1. Health Impact Assessment (HIA)
– International and Online
Hilary Dreaves
Research Fellow (HIA)
IMPACT
International Health Impact Assessment (HIA) Consortium,
Department of Public Health and Policy,
Institute of Psychology, Health and Society,
University of Liverpool
0151-794 5004

2. • IMPACT wins inaugural Impact Award 2009
• Methodological Research in HIA
• Knowledge Exchange / CPD: >35 countries to date
• Consultancy: >40 HIAs published to date

3. Knowledge Exchange / CPD
• Comprehensive 5 day HIA course (>35 countries to date)
• On campus MPH full 15 credit module
• WHO HIA guides and toolkit
• World Bank/ International Finance Corporation (IFC) guide
• WHO Healthy Cities guide and capacity building
• Government HIA capacity building, e.g. Brazil, Italy, Finland,
Portugal, Australia, New Zealand, Japan, Chile.....
• UK Regional capacity building, e.g. North East and North
West (> 439 in NW alone)
• Bespoke formats, e.g. one, two and three day courses
• Laureate Online MPH (>190, mostly Africa and S. America)
• “On campus; on location; on line”

4. Consultancy: >40 published to date
HIA Topic Date
Strategic guidance for safeguarding and improving the health of communities affected by estate regeneration in Tower Hamlets 2010
Liverpool Core Strategy (Comprehensive – integrated with Sustainability Appraisal) ongoing
City West Housing Trust‟s Home Improvement Programme (Comprehensive) 2010
Liverpool Mutual Homes‟ Community Housing Investment programme (Rapid) 2009
Speke CAB Paylink Project (Rapid) 2010
„A new Health Service for Liverpool‟ (Rapid) 2009
Leigh LIFT centre development (Desk-based) 2008
Liverpool Advocacy Strategy (Desk-based) 2008
Liverpool Homeless Strategy (Desk-based) 2008
Jersey Energy from Waste – stage 2 (Rapid) 2008
Kirkby Sports Stadium & retail park development HIA (Rapid) 2008
Merseyside‟s „Health is Wealth‟ Commission (Desk-based) 2008
Birmingham International Airport‟s Runway Extension (Rapid) 2008
Oldham Town Centre‟s Integrated Care Centre (Rapid) 2007
„Our Health our care our say‟ and young carers (Rapid) 2007
Jersey Energy from Waste – stage 1 (Rapid) 2007
Coventry and Warwickshire Acute Services Review (Screening and Scoping) 2007
Reconfiguring women‟s and children‟s health services in NW England (Rapid – integrated with Race IA) 2006
Liverpool Residential Relocation Core Document (Desk-based) 2006
Norris Green – Citizens‟ Jury (Comprehensive) 2006
Norris Green - Anti Social Behaviour Orders (Comprehensive) 2006
NW Regional Economic Strategy (Desk-based) 2006
Liverpool & South Sefton Strategic Services Development Plan (Desk-based) 2005
Clean Accessible Transport for Community Health (Rapid) 2004 & 2005
Liverpool Alcohol Strategy (Rapid) 2005
MerseyTram Line 1 (Rapid – integrated with EIA) 2004
Castlefields Housing & Regeneration Programme (Rapid) 2004
EC European Employment Strategy (Comprehensive) 2004
UK Employment Strategy (Comprehensive) 2004
Ireland Employment Strategy (Comprehensive) 2004
Germany Employment Strategy (Comprehensive) 2004
Netherlands Employment Strategy (Comprehensive) 2004
UK Foresight Vehicle Strategy (Comprehensive) 2002
UK Foresight Vehicle Strategy (Rapid) 2001
Stepping Out (Young Women‟s Empowerment project) (Comprehensive) 2001
Target Hardening (Burglary Reduction project) (Comprehensive) 2001
Parenting 2000 (Parenting project) (Comprehensive) 2001
Private Rented Dwellings (Housing Renewal programme) (Rapid) 2001
Ayelsbury Plus New Deal for Communities (Housing & Regeneration) (Rapid) 2001

5. What is HIA?
‘A combination of procedures,
methods and tools by which a policy,
programme or project may be judged
as to its potential effects on the
health of a population, and the
distribution of those effects within the
population.‟
WHO (1999) Gothenburg consensus paper

6. Why do HIA?
HIA aims to inform and influence
decision-making to enhance the
positive impacts of any decision and
reduce (or eliminate) any negative
impacts.
IMPACT 2005

7. A generic model of HIA (Abrahams et al, 2004)
Screening Policy analysis
Profiling of communities
Scoping
Qualitative and quantitative data
collection
Conduct assessment
Impact analysis
Report on health impacts and
policy options
Establish priority impacts
Monitoring Recommendations developed
Impact and outcome evaluation Process evaluation

8. Capacity Building for HIA
Definition of Capacity Building
“an approach to the development of
sustainable skills, organisational structures,
resources and commitment to health
improvement in health and other sectors, to
prolong and multiply health gains many
times over”
(Hawe, P et al 1997)

9. Source: New South Wales Health Department 2001.A Framework for Building Capacity
to Improve Health http://www.health.nsw.gov.au/pubs/2001/pdf/framework_improve.pdf

10. Source: New South Wales Health Department 2001. A Framework for Building Capacity to Improve Health http://www.health.nsw.gov.au/pubs/2001/pdf/framework_improve.pdf

11. Resource
Transformation:
Paul Duvall
eLearning Unit
126 Mount Pleasant
University of Liverpool
L69 3GR
Tel: 0151 7942477
elearning@liverpool.ac.uk

12. Enablers:
External:
• Global market demand (and resource) for HIA
• IMPACT reputation
• HIA Methodological expertise
• HIA Capacity Building experience and expertise
• Demand for on line provision
• Requests for internships, distance support for early
work, etc
• Moves towards competency / accreditation
• Desire to be “qualified”, especially in the commercial
market place.
Internal:
• Excellent support from colleagues
• University strategic vision
• Experienced and expert HIA facilitators

13. Disablers:
Internal:
• “Parallel universes” of student registration (or not)
• TULIP
• Lack of coherence and mixed messages (KE and CPD)
• “Enthusiasm” for KE/CPD
• Time consuming “fishing expeditions” cross department
and faculties
• Communications – but a little better with new Research
Strategy launches
• Capacity – new ways of working
External:
• UK Policy environment