Popular or political? Trade-offs in health impact assessent
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Transcript of Popular or political? Trade-offs in health impact assessent
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Centre for Primary Health Care and Equity
Popular or Political?Trade-offs in HIA
Ben Harris-RoxasConsultant, Harris-Roxas Health
Conjoint Lecturer, University of New South Wales, Sydney
Health Section Co-Chair, International Association for Impact Assessment
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Draws on the findings of the first phase of the
Australia-New Zealand HIA effectiveness study
Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan R,
Dannenberg A, Sukkumnoed D, Wendel A. The effectiveness of health impact
assessments conducted in Australia and New Zealand; Australian Research Council
Discovery Project Grants; 2010-2011. [DP1096211]
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Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan R, Dannenberg A, Sukkumnoed D, Wendel A. The effectiveness of health impact assessments conducted in Australia and New Zealand; Australian Research Council Discovery Project Grants; 2010-2011. [DP1096211]
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Was there community involvement in the HIA?
Yes n = 33 (73%)
No n = 12 (27%)
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Was there any controversy and/or opposition to
the proposal?
Yes n = 26 (58%)
No n = 19 (42%)
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If yes, what was the level of controversy? (n = 30)
Low Some Medium High0123456789
109
6 6
9
Column1
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Comparing community involvement and controversy (n = 45)
Community In-volvement No Community
Involvement
0
5
10
15
20
25
Controversy
No Controversy
21
5
12
7
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Low Some Medium High0
1
2
3
4
5
6
7
8
98
3
5
8
Community Involvement No Community Involvement
Comparing community involvement and
level of controversy (n = 30)
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Plan Policy Program Project0
2
4
6
8
10
12
14
16 15
43
4
Controversy No Controversy
Comparing controversy by proposal type (n = 45)
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Source: Wismar M, Blau J, Ernst K, Figueras J (Eds.) (2007) The Effectiveness of Health Impact Assessment: Scope and limitations of supporting decision-making in Europe, European Observatory on Health Systems and Policies, World Health Organization: Copenhagen. ISBN 978 92 890 7295 3
Modification of pending decisionsYes No
Health adequa
tely ackno
wledged
Yes
Direct Effectiveness
HIA-related changes in the decision
Due to the HIA the project was dropped
Decision was postponed
General Effectiveness
Reasons provided for not following HIA recommendations
Health consequences are negligible or positive
HIA has raised awareness among policy-makers
No
Opportunistic Effectiveness
The decision would have been made anyway
No effectiveness
The HIA was ignored The HIA was dismissed
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Direct General Opportunistic No0
5
10
15
20
25
20
5
01
Controversy No Controversy
Comparing controversy by
type of effectiveness (n = 45)
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Murky picture
Does community involvement lead to controversy,
or vice versa
And does it matter?
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An example of trade-offs: Lithgow
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Some important trade-offs are never public
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@ben_hr or @hiablog
healthimpactassessment.blogspot.com
linkedin.com/in/benharrisroxas
These slides are available at
www.slideshare.net/benharrisroxas