merseyside approach to HIA - 1 • Screening • Steering group and terms of reference • Select assessor • Policy analysis • Profiling of communities • Collect data from stakeholders and key informants • Identify health determinants affected ihia.org.uk

  12. The Merseyside approach to HIA - 2 • Assess new and published evidence • Establish priority impacts • Recommend and justify options for action • Appraise assessment • Negotiate favoured options • Implement and monitor • Evaluate and document ihia.org.uk

  13. Methodologicalcontroversies • science and politics • value-free and value-laden • holism and reductionism • qualitative and quantitative • expertism and participation • duration and depth • equity and inequality ihia.org.uk

  14. ihia.org.uk

  15. ihia.org.uk

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