Theory and practice to integrating health in environmental assessment: Synthesis of an experience with stakeholders to deliver a national HIA guideline |
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| Affiliation: | 1. Institute of Clinical Physiology, National Council of Research Via Moruzzi, 1, 56127 Pisa, Italy;2. Regional Public Health Service, Emilia-Romagna Viale Moro, 21, 40127 Bologna, Italy;1. School of Economics, Business Administration & Legal Studies, International Hellenic University,14th km Thessaloniki - N. Moudania, 57001 Thermi, Greece;2. Institute for Bio-Economy and Agri-Technology, Centre for Research and Technology-Hellas, 57001 Thermi, Thessaloniki, Greece;3. Department of Economics, University of Macedonia, University of Macedonia, 156 Egnatia Street, 546 36 Thessaloniki, Greece;1. Environmental Assessment and Management Research Centre, School of Environmental Sciences, University of Liverpool, 74 Bedford Street South, Liverpool L69 7ZT, England, UK;2. Research Unit for Environmental Science and Management, Faculty of Natural and Agricultural Sciences, North West University (Potchefstroom Campus), South Africa;1. Institute of Biological and Health Sciences, Federal University of Alagoas, Maceió, Brazil;2. Instituto de Geografia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil;3. School of Geography and the Environment, University of Oxford, Oxford, UK;4. Instituto de Pesquisas Ecológicas (IPÊ), Nazaré Paulista, Brazil;1. Graduate School of Land Management and Regional Planning, Faculty of Planning, Architecture, Art and Design, 2325, Allée des Bibliothèques, Laval University, Quebec G1V 0A6, Quebec, Canada;2. National Collaborating Centre for Healthy Public Policy, 190, boulevard Crémazie Est., Montréal H2P 1E2, Quebec, Canada;3. Quebec Heart and Lung Institute, 2725 Ch Ste-Foy, Québec G1V 4G5, Quebec, Canada;1. Federal University of Ouro Preto, Minas Gerais, Brazil;2. University of São Paulo, São Paulo, Brazil;3. Escola Superior Dom Helder Câmara, Belo Horizonte, Minas Gerais, Brazil |
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| Abstract: | Private or public developers, including local authorities and government agencies, have limited operational guidance to include case-relevant health information in environmental reports. In Italy, the absence of technical indications prompted the Ministry of Health to construct a new model of Health Impact Assessment (HIA) for health integration in Environmental Assessment (EA) processes. A coordinating committee set within an inter-institutional working group was assisted by public and private key stakeholders to deliver guidance on HIA. The three research stages of framing, production and delivery were carried out to: (1) frame the context for HIA guidance implementation; (2) produce the operational guideline and tools; (3) train and disclose the guideline to final users. The guideline and the operational procedures were informed by core criteria to achieve a health standard in environmental reporting. The procedures guide the user to carry out a comprehensive assessment of the population health based on the broad determinants. The environmental reporting integrates health through functional components, divided into levels and supported by related flowcharts and checklists. HIA knowledge and skills were provided to facilitate the guideline utilization within the health departments. The guideline embedded the existing EA national legacy, normative and technical. The entire decisional cycle, from strategic planning to project development was covered in the guideline including the screen of proposals. The experience triggered the definition of an environmental health collaborative platform under the Ministry of Health coordination to fill gaps in competence building, sector operational tools development, methodologies harmonization on the national territory. |
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