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Question topics covered in a rapid HIA workshop. Rob Quigley, Director, Quigley and Watts Ltd rob@quigleyandwatts.co.nz. Background. Information collection in the appraisal stage can use many methods

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question topics covered in a rapid hia workshop

Question topics covered in a rapid HIA workshop

Rob Quigley, Director,

Quigley and Watts Ltd

rob@quigleyandwatts.co.nz

background
Background
  • Information collection in the appraisal stage can use many methods
  • One is a rapid appraisal workshop, where information is provided to stakeholders beforehand and during the workshop, and then information is collected from them.
  • With limited time, which questions are asked?
  • What key features are present in many tools?
assessing the positive and negative impacts
Assessing the positive and negative impacts.
  • A feature of all tools:
  • The impact assessment matrix and the Merseyside guidelines have a separate column for each;
  • Ison’s RAT and PHACs determinants and inequalities matrices asks if the impact is positive, negative or neutral.
  • Some don’t mention the words ‘positive or negative’, just ‘identify the impact’ or something similar (PPP; HEAT, Health Lens).
addressing inequalities
Addressing inequalities
  • Most tools are explicit about this, with a question something like:
    • ‘what are the potential effects on inequalties (Health Lens)
    • Are there differential impacts on particular groups (Determinants matrix; impact matrix)
    • Focusing on Maori (PPP);
    • Focusing on inequalities (inequalities matrix; HEAT)
    • Whom will it affect, the whole community or various groups (Ison’s RAT)
    • Who is most advantaged and how; who will benefit most (HEAT)
    • For Merseyside Guidelines, it’s in the supporting documentation only
evidence
Evidence
  • Some don’t ask about this (Health Lens; PPP; impact matrix; HEAT; Merseyside)
  • Others ask it in a roundabout way – identify any measurable indicators; How measurable is the impact; (determinants matrix, inequalities matrix,
  • Explicit – what is the basis for identifying this impact: evidence base, experience base, personal experience (Isons RAT)
mediating factors
Mediating factors
  • Not covered in the Health Lens, PPP, inequalities matrix, impact matrix,
  • Included in determinants matrix (what external factors may interact with the policy being assessed?)
  • Included in Ison’s RAT (which of the factors affecting health/determinants are key to mediating that impact)
  • What are the determinants of this inequality (HEAT)
the principles of the treaty of waitangi
The principles of the Treaty of Waitangi
  • Included in the Health Lens (How will the proposal address the principles of partnership, participation and protection)
  • Included in HEAT (How will you address the Treaty of Waitangi in the context of the NZ Public Health and Disability Act 2000)
  • Not in the determinants matrix, Ison’s RAT or Merseyside
  • The sole purpose of the four PPP questions
  • Ethnicity is included in the inequalities matrix
  • Impact on Maori has it’s own row in the impact matrix
scale of impact
Scale of impact
  • Not included in Health Lens, determinants matrix, PPP, inequalities matrix, merseyside, HEAT.
  • Sole purpose of the impact matrix – likelihood, severity/significance, number affected, time to take effect, measurability of impact.
  • Included in Ison’s RAT – magnitude, frequency, time of occurrence, point of occurrence, likelihood, severity/benefit
recommendations
Recommendations
  • Not covered in determinants matrix, PPP, inequalities, Merseyside.
  • How will the unintended consequences be addressed (Health Lens)
  • Where/how will you intervene to tackle this issue? (HEAT)
  • Possible actions to enhance positive or diminish negative impacts (Impact matrix)
  • Whole section in Ison’s RAT
a scenario
A scenario
  • Imagine you are running a rapid appraisal workshop with multiple stakeholders – community, policy writers, public health experts, other stakeholders.
  • You have 4.5 hours in total, of which much of the time is taken up in introducing the policy, the evidence and describing the population affected
  • You have about three hours left for small group or plenary session work
questions to consider for each determinant
Questions to consider for each determinant:

How is the proposed Arts Centre likely to affect this determinant of health?

  • Will this impact on health directly, or will it affect health (indirectly) after affecting other factors in a pathway leading to [poor health?]
  • What is the existing evidence for the answers you have given above– e.g. past experience, facts, research & existing data sources
possible enhancements mitigation
Possible enhancements/mitigation
  • Will the impact affect some Youth more than others? Who will benefit/suffer most? Will inequalities increase or decrease?
  • What key factors might encourage or prevent the health impact?
  • What recommendations do you suggest? Who are the recommendations directed at?