NSW Health Impact Assessment Project Patrick Harris *, Ben Harris- Roxas *, Lynn Kemp *, Liz Harris...
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Transcript of NSW Health Impact Assessment Project Patrick Harris *, Ben Harris- Roxas *, Lynn Kemp *, Liz Harris...
NSW Health Impact Assessment Project
Patrick Harris*, Ben Harris-Roxas*, Lynn Kemp*, Liz Harris*
Centre for Health EquityTraining, Research & Evaluation
7th International HIA conference presentation, Wales5th April 2006
‘Learning by doing’: HIA within a capacity building
framework
*Centre for Health Equity Training, Research and Evaluation (CHETRE), School of Public Health and Community Medicine, University of New South Wales, Australia
chetre.med.unsw.edu.au
Where We’re From / NSW Health System
WHY WE DID THE WORK
• HIA within EIA (Historically)
• NSW Health and Equity Statement (Recently)
• Recognised need to build capacity to undertake HIA
• Ultimately to embed in policy and planning
OUR APPROACH Capacity Building Framework
chetre.med.unsw.edu.au
Organisational Development
Workforce Development
Resource Allocation
Partnerships
Leadership
• Infrastructure
• Sustainability
• ProblemSolving
Build Capacity
Source: NSW Health. A Framework fro Building Capacity to Improve health. Sydney: New South Wales Department of Health, 2001.
CCOONNTTEEXXTT
WHAT WE HAVE DONE ‘Learning by doing’
• Phase 1 & 2 - Awareness raising, exploration, early adoption.
• Phase 3 – Embedding in the ‘health’ system
• 11 sites undertaken HIA’s,
8 more late 2006
• Supported through:– Training
– Helpdesk
– Site Visits
• Communication and information dissemination– HIA E-News
– HIA Connect Website
• Strategic engagementPhotos: Ben Harris-Roxas
The First Day of Training
The Sites to date• Phase 2: (internal)
– 4 x Health proposals,1 x Planning proposal
• Phase 3: (internal and intersectoral)– 4 x Planning 2 x Health proposals– 8 next round
• ‘Learning by doing’ comments:– “Best way to learn - but time
consuming”– “It’s productive, enjoyable and
sustainable”
A HIA is being undertaken on a Major Metropolitan plan for
Sydney
HIA ‘Population Plan’ Bungendore
Photo: Ben Harris-Roxas
FINDINGS TO DATE – specific to sites
• HIA as intersectoral tool– but ‘health’ a problem for some
• Takes time and can be resource intensive– is complex but less so with experience– requires institutional recognition and
support
• Is highly context specific • Screening and scoping• SDOH / ‘Equity’ useful
IMPLICATIONS
• Strong on building from bottom up – e.g. Workforce devt
• Created a platform of experienced HIA teams
• Restructure (+ve and –ve)
• Questions around other levels to embed in system
• Action research
Table to embed in system
Level Organisational Development
Workforce Development
Resource Allocation
Partnerships Leadership
Macro e.g. Discuss Health Impacts (incl. HIA) in executive meetings with other agencies
e.g. Offering developmental sites places to other agencies
e.g. Providing resources for strategic HIAs
e.g. Engaging and collaboration and alliances with other
sectors
e.g. Generate leadership and uptake of particular aspects of HIA
Meso e.g. Develop organisational commitment to the adoption of HIA.
e.g. Dissemination of results from HIA devt sites
e.g. Support for sites to undertake HIAs
e.g. Engaging and collaborating with other sectors
e.g. Health Department statement of priorities for wider
engagement
Micro e.g. Developmental sites – building ability to implement HIA
e.g. Masters level course developed
e.g. Support provided for routine HIAs
e.g. Using HIA to promote/develop local partnerships
e.g. Showcasing and recognition of work on HIA
THE FUTURE FOR US
• Manual and MPH course
• Next round (community participation and policy proposals)
• Get away from CHETRE as HIA experts
• HIA practitioner network
• Collaboration– International research– 2007 conference
THANK YOU
Photo: Ben Harris-Roxas
More Information
HIA Connecthttp://chetre.med.unsw.edu.au/hia
chetre.med.unsw.edu.au