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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
OR,
MOVING BEYOND WHAT
WE'VE ALWAYS DONE IN
ORDER TO GET HEALTH
MEANINGFULLY CONSIDERED
HIA TEAM AT CHETRE
Elizabeth Harris
Marilyn Wise
Ben Harris-Roxas
Patrick Harris
Harrison Ng Chock
Fiona Haigh
Roger Lyle
Trish Menzies
SYDNEY SOUTH WEST AREA
HEALTH SERVICE
PEOPLE WE WORK WITH
NSW CONTEXT
HIA IS BEING USED IN
A VARIETY OF
SETTINGS AND FOR A
VARIETY OF
PURPOSES
WHAT WE HAVE
DONE
WE NEED TO BE
REFLECTIVE
AND EMPIRICAL
WHAT DO WE NEED TO DO
FOR HEALTH TO BE
MEANINGFULLY
CONSIDERED?
HOW CAN WE LEARN FROM
WHAT HAS AND HASN’T
WORKED?
WORKING ON HIA SINCE
2003
REVIEWING CHETRE’S
HIA WORK
(PUTTING EQUITY AND
CAPACITY BUILDING TO ONE
SIDE)
HIA AT THE LOCAL
GOVERNMENT LEVEL
HEALTH WITHIN MAJOR
PROJECT ASSESSMENT
PROGRESS IN SOME
AREAS, BUT NOT IN
OTHER AREAS
WHY IS THAT?
AND WHAT CAN WE LEARN
FROM IT?
HIA HAS A HIGHER
PROFILE
LOCAL GOVERNMENT IS
IMPORTANT
MAJOR PROJECT
ASSESSMENT IS ALSO
IMPORTANT
RENEWED IMPETUS FOR
INTERSECTORAL ACTION
FOR HEALTH
A NARRATIVE REVIEW OF
CHETRE’S RESEARCH ON
HIA
REVIEWING HIA
REPORTS
COMPLETED IN
AUSTRALIA AND
NEW ZEALAND
BETWEEN
2005 AND 2009
WHAT HIA ENABLES
PROVIDING
A NEW
SOURCE
OF EVIDENCE
HEALTH CHECKS ON
DESIGN
INTERNAL
ADVOCACY
IMPROVED
RELATIONSHIPS
BETWEEN
ORGANISATIONS
CONDITIONS
FOR SUCCESS
STEERING
COMMITTEE
COMPOSITION
OVERCOMING
ORGANISATIONAL
SILOS
MEANINGFUL HEALTH
SECTOR SUPPORT
CHALLENGES
VERY FEW MAJOR PROJECT
ASSESSMENTS ARE
REFERRED TO HEALTH
AGENCIES IN NSW, BUT
LOCAL GOVERNMENT IS
ALMOST ALWAYS INVOLVED
PEOPLE HAVE TO BE
PART OF ENVIRONMENTAL
IMPACT
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.
WHAT SORT OF EVIDENCE
SHOULD BE USED TO
MAKE DECISIONS?
REPORTING
CAN BE
IMPROVED
SO WHAT?
THE HEALTH SECTOR
NEEDS TO REDOUBLE ITS
EFFORTS TO WORK WITH
LOCAL GOVERNMENT
TWO PRACTICAL THINGS
INTRODUCE YOURSELF
TO TWO PEOPLE FROM
LOCAL GOVERNMENT
USE THE HIA
REVIEW
PACKAGE TO
REVIEW YOU
REPORT
BEFORE YOU
PUBLISH IT
YOU CAN LEARN
IMPORTANT THINGS FROM
BORING PROCESSES
YOU DON'T NEED A
COMPLICATED TO LEARN
A LOT ABOUT HIA
PRACTICE
HEAD BUTTING?
MAYBE NOT.
BUT IT’S TIME TO TACKLE
THE BIGGER CHALLENGES
FACING US
SPECIAL ISSUE OF EIA
REVIEW ON HIA IN THE
ASIA PACIFIC
b.harris-roxas@unsw.edu.au
@hiablog
j.mp/hia2010pres
www.delicious.com/tag/HIA2010
www.hiaconnect.edu.auW

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Butting Our Heads Against A Wall? Or, Moving beyond what we've always done in order to get health meaningfully considered