Health Impact Assessment Scoping

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Health Impact Assessment Scoping
September 8, 2008

• Gary R. Krieger, MD, MPH, DABT, DTMH
• Marci Z. Balge, RN, MSN, COHN-S
• Mark Divall M.B., Ch.B, DTMH
• Mirko Winkler MS, Swiss Tropical Institute
• Burt Singer, PhD Princeton University
• Juerg Utzinger, PhD Swiss Tropical Institute

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When You Build It, They Will Come
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Scoping- What is it?

• Process for outlining the range and types of
  hazards and beneficial impacts.
• Overall types and categories of questions that
  must be addressed are defined at this stage of
  the HIA.
• Input of key stakeholders and the relevant
  host-country health authorities is critical so
  that the HIA adequately addresses a realistic
  range of health concerns

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Scoping

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Scoping

• Timing of the HIA is critical
• Maximum benefit occurs before final engineering
  design specifications are locked-in
• Project proponents often consider health
  covered as part of an SEIA or SIA
• Whether separate or integrate, health should be
  systematically addressed

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Scoping- Input
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Scoping- Input
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Scoping- Input
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Scoping-Type of HIA
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Scoping- Selecting the Type of HIA

• Figure 2 HIA Variables

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Health Impact AssessmentPitfalls

• Keeping HIA on the radar screen
• HIA and SIA tyranny of the anthropologists!
• Integration vs. stand-alone
• Who performs the HIA
• Survey fatigue and other household follies
• ME issues-Key Performance Indicators issues
• Roles and Responsibilities between project
  proponents and host governments-but for the
  project
• Cumulative effects issues

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Questions?