ADB HIA Advisory Group

REGIONAL COUNTRY CONSULTATION

ON HIA GUIDELINES

Double Tree Hilton, Bangkok, November 1-2,

2016

Disclaimer: The views expressed in this presentation are the views of the author and do not necessarily reflect the views or policies of the

Asian Development Bank (ADB), or its Board of Governors, or the governments they represent. ADB does not guarantee the accuracy of the

data included in this paper and accepts no responsibility for any consequence of their use. Terminology used may not necessarily be

consistent with ADB official terms.

OBJECTIVES OF CONSULTATION

● Identify guideline needs

● Consider institutional arrangements

● Support for next steps

OUR FOCUS

● Health impact assessment

● Broadest health definition

● Projects not policies

● Guidelines for infrastructure development projects

● Consultation not training course

● 5 GMS countries

● Ministries of Health and Environment

CONTENT

– Story so far

– Country guidelines: needs and comparisons

– Institutional arrangements for Harmonization

• Between ministries

• Between countries

• With lending agencies

– Need for sector and province guidelines

– Next steps for countries with ADB

Introductions Showing the diversity and

experience in the room

SOCIAL DEMOGRAPHY

● Geographical Diversity

● Professional Affiliation

● Commissioned at least one

health chapter in an EIA

● Commissioned and

Reviewed at least one HIA

● Written an HIA guideline

● Attended an HIA training

course

5 COUNTRIES, 4 PATHS

● Capacity development, policies, regulations – Robert Bos

● Advocacy and networks – Yanyong Inmuong

● Demonstration projects – All + Salim Vohra

● Guidelines and Tools – Martin Birley

GUIDELINES AND TOOLS

● ADB

– Operational definition of health

– Health determinants and outcomes

– Introduction to HIA

– Screening for health in Environmental Safeguards

● Member countries

– Outline national guidelines

– Translation

– Planning this consultation

5 OUTCOMES, 3 DETERMINANTS

DETERMINANTS OF HEALTH

COUNTRY GUIDELINES: NEEDS AND

COMPARISONS

● Resource pack online

– http://tinyurl.com/jafnlel

● Outline national guideline

● Textbook

● Pre-consultation survey

● Posters

● Small group working

COUNTRY GUIDELINES: NEEDS AND

COMPARISONS – SMALL GROUPS

● Identify at least 3 important headings

for an HIA Guideline

● Identify 1 important item under each

heading

● What support is needed to get this

content into a Guideline?

● Project design

● Screening

● Scoping

● Terms of Reference

● Procurement

● Scheduling

● Baseline

● Assessing

● Cumulative and residual

impacts

● Reporting

● Appraising

● Health management plan

INSTITUTIONAL ARRANGEMENTS

OVERVIEW

TODAY

1. Essential functions of Ministries about HIA

2. How to get engagement and support from ministries

3. Screening: H in EIA, separate HIA, no HIA?

4. Coordination issues

5. Authority to review, certify and assure quality

TOMORROW

1. Managing transboundary impacts

2. Role of lenders

QUESTIONS ON INSTITUTIONAL

ARRANGEMENTS

1. How do the essential functions of the MoH, MoE, and

other concerned ministries, safeguard the health of

communities affected by infrastructure development

and where are the gaps and overlaps? –Use Venn

diagram

ESSENTIAL FUNCTIONS OF MINISTRIES

- PROJECT HIA

● What’s working well?

● What needs improvement?

● Where are the gaps and overlaps?

● Identify country

QUESTIONS ON INSTITUTIONAL

ARRANGEMENTS

1.

2. How could we get engagement and support from both

ministries in your respective countries? –take role as

external adviser

INSTITUTIONAL ARRANGEMENTS

PLENARY

● How would you decide whether a development project

required no HIA, Health in EIA, or a separate HIA?

● How could the procedures for EIA and HIA be

coordinated from a technical and an efficiency

perspectives? Examples will be provided

● Which institution could have, or has, the authority to

review and certify an HIA and associated Public Health

Management Plan? How could quality standards for

HIA be assured?

INSTITUTIONAL ARRANGEMENTS:

COORDINATION EXAMPLES

● Timing – Outputs of EIA may be inputs to HIA

• Air pollution

– Iterations

● Task sharing – Who maps location of public services?

– Who regulates occupational health and safety?

– Who summarizes government policies?

● Sampling – Who samples mosquitoes?

– Who does the community survey?

– Should there be medical surveys?