Outcome Mapping and Outcome Mapping and Monitoring HIA ProgressMonitoring HIA Progress

in Thailandin ThailandDecharut SukkumnoedDecharut SukkumnoedRungthip SukkumnoedRungthip Sukkumnoed

Duangjai RungrojcharuenkijDuangjai Rungrojcharuenkij

Health Public Policy FoundationHealth Public Policy Foundation

HIA Driving Forces in HIA Driving Forces in ThailandThailand New Constitution 2007New Constitution 2007

- - section 67section 67 Environmental and Health IA Environmental and Health IA National Health Act 2007 National Health Act 2007

- Section 11 Right of people to ask for and - Section 11 Right of people to ask for and participate in participate in HIA of any public policyHIA of any public policy

National Development Plan National Development Plan (2007-2011)(2007-2011)- Integration of Health in EIA system - Integration of Health in EIA system - Application of SEA with health - Application of SEA with health considerations in main section and spatial considerations in main section and spatial planningplanning

DecentralizationDecentralization

HIA Development AreasHIA Development Areas

HIA in EIAHIA in EIA HIA for local Government and HIA for local Government and

communitycommunity HIA for Health Public PolicyHIA for Health Public Policy HIA in National Health ActHIA in National Health Act HIA across the BorderHIA across the Border Knowledge base for HIAKnowledge base for HIA

“ “ How can weHow can wemonitor HIA progressmonitor HIA progress in these six areas?” in these six areas?”

Application of Application of Outcome MappingOutcome Mapping

OUTCOME MAPPING Building Learning and Reflection into Development Programs

Sarah Earl, Fred Carden, and Terry Smutylo

IDRC 2001ISBN 0-88936-959-3e-ISBN 1-55250-021-7120 pp.

Concept of Outcome Concept of Outcome MappingMapping

Outcomes are defined as changes in behavior , relationships, activities, or actions of the people, groups and organizations with whom a program works directly

IMPACT

OUTCOMES

OUTPUTS

ACTIVITIES

INPUTS

Why Outcomes? Why Outcomes? (Not Impact)(Not Impact)

The main reasons to focus on the outcomes The main reasons to focus on the outcomes rather than the results (or impacts) is to avoidrather than the results (or impacts) is to avoid The myth of linear, cause and effect thinkingThe myth of linear, cause and effect thinking, ,

which contradicts the understanding of development which contradicts the understanding of development as a complex process that occurs in open system.as a complex process that occurs in open system.

the replacing of agreements and partnerships the replacing of agreements and partnerships based on shared values by based on shared values by bureaucratic bureaucratic programmingprogramming based on plan, budgets, and based on plan, budgets, and accounts.accounts.

the the overlooking of multiple endogenous overlooking of multiple endogenous contributionscontributions and their interactions within and their interactions within development processes.development processes.

The The rejections of the new initiatives and actionsrejections of the new initiatives and actions, , which results from the attempt to achieve the which results from the attempt to achieve the measurable or actionable results.measurable or actionable results.

Focus on Boundary PartnersFocus on Boundary Partners

HIA Development Plan

The Real World

O = Boundary Partners = individuals, groups,and organizations with whom the program interacts directly and with whom program anticipants opportunities for influence to make change in the real world

Spheres for MonitoringSpheres for Monitoring

FACILITATOR/CHANGE AGENT

OrganizationalPractices

Strategies&Activities

BOUNDALYPARTNER

Outcome Challenges &Progress Markers

Outcome Mapping DesignOutcome Mapping Design

Why ? Why ? ((visionvision)) Who ? Who ? ((boundary, partnersboundary, partners)) What ? What ? ((outcome, challenges outcome, challenges

and progress markersand progress markers)) How ? How ? ((mission, strategy maps, mission, strategy maps,

organizational practicesorganizational practices))

Why?Why?HIA VisionHIA Vision

To development HIA to be a social To development HIA to be a social learning process for development learning process for development healthy public policies in various healthy public policies in various sectors and various levelssectors and various levels

- - HIA in EIAHIA in EIA

- HIA for local Government and- HIA for local Government and Community Community

- HIA for Public Policy- HIA for Public Policy

- HIA in National Health Act- HIA in National Health Act

- - HIA across the BorderHIA across the Border

- Knowledge base for HIA - Knowledge base for HIA

Who?Who?HIA Boundary PartnersHIA Boundary Partners

HIA in EIAHIA in EIA -Office of Natural Resource and Office of Natural Resource and Environmental Policy and Planning Environmental Policy and Planning -Department of Disease ControlDepartment of Disease Control

HIA for Local HIA for Local government and government and communitycommunity

-Department of HealthDepartment of Health-Some selected local governmentsSome selected local governments

HIA for HPPHIA for HPP -Health Public Policy Foundation Health Public Policy Foundation - Policy stakeholdersPolicy stakeholders

HIA in NationalHIA in National

Health ActHealth Act

-National Health CommissionNational Health Commission-National and Specific Health AssemblyNational and Specific Health Assembly

HIA Across the BordersHIA Across the Borders -National Health CommissionNational Health Commission-World Heath OrganizationWorld Heath Organization

Knowledge base for HIAKnowledge base for HIA - Various UniversitiesVarious Universities- HPP academicians or researchers- HPP academicians or researchers

What ?What ?Outcome Challenge

Progress Markers

1. To integrate HIA in the EIA system and to develop EIA system to fit with the constitutional norms.

Expect to see

1.the developments of the recommendations for the improvement of public participation in the EIA system 2.the publication of the people handbook for their right protection based on new constitution and National Health Act3.the development of the HIA guidelines in specific sectors, such as energy or mining4.organizing public forum for EIA improvement and integrating HIA in EIA

Like to see 1.case studies in applying HIA in EIA systems, based on the guidelines2.the development of the comprehensive HIA guidelines for all EIA projects 3.establishing the working group for developing HIA and EIA4.developing the governance assessment in EIA system and project

Love to see 1.the whole reform of EIA process 2.the applications of the community rights according to the section 67 in the Thailand’s new constitution

How? : strategy mapHow? : strategy mapstrategystrategy causalcausal persuasivepersuasive supportivesupportive

HIA in EIAHIA in EIA Constitutional Constitutional normsnormsWorking groupWorking group

People ForumPeople ForumGovernance Governance assessmentassessment

GuidelinesGuidelinesWorkshopWorkshop

HIA for Local HIA for Local Government and Government and communitycommunity

GuidelinesGuidelinesTrainingTraining

Case StudiesCase StudiesForumForum

TrainingTrainingWeb-siteWeb-siteConsultingConsulting

HIA for HPPHIA for HPP Case studiesCase studiesSEA normsSEA norms

Policy Policy Documents and Documents and ForumForum

TrainingTrainingWorkshopWorkshopActivitiesActivities

HIA in National HIA in National Health ActHealth Act

Legal rulesLegal rules(Section 11)(Section 11)

Health AssemblyHealth Assembly Health Assembly Health Assembly AcademyAcademy

HIA across the HIA across the BordersBorders

HIA2007HIA2007HIA2008HIA2008

SEA-OceaniaSEA-OceaniaNetworkNetwork

Case studiesCase studiesWorkshopsWorkshops

Knowledge base Knowledge base for HIAfor HIA

HIA CoursesHIA CoursesHIA TextbooksHIA Textbooks

Thesis on HIA Thesis on HIA ApplicationsApplications

Fund, Advisers, Fund, Advisers, MaterialsMaterials

How?: How?: Eight Organizational PracticesEight Organizational Practices1.1. Prospecting for new ideas, Prospecting for new ideas,

opportunities, and resources.opportunities, and resources.2.2. Seeking Feedback from key Seeking Feedback from key

informants.informants.3.3. Obtaining the support of your next Obtaining the support of your next

highest powerhighest power4.4. Assessing and Assessing and ((rere)) designing designing

products, services, systems and products, services, systems and proceduresprocedures

5.5. Checking up on those already served Checking up on those already served to add valueto add value

6.6. Sharing your best wisdom with the Sharing your best wisdom with the worldworld

7.7. Experimenting to remain innovativeExperimenting to remain innovative8.8. Engaging in organization reflectionEngaging in organization reflection

Monitoring Three Parallel Monitoring Three Parallel ProcessesProcesses An Outcome JournalAn Outcome Journal – monitoring – monitoring

the boundary partners 'achievement the boundary partners 'achievement of progress markers.of progress markers.

A Strategy JournalA Strategy Journal – monitoring – monitoring program’s program’s ((or facilitator’sor facilitator’s)) actions in actions in support of the boundary partnerssupport of the boundary partners

A Performance JournalA Performance Journal – – monitoring the organizational monitoring the organizational practices being employed by the practices being employed by the program program ((or facilitatoror facilitator))

Monitoring MappingMonitoring Mapping

Inside-Out and Outside In

Performance Journal monitoring the organizational practices

Strategy JournalMonitoring the strategic action in support of the boundary partners

Outcome Journal monitoring the progress markersof boundary partners

HPPF

HIA Development Plan

Please follow up our Please follow up our experiment and experiment and lessons in lessons in

HIA 2008 HIA 2008 in Chiang Mai Thailandin Chiang Mai Thailand

2008 Asia Pacific 2008 Asia Pacific Conference on Health Conference on Health Impact AssessmentImpact Assessment

Empowering People Empowering People Ensuring HealthEnsuring Health

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