HIA: A MULTIDISCIPLINARY AND CROSS-SECTOR PROCEDURE IN

THE INTERNATIONAL FRAMEWORK

Gabriel GulisUniversity of Southern Denmark

Esbjerg, Denmarkggulis@health.sdu.dk

ObjectivesnHIA –short overviewnExamples of international/national policiesnMulti-disciplinarity and cross-disciplinaritynConclusions

www.hia-nmac.sdu.dk

General model

Policy I.

Basic regulations (general rules) enacted by the Hungarian ParliamentüAct No CII of 1994 on the wine communitiesüAct No XVIII of 2004 on grape growing and wine managementüAct No XVIII of 2004on the excise duty and the specific rules of selling excise goods

Implementing regulations (special rules) framed by the Ministry of Agriculture and Rural Development onüDistillation of by-products (Decree No 75/2004)üCertificate of origin (Decree No 94/2004)üVineyard register (Decree No 95/2004)üGathering and submission of data (Decree No 96/2004)üProtection of origin (Decree No 97/2004)üLabelling (Decree No 98/2004)üProduction of wine (Decree No 99/2004)üProduction potential, restructuring and conversion (Decree No 7/2007)üWine producer manufactures (Decree No 101/2004)üGIS register of vineyards (Decree No 102/2004)üClassification of grape vine varieties (Decree No 104/2004)üWine Examining Committees (Decree No 103/2004)üNational Institute for Wine Qualification (Decree No 58/2005)

Basic regulationüCouncil Regulation (EC) No 1493/1999 of 17 May 1999 on the common organisation of the market in wine

Implementing regulationsüProduction potential (1227/2000)üMarket mechanisms (1623/2000)üOenological practices (1622/2000)üLabelling (753/2002)üQuality wines (1607/2000)üTrade with third countries (883/2001)üAccompanying documents, register (884/2001)üControl (2729/2000)üDeclarations (1282/2001)

International LevelCAP Policy

Rules, regulations, decrees

National levelLegislations Acts

Health

Consumption

Labeling, SES, media, Income, education,…

Processing

Agriculture, environment, taxation, subsidization

Policy level

Determinant of health level

Risk factor level

Health effect level

Farmers, producers, policy makers

Producers, market, media, education, public health …

General population

Policy II.

Policy III.

Multi- disciplinaritynWine policy

n rural planning, agriculture, land use, sociology, medicine, public health, toxicology, ecology, economy, etc…

nDietary fibre policynAgriculture, food processing, land use, ecology, sociology, medicine, economy, public health, etc…

nTourism policynEconomy, water management, environmental sciences, land conservation, biology, architecture, health sciences, public health, diving technologies, sport sciences, etc…

Cross-disciplinaritynData availability – wine production data from agriculture, health data from health and national statistics systems nTrends in tourism (exposure) – trends in healthnPlanning of services, workforce nFull chain approach nPolicy – determinants of health – risk factors – health outcome

Disciplines, Health effects, SectorsMedicine, biology, toxicology Liver Cirrhosis health sector

•Epidemiology, consumer sciences, etc… agriculture, business, finance...

Alcohol consumption•

Psychology, sociology, behavioral sc… Education, economy, social…

Social determinants•

Politology, policy making, sociology…. Economy, agriculture, health…•

Policy

Steps of HIA and intersectorality• Screening – single actor, single sector usually• Scoping – inter-sectoral and cross-disciplinary,

participatory• Risk appraisal – single sector with involvement of many

different disciplines and occasionally sectors• Report writing – single actor, sector with involvement of

other sectors• Decision making – depending on the case, but mostly

single sector• Monitoring and evaluation – single sector, actor! (with

involvement of others…9

Foundation of sound political decisions

B2 – determinants of health

B4?, B5?, B6? Differs, at some

extent exist

C1- not a mustC2 – participation

C3 – data, literature access

C4 – public demand

statute?

A1 data?

A2 - 3? Who is a target group? PH practitioners? planners ? politicians?...

A4? transparency

B1 – uncertainties, lack of clear definitions?

B3 –commitment and support needed?

B7 – conflict of interest of politicians and citizens?

C5-frequent changes?

HIA implementation

LACK

of

TRAINING

ConclusionsnHIA acts across disciplines and sectorsnSystematic capacity building is needed not only within health sector; other sectors should be aware of their responsibility for health