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Health Impact Assessments in Strategic Decision-making. The basics of HIA A case study – experience from local action of implementing HIA. This Presentation. How can we use the term HIA?. Concept Process Methodology Model Tool Approach. What is HIA?. - PowerPoint PPT Presentation
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Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Health Impact Assessments in Health Impact Assessments in Strategic Decision-makingStrategic Decision-making
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
This PresentationThis Presentation
1. The basics of HIA
2. A case study – experience from local action of implementing HIA
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
How can we use the term HIA?How can we use the term HIA?
• Concept• Process• Methodology• Model• Tool• Approach
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
What is HIA?What is HIA?
Health impact assessment is 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.
Gothenburg Consensus Paper,
ECHP and WHO Regional Office for Europe. (1999)
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Why did the methodolgy develop?Why did the methodolgy develop?
• Inadequate appraisal of impacts on human health in environmental impact assessment (EIA) and social impact assessment (SIA)
• To raise the profile of health particularly in policymaking
• To show the impact of non-health sectors on health
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
What is HIA?What is HIA?
Health impact assessment is a specific methodology that can be used to answer the following questions:
• What are the impacts on health and well-being of a particular proposal on a group, community or population?
• What can we do to increase any beneficial effects and reduce or avoid any harmful effects?
By Ms Erica Ison
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
HIA is HIA is Not….Not….
• Simply monitoring health and other indicators
• Simply using the evidence base to make policy
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
EU Strategy for Sustainable EU Strategy for Sustainable development 2006development 2006
• ….all EU institutions should ensure that major policy decisions are based on proposals that have undergone high quality impact assessments in a balanced way to the social environmental and economic dimensions of sustainable development
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
WHO Healthy Cities NetworkWHO Healthy Cities Network
• Phase IV 2003-2008
Health Impact Assessment is a core theme
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Aalborg Commitments: Aalborg Commitments: 7. Local Action for Health 7. Local Action for Health
7:4 Promote health impact assessment as a means for all sectors to focus their work on health and the quality of life.
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Taking the Principles of Healthy Cities Taking the Principles of Healthy Cities and the Aalborg Commitments to the and the Aalborg Commitments to the
streets of Helsingborgstreets of Helsingborg
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Health Impact Assessment on the Health Impact Assessment on the Proposal for Traffic Plan in Proposal for Traffic Plan in
Helsingborg 2006Helsingborg 2006
Photo: Torsten Nilsson
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
ApproachApproach
• A new assessment-tool was used which had been developed by a local multidisciplinary and cross-sector team.
• The tool is based on local conditions including the city’s 7 areas of improvement and with focus on vulnerable groups.
• Developed in cooperation with the WHO’s Healthy Cities program and expert adviser Ms Erica Ison.
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
The questions in the toolThe questions in the tool
• What will be influenced? How? Who are the stakeholders? Dialog?
• Economical impact?• Impact on specific areas of improvement?• Identify target groups, vulnerable groups,
geographical areas?• Impact on health and wellbeing, short-term,
long-term?
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Work-field/ prioritised area
Accomo-dations/ housing environ-
ment
Work/em-
ployment
Conditions of
childhood
Safety Habits of living
Healthy aging
Air pollu-tions
Traffic-security and safety + + + + +
Increase walking and cycling
+ + + + + + +
Increase the use of public transports
+ + + + + + +
New structure in the road net +/- +/- + +/-
Parking supporting the City +/- - +
New routes for heavy traffic +/- + +/- +/- +/-
The proposal in relation to areas of improvement
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Area of work/risk group
Adults with low income
Adults with poor
education
Children in
economi-cally poor families
Children raised in families abusing
alcohol or drugs
Elderly with illness
Persons with
physical functional impairmen
t
Persons with
mental functional
impairment
M W M W M W M W M W M W Men W
Traffic security and safety
+ ++ + + + + + + + + + +
Increase walking and cycling
+ ++ + +
Increase the use of public transport
+ ++ + + +/ - +/- +/- +/- +/- +/-
New structure in the road net
Parking supporting the City
New routes for heavy traffic
- - - -
The proposal in relation to gender and vulnerable groups
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Conclusion and recommendationConclusion and recommendation
• The proposal will not affect any area of improvement negatively, with the possible exception of a few targeted housing areas. Neither will the proposal increase the health differences, except for certain vulnerable groups, living within a few identified neighbourhoods of the city.
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Why has Helsingborg succeed so far?Why has Helsingborg succeed so far?
• Strong political support
• Involved in global movements
• Support for strategic, long-term structural work, including planning, monitoring and evaluation
• General awareness of health inequalities and environmental problems
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
An ongoing process….An ongoing process….
• Be patient, work systematically and get help from your friends!
Taking the Commitments to the Street
Sevilla 2007
21-24 March
Session A7 Local Action for Health
Ms Elisabeth Bengtsson
Healthy Cities Coordinator
City of Helsingborg
Further InformationFurther Information
• www.helsingborg.se/hallbarutveckling• www.euro.who.int/healty-cities
