The effectiveness of health impact assessment Matthias Wismar

The effectiveness of health impact assessment Matthias Wismar

Overview ¡ ¡ ¡ Introducing the project and the mapping exercise (Matthias Wismar) Selected results of mapping HIA in Europe (Julia Blau) Introducing the effectiveness analysis (Matthias Wismar) Transport and air pollution (Konrade von Bremen) Six per day (Gabriel Gulis) Transport and children (Martin Sprenger) 2

What is the HIA-effectiveness project about? 22 teams from 19 countries Three year project 15 Aug 2004 – 14 Aug 2007 ¡ The overall aim of the project is to map the use of HIA, evaluate its effectiveness and identify the determinants for its successful implementation. 3

Mapping exercise and effectiveness analysis comparison 4

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What are the limitations of the mapping exercise? ¡ ¡ ¡ National level comprehensively researched, but only one reference region and one reference municipality for each country included For England the Netherlands a selection of HIAs was made Documentation on HIA often incomplete The methodology is sensitive enough to identify fully integrated HIAs, but if no reports available difficulties incorporate them in the fact sheets Devolution, federalization, delegation, privatization poses limitations to the comparison by level 6

Acknowledgement The research presented in this and the following presentation has received funding from the Community under the Public Health Workprogramme (grant agreement 2003101) The sole responsibility lies with the authors

Key question and dimensions of effectiveness ¡ Did the HIA make a difference? l ¡ Effectiveness in terms of influencing the decision making process Dimensions l l Health Equity Community Others e. g. ¡ Administrative effectiveness 8

Types of effectiveness Direct effectiveness General effectiveness Opportunistic effectiveness No effectiveness 9

General framework specifying characteristics of effectiveness 10

Factors that facilitate or hinder effectiveness 11

Case studies ¡ Covering different Sectors/issues l ¡ Differences in size an complexity l l ¡ Transport, urban planning, industry, food and agriculture Airport Berlin Brandenburg, King‘s Cross development Land use in an Italian village Differences regarding the forms l Seperate HIAs, complementary HIAs, strong health component in EIA, EHIA, SIA, Human IA 12