Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health...
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Transcript of Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health...
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Butting Our Heads Against A Wall?Ben Harris-Roxas
Centre for Health Equity Training, Research & Evaluation (CHETRE)Part of the UNSW Research Centre for Primary Health Care and Equity
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OR, MOVING BEYOND WHAT WE'VE ALWAYS DONE IN ORDER TO GET HEALTH MEANINGFULLY CONSIDERED
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HIA TEAM AT CHETRE
Elizabeth Harris
Marilyn Wise
Ben Harris-Roxas
Patrick Harris
Harrison Ng Chock
Fiona Haigh
Roger Lyle
Trish Menzies
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SYDNEY SOUTH WEST AREA HEALTH SERVICE
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PEOPLE WE WORK WITH
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NSW CONTEXT
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HIA IS BEING USED IN A VARIETY OF SETTINGS AND FOR A VARIETY OF PURPOSES
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WHAT WE HAVE DONE
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WE NEED TO BEREFLECTIVEAND EMPIRICAL
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WHAT DO WE NEED TO DO FOR HEALTH TO BE MEANINGFULLY CONSIDERED?
HOW CAN WE LEARN FROM WHAT HAS AND HASN’T WORKED?
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WORKING ON HIA SINCE 2003
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REVIEWING CHETRE’S HIA WORK(PUTTING EQUITY AND CAPACITY BUILDING TO ONE SIDE)
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HIA AT THE LOCAL GOVERNMENT LEVEL
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HEALTH WITHIN MAJOR PROJECT ASSESSMENT
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PROGRESS IN SOME AREAS, BUT NOT IN OTHER AREAS
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WHY IS THAT? AND WHAT CAN WE LEARN FROM IT?
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HIA HAS A HIGHER PROFILE
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LOCAL GOVERNMENT IS IMPORTANT
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MAJOR PROJECT ASSESSMENT IS ALSO IMPORTANT
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RENEWED IMPETUS FOR INTERSECTORAL ACTION
FOR HEALTH
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A NARRATIVE REVIEW OF CHETRE’S RESEARCH ON HIA
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REVIEWING HIA REPORTS COMPLETED IN AUSTRALIA AND NEW ZEALAND BETWEEN 2005 AND 2009
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WHAT HIA ENABLES
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PROVIDINGA NEW SOURCE
OF EVIDENCE
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HEALTH CHECKS ON DESIGN
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INTERNAL ADVOCACY
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IMPROVED RELATIONSHIPS BETWEEN ORGANISATIONS
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CONDITIONSFOR SUCCESS
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STEERING COMMITTEE COMPOSITION
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OVERCOMING ORGANISATIONAL
SILOS
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MEANINGFUL HEALTH SECTOR SUPPORT
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CHALLENGES
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VERY FEW MAJOR PROJECT ASSESSMENTS ARE REFERRED TO HEALTH AGENCIES IN NSW, BUT LOCAL GOVERNMENT IS ALMOST ALWAYS INVOLVED
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PEOPLE HAVE TO BE PART OF ENVIRONMENTAL IMPACT
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Framework for Analysing the Consideration of the Broader
Determinants of Health within EIAs
1. Social impacts that can impact on human health,
2. Economic impacts that can impact on health,
3. Physical environmental impacts that can impact on health,
4. Biological human impacts that can impact on health, and
5. Other impacts with no impact on health.
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WHAT SORT OF EVIDENCE SHOULD BE USED TO MAKE
DECISIONS?
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REPORTING CAN BE
IMPROVED
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SO WHAT?
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THE HEALTH SECTOR NEEDS TO REDOUBLE ITS EFFORTS TO WORK WITH LOCAL GOVERNMENT
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TWO PRACTICAL THINGS
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INTRODUCE YOURSELF TO TWO PEOPLE FROM LOCAL GOVERNMENT
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USE THE HIA REVIEW PACKAGE TO REVIEW YOU REPORT BEFORE YOU PUBLISH IT
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YOU CAN LEARN IMPORTANT THINGS FROM BORING PROCESSES
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YOU DON'T NEED A COMPLICATED TO LEARN A LOT ABOUT HIA PRACTICE
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HEAD BUTTING?
MAYBE NOT.
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BUT IT’S TIME TO TACKLE THE BIGGER CHALLENGES
FACING US
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SPECIAL ISSUE OF EIA REVIEW ON HIA IN THE ASIA PACIFIC