Presentation by Cambodian Participants

Phuket, Thailand

13-14 February 2012

Health Impact Assessment Health Impact Assessment Royal Government of CambodiaRoyal Government of Cambodia

Using tools for decision makers

Providing structure and process to improve health outcomes

Promoting cross-sectoral working by promoting partnerships and sharing of responsibilities for health

Prospective assessments of impacts in the early planning stages

Protecting the most vulnerable people, who may be at risk from proposed developments

Encouraging practices good governance with transparent procedures utilizing identified and public participation

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HIA POLICY

Aims:

To guide decisions on policy, procedures, planning and projects to enhance the positive health impacts and mitigate the negative.

General Objective:

To provide a strategic framework whereby the right to good health, poverty alleviation, reduction of social inequity and sustainability of development in the RCG that can be enhanced through the timely identification of adverse health effects of policies ,plans, projects, and programs.

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Objectives To facilitate the selection of criteria and procedures

that ensure best practices in health impact assessments in

Cambodia. To define the essential functions required to support

adequate and cost-effective health impact assessment

procedures in line with international standards. To define the roles and responsibilities linked to these

essential functions, of policy or project proponents, or

all relevant stakeholders in the public and private sector. To facilitate the establishment of institutional arrangements

between the different public and private sector stakeholders

in support of an efficient health impact assessment process

that is effectively coordinated with other impact assessment

processes.

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Strategic Interventions

Encourage and assist as required the development of an Association of HIA professionals within the country to further enhance capacity building.

Implement measures that ensure public participation in the HIA process including full access to relevant information.

Ensure wider reaching collaboration of HIA practitioners within the region.

Ensure institutional regulation and compliance of the HIA process.

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HIA Procedures

Apply screening criteria to the policy, program, project or plan. Determine whether an HIA is required.

Scoping will involve setting out the parameters of the HIA. Establishing the Steering committee, choosing the appropriate

level of HIA and agreeing on the Terms of Reference. Select the appropriate assessor. Undertake the HIA with a Health Impact Statement (HIA report)

and recommendations for Health Risk Management (HRM). Appraisal of HIA statement. Negotiation with final choice of options for health risk

management. Change project, plan, program or policy as required. Undertake monitoring and evaluation on the process, impacts

and outcomes.

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HIA policy not approve yet by the National Committee for Environment and Health.

Need advocacy with relevant Ministries and stakeholders.

RGC not realize as priority issue.

The institution response on HIA undecided.

Neediness capacity on HIA among health professionals.

The procedures of the EIA is not include HIA.

Socio-economic growth within Cambodia can have both positive and negative impacts on the environmental and social determinants of health.

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Initially assisted by WHO Country office: Draft Policy (2006)

Via National Committee for Environment and Health (NCEH)

as National Steering Committee (all ministries “Minister of

MoH as Chair”, Secretaries/Under-Secretaries of State of all

ministries, and Director-General/Deputy Director General

of national committee) to discuss and debate the HIA draft

for consideration and adoption.

Assisted by NCEH Secretariat (Preventive Medicine

Department, MOH)

HIA guideline(s), procedure(s) …is/are to be developed and

consulted with stakeholders and development partners…,

then it/they will be endorsed by NCEH.

COUNTRYPolitical CommitmentInstitutional Coordination and CollaborationHuman Resource Development and AllocationLogistic SupportsCommunity ParticipationRegional and International consideration

ASEANNetwork Coordination and ParticipationPromoting Sharing Information and Best PracticesCapacity BuildingFinancial Assistances

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