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Stakeholder participation in health impact assessment: A multicultural approach
Institution:1. Hartog School of Government and Policy, Faculty of Social Sciences, Tel Aviv University, P.O.B. 39040, Tel Aviv 69978, Israel;2. Department of Health Systems Management, Faculty of Health Sciences, Ben-Gurion University, P.O.B. 653, Be''er Sheva 84105, Israel;3. Swiss Institute for Dryland Environmental Research, The Jacob Blaustein Institutes for Desert Research, Ben-Gurion University of the Negev, Sede Boqer 84990, Israel;4. Mitrani Department of Dryland Ecology, Swiss Institute for Dryland Environmental Research, The Jacob Blaustein Institutes for Desert Research, Ben-Gurion University of the Negev, Sede Boqer 84990, Israel;1. University of California, Berkeley, School of Public Health, Department of Environmental Health Sciences, 50 University Hall, Berkeley, CA 94720-7360, United States;2. University of California, Berkeley, Institute of Urban and Regional Development, United States;3. University of California, Berkeley, College of Environmental Design, Department of City and Regional Planning, United States;4. University of Washington, School of Public Health, Department of Environmental and Occupational Health, United States;1. University of Ottawa, Institute of Population Health, 1 Stewart Street, Suite 201, Ottawa, ON K1N 6N5, Canada;2. University of Ottawa, Interdisciplinary School of Health Sciences, 1 Stewart Street, Suite 207, Ottawa, ON K1N 6N5, Canada;3. University of Ottawa, Department of Medicine, Faculty of Medicine, K1H 8M5 Ottawa, Canada;4. Ottawa Hospital Research Institute, Clinical Epidemiology Program, K1Y 4E9 Ottawa, Canada;5. University of Ottawa, Department of Epidemiology and Community Medicine, Faculty of Medicine, K1H 8M5 Ottawa, Canada;6. Institute of Population Health, University of Ottawa, K1N 6N5 Ottawa, Canada;1. Centre for Research in Environmental Epidemiology (CREAL), C/Dr. Aiguader 88, 08003 Barcelona, Spain;2. Universitat Pompeu Fabra (UPF), C/Dr. Aiguader 88, 08003 Barcelona, Spain;3. CIBER Epidemiología y Salud Pública (CIBERESP), C/Monforte de Lemos 3-5, 28029 Madrid, Spain;4. Centre for Environmental Policy, Imperial College London, Exhibition Road, South Kensington Campus, SW7 2AZ London, United Kingdom;5. Flemish Institute for Technological Research (VITO), Boeretang 200, 2400 Mol, Belgium;6. Centre for Environmental Sciences, Hasselt University, Agoralaan building D, 3590 Diepenbeek, Belgium;7. University of Natural Resources and Life Sciences Vienna, Institute for Transport Studies, Peter-Jordan-Straße 82, 1190 Vienna, Austria;8. Physical Activity and Health Unit, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Seilergraben 49, 8001 Zurich, Switzerland;9. School for Mobility, Hasselt University, Wetenschapspark, 3590 Diepenbeek, Belgium
Abstract:The literature on impact assessment (HIA) registers the importance of stakeholder participation in the assessment process, but still lacks a model for engaging stakeholders of diverse ethnic, professional and sectorial backgrounds. This paper suggests that the multicultural approach can contribute to HIA through a revision of the generic 5-step HIA model, and its implementation in a metropolitan plan in Southern Israel. The health issue scoped by the stakeholders in the HIA is related to land uses in the vicinity of the national hazardous industry and hazardous waste site. The stakeholders were representatives of the diverse populations at stake, including rural Bedouins and Jewish city dwellers, as well as representatives from the public sector, private sector, non-governmental organizations and academia. The case study revealed that a multicultural stakeholder participation process helps to uncover health issues known to the community which were not addressed in the original plan, and provides local knowledge regarding health conditions that is especially valuable when scientific data is uncertain or absent. It enables diverse stakeholders to prioritize the health issues that will be assessed. The case study also reveals ways in which the model needs revisions and improvements such as in recruitment of diverse participants. This paper presents a multicultural model of HIA and discusses some of the challenges that are faced when HIA is implemented in the context of current decision-making culture.
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