health impact assessment as a tool to influence public policy and work on inequalities
DESCRIPTION
Health Impact Assessment as a tool to influence public policy and work on inequalities. National Collaborating Centre for Healthy Public Policy Louise St-Pierre CPHA, Halifax, June 2008. The National Collaborating Centres Network. Antigonish. Hamilton. Plan. The field and practice of HIA ; - PowerPoint PPT PresentationTRANSCRIPT
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Health Impact Assessment
as a tool to influence public policy and work on inequalities
National Collaborating Centre for Healthy Public Policy
Louise St-Pierre
CPHA, Halifax, June 2008
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Antigonish
The National Collaborating Centres Network
Hamilton
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Plan
• The field and practice of HIA ;
• Its use in the fight against social inequalities of health ; An illustration
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What is HIA ? Definition
Health Impact Health Impact Assessment (HIA)Assessment (HIA)
“…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”
ECHP, WHO, 1999
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What is HIA ? Its goals …..
• Consider the potential effects of a proposal on health and inequalities (prospective evaluation)
• Intend to influence and assist the decision making process
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…and its principles
• Population health approach (socio-economical determinants of health)
• The health responsibility should be shared by all sectors
• Involve stakeholders and intersectorial parties
• Concerns with health inequalities
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HIA and the policy development process
Emergence
Agenda
setting
Formulation
Adoption Implementati
on
HIA
Evaluation
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A procedure and tools
Screening
Scoping
Appraisal
Reporting
Evaluation
PP
RR
OO
PP
OO
SS
AA
LL
Health determinants list
What, who, how
Rapid or comprehensive assessment
Systematic reviews and consultation
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An illustration
Domestic waste management plant to transform domestic waste into compost
Regional County Municipality of Haute-Yamaska (QC)Pop.: 87,000 inhabitants9 municipalitiesPeople involved in HIA process:
- 2 from municipal level- 3 from health sector.
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101010
Screening tool used
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Results of the screening stage
The potential impacts that had to be look at :
Quality of the compost Workers’ health Smell Noise Transportation (security and air quality) Housing
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The findings of the assessment
Quality of the compost OK, audit form
Workers’ health OK, no problem
Smell OK, taking into account
Noise OK, not relevant
Transportation Increased traffic
Housing Possible rate increase in rents due to higher taxes
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Potential impact on inequalities
The report showed that 33 % of the main city households devote more than 30% of their income for housing.
According to the literature, this situation put pressure on households to reduce expenses for other essential goods.
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Main observations
HIA has contributed to:
• Raise awareness among policy makers about an unexpected effect unknown prior to the analysis
• Provide a comprehensive overview of the positive and negative impacts of the project
• Underline the importance of cumulative effects on disadvantaged groups
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For more information on the tools and HIA practices
Accessible tools on NCCHPP website• Knowledge synthesis• HIA guides repertory• Training (in preparation)• Bulletin
WWW.NCCHPP.CACPHA boot 138