Community-Driven Health-Impact Assessment

Author(s):  
Maureen Coady

Highly participatory local health impact assessment processes can be used to identify and encourage practices and policies that promote health. They also foster community learning that can increase a community's capacity to improve local conditions for a healthier community. This chapter examines a Community-Driven form of Health Impact Assessment (CHIA) practiced in rural Nova Scotia, Canada since 1997. Experience suggests that informal learning in these processes is often transformative; ordinary citizens learn to identify factors that influence their health, to think beyond the illness problems of individuals, and to consider how programs and policies can weaken or support community health. They learn that that they can identify directions for future action that will safeguard the health of their community.

2015 ◽  
pp. 2169-2186
Author(s):  
Maureen Coady

Highly participatory local health impact assessment processes can be used to identify and encourage practices and policies that promote health. They also foster community learning that can increase a community's capacity to improve local conditions for a healthier community. This chapter examines a Community-Driven form of Health Impact Assessment (CHIA) practiced in rural Nova Scotia, Canada since 1997. Experience suggests that informal learning in these processes is often transformative; ordinary citizens learn to identify factors that influence their health, to think beyond the illness problems of individuals, and to consider how programs and policies can weaken or support community health. They learn that that they can identify directions for future action that will safeguard the health of their community.


Author(s):  
Salim Vohra ◽  
Marla Orenstein ◽  
Francesca Viliani ◽  
Ben Cave ◽  
Ben Harris-Roxas ◽  
...  

Systematically and holistically considering the community health impacts of new policies and projects is critical. Impact assessment (IA) is a key component of national, international, and many commercial policy and project development and decision-making processes. Health impact assessment (HIA) and the health component of environmental assessment (health in EA) analyses both the potential positive and negative health impacts of policies and projects. HIA and health in EA by engaging stakeholders and incorporating a range of sources and types of evidence can maximize the positive and minimize the negative impacts. This means that precautionary principle is implicitly or explicitly a part of the IA process. There are a range of significant challenges in applying IAs and in applying the precautionary principle, particularly in the IA process. Public health professionals need to engage in the IA process, in HIAs and in Health in EAs, to protect and promote community health and well-being.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Most scientific communities and governments accept that a global warming process is occurring, and are concerned about its alarming potential environmental and health consequences. The extreme conditions associated to climate change such as severe storms, floods and prolonged heatwaves and droughts, are expected to increase considerably the burden of climate-sensitive diseases (e.g. heat-related illness, new and emerging infectious diseases, respiratory diseases or threats to food security). Poor countries are most at risk, but developed economies can also be strongly affected as illustrated by the large number of deaths associated to the European heat wave of 2003. Conducting health impact assessment of climate change (HIA-CCh) requires the analyses of complex interactions between humans and natural ecosystems, demanding an interdisciplinary approach and a wide range of tools and techniques. Those analyses should be simultaneously context specific and extend over time to track not only the full dimension of health impacts but also the efforts needed to adapt and build resilience. Standard indicators for climate-sensitive health outcomes alone will not adequately capture the changing risks typically related to climate change. In addition to them, indicators of vulnerability and exposure, adaptation planning and resilience for health, and learning and knowledge management are required. The present workshop aims at analysing and sharing expertise on how to conduct an HIA-CCh, with the following elements for discussion: Definition of the scope (both temporal and spatial) and the interdisciplinary team to be involved in the processSelection of indicators that will allow not only characterization of health impacts but also promoting and tracking adaptation activities at national and local health departmentsForesight climate change scenarios and how this can be incorporated into the decision-making processVulnerability risk in relation to impact assessment and health / health equity in the context of climate changeHow the proper HIA-CCh can have an impact on learning and changes in management frameworks Key messages Increasing public health’s adaptive capacity to face climate-sensitive threats is needed. Conducting HIA-CCh requires innovative management strategies and proper selection of indicators.


2021 ◽  
Vol 56 (3) ◽  
pp. 361-371
Author(s):  
Sawpheeyah Nima ◽  
Pongthep Sutheravut ◽  
Yuttana Homket

For the first time, this article describes the novel process based on the integrated community health impact assessment (CHIA) for renewable energy technologies that have been globally accepted, such as a biomass power plant, to reduce health inequities in Southern Thailand. The co-design foresight study and participatory action research (PAR) using multiple qualitative methodologies, including key informant interviews, focus group discussions, and Delphi expert panels. The study was conducted the integrated approach during May-December 2019 in a small town, Southern Thailand. Strategic foresight enabled the community to identify future scenarios of enterprises, institutions, and others in the short, medium, and long term by analyzing internal and external factors. First, the compassionate communities served as a strategy to build support for individuals, schools, workplaces, civic organizations, and local governments to tackle health challenges surrounding severe problems. Second, community readiness played a role in assessing communities' adoption of mindfulness to deal with the biomass power plant. Third, the social and ecological effects presented the livelihood and living in the Southern region as the main determinants in modern energy utilization under Thailand's policy. These factors contributed to CHIA's entire process of producing health promotion, social learning, and public policy derived by the community. The findings of this study are geared towards providing advanced practical decision-support tools for stakeholders responsible for policy and investment decisions in a community near the biomass power plant constructions.


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