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Health Impact Assessment Scoping. September 8, 2008. Gary R. Krieger, MD, MPH, DABT, DTM&H Marci Z. Balge, RN, MSN, COHN-S Mark Divall M.B., Ch.B, DTM&H Mirko Winkler MS, Swiss Tropical Institute Burt Singer, PhD Princeton University Juerg Utzinger, PhD Swiss Tropical Institute.

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Health Impact Assessment Scoping

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Health impact assessment scoping
Health Impact Assessment Scoping

September 8, 2008

Gary R. Krieger, MD, MPH, DABT, DTM&H

Marci Z. Balge, RN, MSN, COHN-S

Mark Divall M.B., Ch.B, DTM&H

Mirko Winkler MS, Swiss Tropical Institute

Burt Singer, PhD Princeton University

Juerg Utzinger, PhD Swiss Tropical Institute



Scoping what is it
Scoping- What is it?

  • Process for outlining the range and types of hazards and beneficial impacts.

  • Overall types and categories of questions that must be addressed are defined at this stage of the HIA.

  • Input of key stakeholders and the relevant host-country health authorities is critical so that the HIA adequately addresses a realistic range of health concerns;



Scoping1
Scoping

  • Timing of the HIA is critical

  • Maximum benefit occurs before final engineering design specifications are “locked-in”

  • Project proponents often consider health “covered” as part of an SEIA or SIA

  • Whether separate or integrate, health should be systematically addressed






Health impact assessment scoping

Scoping- Selecting the Type of HIA

  • Figure 2 HIA Variables


Health impact assessment pitfalls
Health Impact AssessmentPitfalls

  • Keeping HIA on the radar screen

  • HIA and SIA– “tyranny” of the anthropologists!

  • Integration vs. stand-alone

  • Who performs the HIA

  • Survey fatigue and other household follies

  • M&E issues-Key Performance Indicators issues

  • Roles and Responsibilities between project proponents and host governments-”but for the project”

  • Cumulative effects issues



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