Regeneration, health and HIA - 8th Int HIA Conference Dublin 2008

8/14/2019 Regeneration, health and HIA - 8th Int HIA Conference Dublin 2008

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Centre for Health Impact

Regeneration, health andHIA

,achieved and

can HIA help improve the outcomes


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Whats this poster about?This poster is a work in progress that explore the complex relationship between regeneration and

health. Currently we have more questions than (good) answers. We want to provoke some critical

discussion and debate.

It will outline:

the current evidence on regeneration and health and wellbeing;

the current theories and frameworks used to understand the health and wellbeing impacts ofregeneration proposals;

how health inequalities can be exacerbated by regeneration proposals; and

how HIA can add value to regeneration proposals by maximising their positive impacts, minimisingtheir negatives and narrowing health inequalities.

It will also use case studies from urban and rural areas to illustrate these themes e.g. the 2012Olympics and Neighbourhood Renewal Programmes in the UK.

The aim of the poster will be to generate critical discussion about:

the value of regeneration given the decades of regeneration that have taken place; the similarities between development programmes in developing countries and regeneration

programmes in developed countries both of which are aimed at the poorest people in anneighbourhood, region or country; and

the potential value of HIA in making regeneration programmes more effective when used as anembedded part of the programme management structure.


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Regeneration as revolution ?

On the bicentennial of the

French Revolution, someoneasked the erstwhile ChineseCommunist Party leader, ZhouEnlai, what he thought itslegacy would be.

His answer: "It's too soon totell."

Thats probably the answerwed have to give about therole of regeneration inimproving health andwellbein in de rived


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Billions of , $, spent on it

It is going on somewhere all the time

It has been going on for the last 40year at least

And we are still doing it in the sameareas

It affects a lot of eo le not alwa s for the

Why bother with regeneration?


5/13Centre for Health Impact

Whats the evidence? A work in progress ..

Complex, wide ranging, incomplete

Some evidence for positive health impacts Some evidence for negative health impacts

Long term impacts unclear

Good evidence that targeted communities are not alwaysthe groups (or the only group) that benefits



What are the theories 1? Lots of urban theory but the key theory driving regeneration (and

development) is that

changing physical places changespeople

(life chances/ life

circumstances)

Redevelop an area, improve availability and access to housing, amenities,greenspace, cultural and recreational opportunities, streets, businessopportunities, jobs, etc. and that will directly and indirectly influence healthand wellbeing and regenerate an area and a community.

The classic influencing of the determinants of health and wellbeing



What are the theories 2?

Places

People(themselves and/or other people)Places(same and/or different places)

People

change

change

change

change

Social change

andphysicalchange

seem to beintertwined

It is assumedthat an

external driver

money,people,energy, skills,

focus isneeded for

change

Changeinvolves

disruption,displacement

anduncertaintyduring theyears of

construction/implementatio

n

Politicsand

profits


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What are the theories 3? Back to thedeterminants of health

Adapted from Rapid Health Impact Assessment: a guide to research by Amanda Harris

geneticfactors

sex agediet

leisure

activities

sexualbehaviour

smokingalcohol

medication

illegalsubstances

familyrelationships

housingtenure

employmentstatus

working

condition

income

educationpersonaltransport

socialcontact

social

support

communityparticipation

peerpressure

fear ofcrime &

anti-socialbehaviour

fear ofdiscrimination

crime &anti-socialbehaviour

discrimination

health & socialcare services

childcare

community

facilitiesleisure

facilities

education& training

adviceservices

housing

voluntary &charity groups

publictransport

shops andbanking services

jobcreation

distribution ofincomes

availabilityand qualityof training

availabilityand quality ofemployment

businessactivity

research & technologicaldevelopment

land use &planningnatural

resourcesgreenspacewaste

management

public &environmentalhealth services

naturalhazards

civic design

smell

noise

airquality

waterquality

soilqualit

y

Regenerationaims to CHANGE

the negatively impacting

determinantsof health

Lifestyle

Social influences

Environment

Economic

conditions

Availability & access

Biologicalfactors Personalcircumstances

ethnicitydisability

housingconditions

personal

resilience


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Olympic Regeneration

The evidence is not conclusive but points to

their being some general wider benefits butsignificant costs to local people regenerationdoes not just follow from building infrastructureand hosting the Olympics.

Atlanta in 1996, Sydney in 2000 and Athens2004 all seem not to have achieved theirpromised employment and social housingbenefits, increased sports participation, oreven increased tourism.

Analysis of the last five summer games showsthat with the exception of Barcelona in 1992the benefits failed to reach those most in need.

In Atlanta, house prices soared as a result ofthe games, and in Sydney the facilities, up to2004, had yet to find satisfactory post-Olympicuses.

Mitigation measuresidentified

Community EnterpriseEndowment Fund

Off-Setting ProgrammeEmployment Taskforce

The Street OlympicsCodifying a Healthy City

International Olympic CorpsVolunteer Programme PlusAn Annual National School

OlympicsA Cultural Resource forAfter the Gold Rush: a sustainable Olympics for London edited by Anthony Vigor, Melissa Mean and Charlie Tims, Institute of Public Policy Research and Demos, 200


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Regeneration Similarly, the evidence is not conclusive but

points towards

Regeneration can stop unemployment fromrising in an area but tends not to reduce theoverall inequality in employment between thearea and the national average

Regeneration can increase average incomes

Regeneration can improve satisfaction levels forhousing and the neighbourhood

Regeneration can increase social capital andcohesion

Regeneration can reduce the fear of crime andenhance the sense of safety

But are theselong term

persistentpositive ornegativeeffects?

egenera on egenera on an


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Are there cycles of regeneration and degeneration?

Why do some areas regenerate spontaneously whileothers need external intervention?

How does this relate to development isnt regenerationa developed country term for development indeveloping countries?

Are there things we can learn from experiences ofdevelopment?

egenera on, egenera on andevelopment


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Where does HIA come in?

The key role for HIA is in helping to inform the:

design and implementation of new regenerationprogrammes to ensure that health opportunities/benefitsare maximised and health negatives/costs are minimised;and

re-focusing of existing regeneration programmes(assessing the findings of an interim evaluation andpredicting the potential positives and negatives ofproposed changes to the programme in light of them)

giving local people a voice in the process


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Can HIA practitioners become the ultimateregenerators?

probably notits too soon to tell yetwatch this space

Regeneration, health and HIA - 8th Int HIA Conference Dublin 2008

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Transcript of Regeneration, health and HIA - 8th Int HIA Conference Dublin 2008