SlideShare una empresa de Scribd logo
1 de 15
Descargar para leer sin conexión
Popular or Political?
                                                        Trade-offs in HIA


   Centre for Primary Health Care and Equity




                                               Ben Harris-Roxas
                                               Consultant, Harris-Roxas Health
                Conjoint Lecturer, University of New South Wales, Sydney
Health Section Co-Chair, International Association for Impact Assessment
Draws on the findings of the first phase of the
        Australia-New Zealand HIA effectiveness study

 Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan
 R, Dannenberg A, Sukkumnoed D, Wendel A. The effectiveness of health impact
assessments conducted in Australia and New Zealand; Australian Research Council
               Discovery Project Grants; 2010-2011. [DP1096211]
Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan R, Dannenberg A, Sukkumnoed
D, Wendel A. The effectiveness of health impact assessments conducted in Australia and New Zealand; Australian
Research Council Discovery Project Grants; 2010-2011. [DP1096211]
Was there community involvement in the HIA?
     Yes         n = 33 (73%)
     No          n = 12 (27%)
Was there any controversy and/or opposition to
the proposal?
      Yes        n = 26 (58%)
      No         n = 19 (42%)
If yes, what was the level of controversy? (n = 30)
                      Column1
     10      9                            9

      8
                      6         6
      6

      4

      2

      0
            Low      Some     Medium     High
Comparing community involvement and controversy (n = 45)


  25
                 21
  20
                         12
  15
                                             7
  10

   5                                 5
                                                     No Controversy

       0
                                                 Controversy
            Community
           Involvement        No Community
                               Involvement
Comparing community involvement and
               level of controversy (n = 30)
9
    8                                                   8
8
7
6
                                      5
5
4
                       3
3
2
1
0
        Low             Some          Medium                High
          Community Involvement   No Community Involvement
Comparing controversy by proposal type (n = 45)

16     15
14

12

10

 8

 6
                      4                           4
 4                                     3
 2

 0
         Plan         Policy          Program     Project
                   Controversy   No Controversy
Modification of pending decisions
                                                                Yes                                       No

                                               Direct Effectiveness                   General Effectiveness
        Health adequately acknowledged




                                                   HIA-related changes in the             Reasons provided for not
                                                   decision                               following HIA recommendations
                                         Yes



                                                   Due to the HIA the project was         Health consequences are
                                                   dropped                                negligible or positive
                                                   Decision was postponed                 HIA has raised awareness among
                                                                                          policy-makers
                                               Opportunistic Effectiveness            No effectiveness

                                                   The decision would have been           The HIA was ignored
                                         No




                                                   made anyway                            The HIA was dismissed




Source: Wismar M, Blau J, Ernst K, Figueras J (Eds.) (2007) The Effectiveness of Health Impact Assessment: Scope
and limitations of supporting decision-making in Europe, European Observatory on Health Systems and
Policies, World Health Organization: Copenhagen. ISBN 978 92 890 7295 3
Comparing controversy by
              type of effectiveness (n = 45)
25

     20
20


15


10

                      5
 5

                                                    1
                                       0
 0
     Direct          General        Opportunistic       No
                   Controversy   No Controversy
Murky picture
Does community involvement lead to controversy,
                 or vice versa
              And does it matter?
An example of trade-offs: Lithgow
Some important trade-offs are never public
These slides are available at

www.slideshare.net/benharrisroxas


   ben@harrisroxashealth.com

   @ben_hr or @hiablog

   healthimpactassessment.blogspot.com

   linkedin.com/in/benharrisroxas

Más contenido relacionado

Más de Ben Harris-Roxas

Online discussions with classmates are fruitful: Fostering postgraduate colla...
Online discussions with classmates are fruitful: Fostering postgraduate colla...Online discussions with classmates are fruitful: Fostering postgraduate colla...
Online discussions with classmates are fruitful: Fostering postgraduate colla...Ben Harris-Roxas
 
Use of translation apps and websites in health care settings
Use of translation apps and websites in health care settingsUse of translation apps and websites in health care settings
Use of translation apps and websites in health care settingsBen Harris-Roxas
 
Use of translation apps and websites in health care settings
Use of translation apps and websites in health care settingsUse of translation apps and websites in health care settings
Use of translation apps and websites in health care settingsBen Harris-Roxas
 
Health impact assessments of health sector proposals
Health impact assessments of health sector proposalsHealth impact assessments of health sector proposals
Health impact assessments of health sector proposalsBen Harris-Roxas
 
Health impact assessment as a tool to promote urban health the experience in...
 Health impact assessment as a tool to promote urban health the experience in... Health impact assessment as a tool to promote urban health the experience in...
Health impact assessment as a tool to promote urban health the experience in...Ben Harris-Roxas
 
Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Ben Harris-Roxas
 
Green square health impact assessment
Green square health impact assessmentGreen square health impact assessment
Green square health impact assessmentBen Harris-Roxas
 
Equity focused health impact assessment - The role of the health system in re...
Equity focused health impact assessment - The role of the health system in re...Equity focused health impact assessment - The role of the health system in re...
Equity focused health impact assessment - The role of the health system in re...Ben Harris-Roxas
 
Health Impact Assessment - INPES Journées de la prévention 2015
Health Impact Assessment - INPES Journées de la prévention 2015Health Impact Assessment - INPES Journées de la prévention 2015
Health Impact Assessment - INPES Journées de la prévention 2015Ben Harris-Roxas
 
Health Impact Assessment - 2014
Health Impact Assessment - 2014Health Impact Assessment - 2014
Health Impact Assessment - 2014Ben Harris-Roxas
 
Effectiveness of HIAs in Australia and New Zealand
Effectiveness of HIAs in Australia and New ZealandEffectiveness of HIAs in Australia and New Zealand
Effectiveness of HIAs in Australia and New ZealandBen Harris-Roxas
 
Using social media for messaging about healthy eating and active living
Using social media for messaging about healthy eating and active livingUsing social media for messaging about healthy eating and active living
Using social media for messaging about healthy eating and active livingBen Harris-Roxas
 
Health Impact Assessment: A triumph over common sense?
Health Impact Assessment: A triumph over common sense?Health Impact Assessment: A triumph over common sense?
Health Impact Assessment: A triumph over common sense?Ben Harris-Roxas
 
Health Impact Assessment: Fit for more than one purpose
Health Impact Assessment: Fit for more than one purposeHealth Impact Assessment: Fit for more than one purpose
Health Impact Assessment: Fit for more than one purposeBen Harris-Roxas
 
What is Health Impact Assessment?
What is Health Impact Assessment?What is Health Impact Assessment?
What is Health Impact Assessment?Ben Harris-Roxas
 
Health Impact Assessment: An overview of practice worldwide
Health Impact Assessment: An overview of practice worldwideHealth Impact Assessment: An overview of practice worldwide
Health Impact Assessment: An overview of practice worldwideBen Harris-Roxas
 
Chongyi to Sydney: Collaboration in research and translation
Chongyi to Sydney: Collaboration in research and translationChongyi to Sydney: Collaboration in research and translation
Chongyi to Sydney: Collaboration in research and translationBen Harris-Roxas
 
Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...
Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...
Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...Ben Harris-Roxas
 

Más de Ben Harris-Roxas (20)

Online discussions with classmates are fruitful: Fostering postgraduate colla...
Online discussions with classmates are fruitful: Fostering postgraduate colla...Online discussions with classmates are fruitful: Fostering postgraduate colla...
Online discussions with classmates are fruitful: Fostering postgraduate colla...
 
Use of translation apps and websites in health care settings
Use of translation apps and websites in health care settingsUse of translation apps and websites in health care settings
Use of translation apps and websites in health care settings
 
Use of translation apps and websites in health care settings
Use of translation apps and websites in health care settingsUse of translation apps and websites in health care settings
Use of translation apps and websites in health care settings
 
Health impact assessments of health sector proposals
Health impact assessments of health sector proposalsHealth impact assessments of health sector proposals
Health impact assessments of health sector proposals
 
Health impact assessment as a tool to promote urban health the experience in...
 Health impact assessment as a tool to promote urban health the experience in... Health impact assessment as a tool to promote urban health the experience in...
Health impact assessment as a tool to promote urban health the experience in...
 
Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...
 
Green square health impact assessment
Green square health impact assessmentGreen square health impact assessment
Green square health impact assessment
 
Equity focused health impact assessment - The role of the health system in re...
Equity focused health impact assessment - The role of the health system in re...Equity focused health impact assessment - The role of the health system in re...
Equity focused health impact assessment - The role of the health system in re...
 
Health Impact Assessment - INPES Journées de la prévention 2015
Health Impact Assessment - INPES Journées de la prévention 2015Health Impact Assessment - INPES Journées de la prévention 2015
Health Impact Assessment - INPES Journées de la prévention 2015
 
Health Impact Assessment - 2014
Health Impact Assessment - 2014Health Impact Assessment - 2014
Health Impact Assessment - 2014
 
Effectiveness of HIAs in Australia and New Zealand
Effectiveness of HIAs in Australia and New ZealandEffectiveness of HIAs in Australia and New Zealand
Effectiveness of HIAs in Australia and New Zealand
 
Using social media for messaging about healthy eating and active living
Using social media for messaging about healthy eating and active livingUsing social media for messaging about healthy eating and active living
Using social media for messaging about healthy eating and active living
 
Health Impact Assessment
Health Impact AssessmentHealth Impact Assessment
Health Impact Assessment
 
Health Impact Assessment: A triumph over common sense?
Health Impact Assessment: A triumph over common sense?Health Impact Assessment: A triumph over common sense?
Health Impact Assessment: A triumph over common sense?
 
Health Impact Assessment: Fit for more than one purpose
Health Impact Assessment: Fit for more than one purposeHealth Impact Assessment: Fit for more than one purpose
Health Impact Assessment: Fit for more than one purpose
 
What is Health Impact Assessment?
What is Health Impact Assessment?What is Health Impact Assessment?
What is Health Impact Assessment?
 
Health Impact Assessment
Health Impact AssessmentHealth Impact Assessment
Health Impact Assessment
 
Health Impact Assessment: An overview of practice worldwide
Health Impact Assessment: An overview of practice worldwideHealth Impact Assessment: An overview of practice worldwide
Health Impact Assessment: An overview of practice worldwide
 
Chongyi to Sydney: Collaboration in research and translation
Chongyi to Sydney: Collaboration in research and translationChongyi to Sydney: Collaboration in research and translation
Chongyi to Sydney: Collaboration in research and translation
 
Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...
Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...
Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...
 

Último

AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 

Último (20)

AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 

Popular or political? Trade-offs in health impact assessent

  • 1. Popular or Political? Trade-offs in HIA Centre for Primary Health Care and Equity Ben Harris-Roxas Consultant, Harris-Roxas Health Conjoint Lecturer, University of New South Wales, Sydney Health Section Co-Chair, International Association for Impact Assessment
  • 2. Draws on the findings of the first phase of the Australia-New Zealand HIA effectiveness study Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan R, Dannenberg A, Sukkumnoed D, Wendel A. The effectiveness of health impact assessments conducted in Australia and New Zealand; Australian Research Council Discovery Project Grants; 2010-2011. [DP1096211]
  • 3. Harris E, Baum F, Harris-Roxas B, Kemp L, Spickett J, Keleher H, HarrisM, Morgan R, Dannenberg A, Sukkumnoed D, Wendel A. The effectiveness of health impact assessments conducted in Australia and New Zealand; Australian Research Council Discovery Project Grants; 2010-2011. [DP1096211]
  • 4. Was there community involvement in the HIA? Yes n = 33 (73%) No n = 12 (27%)
  • 5. Was there any controversy and/or opposition to the proposal? Yes n = 26 (58%) No n = 19 (42%)
  • 6. If yes, what was the level of controversy? (n = 30) Column1 10 9 9 8 6 6 6 4 2 0 Low Some Medium High
  • 7. Comparing community involvement and controversy (n = 45) 25 21 20 12 15 7 10 5 5 No Controversy 0 Controversy Community Involvement No Community Involvement
  • 8. Comparing community involvement and level of controversy (n = 30) 9 8 8 8 7 6 5 5 4 3 3 2 1 0 Low Some Medium High Community Involvement No Community Involvement
  • 9. Comparing controversy by proposal type (n = 45) 16 15 14 12 10 8 6 4 4 4 3 2 0 Plan Policy Program Project Controversy No Controversy
  • 10. Modification of pending decisions Yes No Direct Effectiveness General Effectiveness Health adequately acknowledged HIA-related changes in the Reasons provided for not decision following HIA recommendations Yes Due to the HIA the project was Health consequences are dropped negligible or positive Decision was postponed HIA has raised awareness among policy-makers Opportunistic Effectiveness No effectiveness The decision would have been The HIA was ignored No made anyway The HIA was dismissed Source: Wismar M, Blau J, Ernst K, Figueras J (Eds.) (2007) The Effectiveness of Health Impact Assessment: Scope and limitations of supporting decision-making in Europe, European Observatory on Health Systems and Policies, World Health Organization: Copenhagen. ISBN 978 92 890 7295 3
  • 11. Comparing controversy by type of effectiveness (n = 45) 25 20 20 15 10 5 5 1 0 0 Direct General Opportunistic No Controversy No Controversy
  • 12. Murky picture Does community involvement lead to controversy, or vice versa And does it matter?
  • 13. An example of trade-offs: Lithgow
  • 14. Some important trade-offs are never public
  • 15. These slides are available at www.slideshare.net/benharrisroxas ben@harrisroxashealth.com @ben_hr or @hiablog healthimpactassessment.blogspot.com linkedin.com/in/benharrisroxas