Health Impact Assessments in Australia and New Zealand 2005-2009

Overview of HIAs in Australia and New Zealand during the study period

I'm excited that several colleagues and I have published a paper on HIAs conducted in Australia and New Zealand between 2005 and 2009:

http://onlinelibrary.wiley.com/doi/10.1111/1753-6405.12102/full

This paper is essentially a census of practice. It's the first paper from an Australian Research Council-funded study of the impact and effectiveness of HIAs conducted in Australia and New Zealand. The best thing is it's an open access publication, so anyone can access the entire article for free.

The flow chart below gives an overview of how HIAs were selected for inclusion in the study. We don't think we included every HIA done - a number were not possible to find or were never publicly released - but the study represents one of the more systematic and comprehensive attempts to describe HIA practice internationally.

A total of 115 potentially eligible HIAs were identified; 55 met the study's inclusion criteria

Please let us know what you think in the comments.

Health equity impact assessment - new journal article

New journal article from Sue Povall, Fiona Haigh, Debbie Abrahams and Alex Scott-Samuel at IMPACT.

Abstract

The World Health Organization's Commission on Social Determinants of Health has called for ‘health equity impact assessments' of all economic agreements, market regulation and public policies. We carried out an international study to clarify if existing health impact assessment (HIA) methods are adequate for the task of global health equity assessments. We triangulated data from a scoping review of the international literature, in-depth interviews with health equity and HIA experts and an international stakeholder workshop. We found that equity is not addressed adequately in HIAs for a variety of reasons, including inadequate guidance, absence of definitions, poor data and evidence, perceived lack of methods and tools and practitioner unwillingness or inability to address values like fairness and social justice. Current methods can address immediate, ‘downstream’ factors, but not the root causes of inequity. Extending HIAs to cover macro policy and global equity issues will require new tools to address macroeconomic policies, historical roots of inequities and upstream causes like power imbalances. More sensitive, participatory methods are also required. There is, however, no need for the development of a completely new methodology.

More: heapro.oxfordjournals.org/content/early/.../heapro.dat012.shor...

The impact and effectiveness of health impact assessment: A conceptual framework

Many of you will have heard me present about the conceptual framework we developed for evaluating the impact and effectiveness of HIA over the past few years. The good news is our paper on it has been published:

Harris-Roxas B, Harris E (2012) The Impact and Effectiveness of Health Impact Assessment: A conceptual framework, Environmental Impact Assessment Review:accepted, in press. doi:10.1016/j.eiar.2012.09.003

It's the first empirically-derived conceptual framework for evaluating HIA that I'm aware of and may also be useful for planning and reporting on HIAs. It emphasises context, process and impacts as key domains and attempts to identify the broad range of factors that influence the effectiveness of HIAs.

Please let me know if you have any problems accessing the article so I can send you a copy.