Title: Rapid Health Impact Assessment
1Design for Health
- Rapid Health Impact Assessment
- Big idea
- Participants
- Information required
- Agenda/workshop
- Results
2Design for Health
- Who is thinking of doing an HIA for a project or
plan?
3Design for Health
- Who is thinking of doing an HIA for a project or
plan? - If not, think of a local project or plan that
could involve an HIAwell use this as an example
41. Big Idea
- Rapid HIA Revolves Around a Workshop
- Rapid HIA includes a workshop bringing together
stakeholders to identify and assess health
impacts - It requires significant preparation, however
- Much of the information is the same as will be
collected for a comprehensive plan or project
proposal - Background information on health is available
from the Design for Health Key Question series
and Information Sheets - It requires reporting
- This can be part of a plan or project report
- It can be useful to have a more accessible summary
51. Big Idea
- Resources About Rapid HIA
- Common form of HIA
- Ison (2002) is a 160 page manual includes draft
letters of invitation and agendas for steering
committee meetings - URL http//www.hiagateway.org.uk/media/hiadocs/rap
idappraisal20tool_full_document.pdf
62. Participants
- Who Participates
- Several groups of people participate in a Rapid
HIA - Agency staffmembers of the departments who own
the HIA - Consultants who may perform the work
- HIA steering committeeto guide the HIA, includes
staff, consultants, and some stakeholders - Informantspeople who may or may not live in the
area, who provide background for the meeting - Workshop participants
72. Participants
- Agency Staff--What They Do
- Coordinate steering committee
- Manage steps participants, information,
workshop, results - Integrate into larger planning effort
- Agency StaffWho They are
- Lead and collaborating agencies
- Likely includes
- Organizer or project manager
- Technical staff who may be allocated to the HIA
- A facilitator for the workshop
- Can include consultants
82. Participants
- HIA Steering CommitteeWho They Are
- Potential members
- Government departments
- Planning
- Education
- Parks and recreation
- Public health
- Public works
- Nonprofits
- Business groups
- Residents
- In situations where a staff member (rather than a
consultant) is the project manager and where
there isnt a lot of controversy, the SC can meet
infrequently
92. Participants
- HIA Steering CommitteeWho They Are
- Potential members
- Government departments
- Planning
- Education
- Parks and recreation
- Public health
- Public works
- Nonprofits
- Business groups
- Residents
- In situations where a staff member (rather than a
consultant) is the project manager and where
there isnt a lot of controversy, the SC can meet
infrequently. - Make a list of potential Steering Committee
members if you were to do an HIA for a project or
plan - Is there an existing committee as a base?
102. Participants
- HIA Steering Committee--Decisions
- Specific aims of HIA (e.g. inform a plan element,
examine a topic) - Which aspects of plan/project will be the focus
- Physical and social boundaries of HIA
- Identifying stakeholders
- Assigning responsibility for workshop
administration, technical information, and
workshop facilitator - Workshop agenda
- Reporting requirements
- Decision making about results, monitoring,
evaluation - (See Rapid HIA Toolkit)
112. Participants
- Steering Committee Questions
- What is the purpose of your HIA?
122. Participants
- Steering Committee Issues
- What is the purpose of your HIA?
- In your opinion, which department or agency
should be responsible for a health impact
assessment?
132. Participants
- Steering Committee Issues
- What is the purpose of your HIA?
- In your opinion, which department or agency
should be responsible for a health impact
assessment? - Can you easily identify a
- Project manager?
- Technical staff?
- Facilitator?
- Steering committee members?
142. Participants
- Who Participates
- Several groups of people participate in a Rapid
HIA - Agency staffmembers of the departments who own
the HIA - Consultants who may perform the work
- HIA steering committeeto guide the HIA, includes
staff, consultants, and some stakeholders - Informantspeople who may or may not live in the
area, who provide background for the meeting - Workshop participants
152. Participants
- InformantsWho They Are
- Informants have useful background but dont need
to be part of the workshop - Include residents, proponents of plan or
projects, other experts, health professionals,
voluntary organizations, key decision makers - InformantsWhat They Provide
- Input via interviews
- Questions may include potential health impacts
(positive and negative), other health topics to
consider, nature and size of impacts, whether
impacts can be measured, how certain they are - Other questions are in Rapid HIA toolkit
162. Participants
- Workshop Participants--Who They Are
- Need to represent stakeholders groups including
affected and disadvantaged populations,
government, civic groups, businesses, etc. - Need to be prepared to read materials in
preparation - Number depends on scale of project
- Workshop ParticipantsGetting a Mix of Views
- Invite list of stakeholders
- Get RSVPs
- If there are obvious gaps in who will attend,
invite others or interview key informants
173. Information
- Information for Workshop Participants
- Participants receive background information
before the HIA including as many of the following
as is possible - Brief introduction to HIAcould use the DFH web
site - Summary of the HIA process being undertaken
locally - Most up to date version of the proposal (plan,
project) - Policy and plan inventory
- Profile of the area
- Summary of the evidence base relevant to the
proposal - Summary of other local HIAs or HIAs on similar
projects in other locations - Predicted impacts
- Possible alternatives, if available (Ison 2002)
183. Information
- Policy and Plan Inventory
- Brief summary of plans affecting the area e.g.
comprehensive plan, parks and open space,
transportation, state level plans - Likely being done already for a plan update or
project proposal - However, may want to add some health-related
plans and policies
193. Information
- Area Profile
- Much information already collected in typical
planning - Characteristics of residents (census, Met
Council) - Geography and history
- Existing and proposed land uses
- Environmental quality (e.g. pollution)
- Some additional information may be needed
- Information from studies/HIAs of similar
situations in other places - Living conditions (access to food and water,
health care, etc.)
203. Information Web Site Has Links
- Health Statisticsexamples from Minnesota
- Minnesota Department of Health
- Vital Statistics State and Trends
- Minnesota County Health Tables
- Fee-based Statistical Requests
- Centers for Disease Control
- Behavioral Risk Factor Surveillance System
SMART (Selected Metropolitan/Micropolitan Area
Risk Trends) including GIS shape files - The National Center for Health Statistics
readily accessible statistics are at the state
level. - Health Facilities
- Medicare searchable database of nursing homes by
zip, city, and radius.
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233. Information Area Profile
Hirschfield et al. 2001, Liverpool Target
Hardening Case Study
243. Information
- Evidence Base and Other HIAs
- May need to provide information on determinants
of health or factors causing better or worse
health including - Individual characteristics and behaviors
- Social and economic environment
- Physical environment
- The Key Questions/Research Summaries Provide This
- Accessibility, air quality, environmental and
housing quality, food, mentally healthy
environments, noise, physically active
environments, safety (traffic, crime), social
capital, water quality
253. Information
- Evidence Base
- DFH Key Questions sheets are designed to provide
easy access to the evidence base - DFH Web Sites page has annotated links to useful
health resources by topic with more coming
http//www.designforhealth.net/websites.htm - Other HIAs
- DFH has an Existing Resources about HIA that we
will be updating continuouslyincludes
annotations about good examples
http//www.designforhealth.net/hiaresources.html - Can use http//www.hiagateway.org.uk/
263. Information
- Predicted Impacts
- Draw on HIA Preliminary Checklist, informant
interviews, Design for Health materials - Create a short narrative about projected
impacts--qualitative - Focus on areas where planning has an
effect--compared with ones dominated by social,
economic, individual characteristics - Rank impacts--roughly
273. Information
- Predicted ImpactsNarrative in Matrix
From Toolkit and Barnes (2003, 26)
283. Information
- Predicted ImpactsRanking Example
- Key issue or health determinant Stanhope South
Ashford - Social isolation
- Employment
- Education
- Crime
- Community facilities
- Stress
- Self esteem
- Housing
- Discrimination against Stanhope residents
- A negative sense of community
- A collection of communities
- Cultural poverty
From Toolkit and Barnes (2003, 11)
293. Information
- Information for Workshop Participants--Recap
- Participants receive background information
before the HIA including as many of the following
as is possible - Brief introduction to HIAcould use the DFH web
site - Summary of the HIA process being undertaken
locally - Most up to date version of the proposal (plan,
project) - Policy and plan inventory
- Profile of the area
- Summary of the evidence base relevant to the
proposal - Summary of other local HIAs or HIAs on similar
projects in other locations - Predicted impacts
- Possible alternatives, if available (Ison 2002)
30Design for Health
- Rapid Health Impact Assessment
- Big idea
- Participants
- Information
- Agenda/workshop
- Results
314. Agenda/Workshop
- Armed with Information--Do the Workshop
- Workshop tasks include
- Developing an overall agenda
- Developing specific activities
- Inviting participants
- Sending background information
- Logistics (room, facilitator, food, etc)
- Running the workshop
- Documenting it
324. Agenda/Workshop
- Overall Agenda
- 3-4 hours long
- Presentations about the proposal
- Small groups for input and priorities
- Workshop-wide discussions
- No set formatwe illustrate with Ison (2002) but
this is fairly elaborate and you can simplify!
334. Agenda/Workshop
- Agenda Structure
- Registration and graffiti wall blue whole
30 mins - Introduction 5
- Presentation about the proposal green
presentation 10 - Task Identify threats/conflicts red
groups 20 - Presentation of population profile/local
environmental conditions 10 - Introduction to core tasks 5
- Task Identifying impacts 30
- Task Identifying changes to the proposal 30
- Report back about impacts/changes 15
- Discussion about impacts/changes 15
- Task Prioritization of changes to the proposal
(vote with dots) 15 - Closing remarks What next? (to include reporting
and dissemination of the results, and the process
for decision-making about the proposal)
15 - Total Time 200 mins
344. Agenda/Workshop
- Specific Activities
- Graffiti wall
- Answer questions in small groups
- Prioritize with dots
35Design for Health
- Rapid Health Impact Assessment
- Big idea
- Participants
- Information required
- Agenda/workshop
- Overall agenda
- Specific questions
- Running the workshop
- Results
364. Agenda/Workshop
- Activity 2 Answer Questions
- Questions in the toolkit are from Ison and
include - What are the potential impacts on health,
positive and negative, arising from the
implementation of your plan? - What changes could be made to the proposal to
enhance the positive impacts on health? - What changes could be made to the proposal to
prevent, minimize or moderate the negative
impacts on health? - Help following.
374. Agenda/Workshop
Example of a template for getting at health
impacts from Ison 2002
384. Agenda/Workshop
- Activity 2 Answer Questions
- What are the potential health impacts, positive
and negative, arising from the implementation of
your plan? - Things to think about
- Changes in services like health care and transit?
- DFH Topics accessibility, air quality,
environmental and housing quality, food, mentally
healthy environments, physically active
environments, safety (traffic, crime), social
capital, water quality - How many people, how long, when, how widespread,
how likely, how strong? How do you know? - Discuss in groups and then report/write on flip
chart
394. Agenda/Workshop
- Activity 3 Prioritize
- What are the most important impacts?
- Vote with dots
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414. Agenda/Workshop
- Running the Workshop
- Need overall facilitator plus help at tables
- Need to think about skills and expertise balance
in overall meeting and small groups
425. Results
- Several Types of Results
- Report introduction, information, results of
the workshop, recommendations for changes - Implementation e.g. results incorporated into
plan - Evaluation Michigan Public Health Institute is
doing a process and outcome/implementation
evaluation - Monitoring of implementation
43- Several Types of Results
- EXAMPLES OF REPORTS
445. Results
From Alconbury HIA Final Report, Cambridgeshire
Health Authority
45City of Bloomington, Rapid HIA
465. Results
http//www.ci.bloomington.mn.us/cityhall/dept/comm
dev/planning/longrang/alttranplan/draft.htm
47Design for Health
- Rapid Health Impact Assessment
- Big idea
- Participants
- Information
- Agenda/workshop
- Results
- And what the graffiti wall tells us!
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494. Agenda/Workshop
- Activity 1 Graffiti Wall
- On a post-it answer the questionwhat does good
health mean to you? and stick it on the wall - Then you can have lunch
- Well report back later!