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Health Impact Assessment

Health Impact Assessment. Health Impact Assessment Colloquium Bondi, 9th December 2005 Prof Mark Harris Executive Director Centre for Primary Health Care and Equity* University of New South Wales.

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Health Impact Assessment

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  1. Health Impact Assessment Health Impact Assessment ColloquiumBondi, 9th December 2005 Prof Mark Harris Executive DirectorCentre for Primary Health Care and Equity*University of New South Wales * The Centre for Health Equity Training, Research and Evaluation (CHETRE) is part of the Centre for Primary Health Care and Equity Centre for Health Equity Training, Research & Evaluation

  2. What are impacts? Both positive and negative changes in a community that are attributable to a policy, program or project. chetre.med.unsw.edu.au

  3. Where does health come in? Source: Dahlgren G, Whitehead M. Policies and Strategies to Promote Social Equity in Health. Stockholm: Institute of Futures Studies, 1991; cited in Acheson D, 1998. chetre.med.unsw.edu.au

  4. What is HIA? A combination of procedures, methods and tools by which a policy, program or project may be assessed for its potential, and often unanticipated, effects on the health of the population and the distribution of these impacts within the population. (ECHP, Mahoney & Morgan) chetre.med.unsw.edu.au

  5. When is it used? 1 2 3 Needs Assessment Planning Draft Proposal 4a 4 HIA Screening 4b 5 6 Revised Proposal Implementation Monitoring 7 Evaluation Adapted from: Simpson S, Harris E & Harris-Roxas B (2003) Health Impact Assessment: An introduction to the what, why and how, Health Promotion Journal of Australia, 15(2): 162-167. chetre.med.unsw.edu.au

  6. Key features of HIA • Prediction • Combination of methods • Policy, program or project • Positive & negative • Unintended & intended effects • Distribution of effects • Solution focused • Promote & protect health chetre.med.unsw.edu.au

  7. Six steps of HIA • Screening • Scoping • Identification of potential health impacts • Assessment of potential health impacts (appraisal) • Negotiation & decision-making (recommendations) • Monitoring & evaluation chetre.med.unsw.edu.au

  8. Assessment and recommendations Assessment Recommendations If you implement the proposal These will be the impacts If you make these changes These will be the gains chetre.med.unsw.edu.au

  9. Does it Work? • What constitutes effectiveness? • Changes to decisions? • Changes to health outcomes? • Monitoring • Need for further evaluation • Examples of effective use: • Finningley Airport HIA • CCDPHA HIA chetre.med.unsw.edu.au

  10. What we’ve doneNSW HIA Project Phase 1 • 2 x one day workshops with range of NSW Health staff • Introduction to HIA • Exploring pros & cons of HIA • Review of literature • Establishment of HIA eNews chetre.med.unsw.edu.au

  11. What we’ve doneNSW HIA Project Phase 2 • 5 Developmental Sites • Undertook HIAs on health proposals (except one) • CHETRE training & support • Strategic Engagement • Communication • HIA E-News ongoing • HIA Connect website chetre.med.unsw.edu.au

  12. Related work • Equity-focused Health Impact Assessment (EFHIA) • Consortium with Deakin and Newcastle Universities • Framework produced • Discussion Paper on Impact Assessment for NSW Health Futures Planning chetre.med.unsw.edu.au

  13. What we’re doingPhase 3 developmental sites • We’re supporting 6 developmental sites in 2005 • Bigger proposals • Predominantly intersectoral chetre.med.unsw.edu.au

  14. What’s next?NSW HIA Project Phase 3 • 2006 Developmental sites • Liaison • Manual • Masters-level subject • Electronic Resources chetre.med.unsw.edu.au

  15. More Information HIA Connect http://chetre.med.unsw.edu.au/hia chetre.med.unsw.edu.au

  16. Good intentions are not always enough The road to hell is paved with good intentions HIA helps identify the health impacts from unintended outcomes of a proposal chetre.med.unsw.edu.au

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