Those giving presentations mentioning HIAs are often looking for good visuals to go in the presentations. The Design for Health web site now has a list of visually interesting HIAs at http://www.designforhealth.net/resources/hiaexamples.html#vih (compiled by Inna Kitaychik). Some have photos but many have maps, plans, graphs, and charts.
|A screenshot of the online slide show|
With Christine Green from APA and Nisha Bochwey from the University of Virginia I’ve worked to update the program (without changing the voiceover except for one short additional module!)—Christine is the maven of resources and Nisha did a stellar job on quizzes. There are a lot of new examples. The computer generated voice is a bit weird but the content is a good introduction to HIA—and thanks to the CDC it’s free.
|Plan available directly from the
City of Bloomington
Whatever the name it’s great to have these examples featured in multiple places.
This blog has dealt earlier with the logistics of doing an HIA but what does a workshop look like? One source is the Arden Hills Healthy City Planning Workshop Summary Report Appendices. This document contains images of each stage of the half-day workshop. Go to http://designforhealth.net/wp-content/uploads/2012/12/cases/HIA_ArdenHills_Appendices_3June2010.pdf and look at pages 33-36. More information about the process is available at: http://designforhealth.net/cases/ardenhillsworkshop.html.
On the face of it Rapid HIAs are quick, but that’s not the whole story. A rapid HIA while faster than a full, environmental impact assessment-style HIA, still takes some time. It is also different to some other quick HIA types such as desktop screening or scoping exercises.
|Students performing a practice health impact assessment
at the School of Planning and Architecture, Vijayawada
I’ve recently had a number of queries about how to conduct a health impact assessment on an existing comprehensive plan. This is a great thing to do because it can help prioritize changes in an update. How to conduct an HIA is a big topic, but fortunately there are a lot of resources available with more coming online over the next year.
|Model of Downtown Tianjin in the
Tianjin planning museum.
Photo: Ann Forsyth.
For advice about what to do after you have used the checklist and done your evaluation, the Design for Health web site has Information Sheets linked to the research summary topics that have examples and cases:
In addition, a course on Planning for Healthy Places with Health Impact Assessments by the American Planning Association in association with the National Association of County and City Health Officials, is also a good place to start: http://professional.captus.com/Planning/hia/default.aspx. It is currently being updated by a team including Christine Green and Kimberly Hodgson at APA, Nisha Botchwey from the University of Virginia, and myself, with advice from Dee Merriam of the CDC. The update will substantially expand the resources section so there will be lots more information than this brief note can provide.
I am often asked how to connect health and place, practically. There are two main ways of thinking about this–one relates to topics and another to methods.
|Self-build housing in Beihai, China|
- Accessibility to places, people, and services that can promote health
- Air quality
- Disasters–including climate change
- Environment + housing quality related to pollutants
- Food quality
- Healthcare access
- Mental health–often related to stress (e.g. plants can reduct stress)
- Physical activity options
- Safety—from accidents and crime
- Social capital/connections–with complicated relations to place
- Water quality
A range of methods help practitioners make these connections:
- Policy and Program Collaborations: The UN Healthy Cities Program is an example, focusing on building awareness and collaboration among partners including governments and universities.
- Health Impact Assessments: These are actually a range of tools, both participatory and technical, aiming to link local knowledge and health research/data maximize health benefits+ minimize health risks for all groups. They can be done on a range of policies, programs, and plans, not only ones affecting places.
- Quality of Life Tools: This is a term for a range or preexisting tools and methods that focus on the connection of people and place, and connections between people. Examples include safety audits, food security assessments, and asset maps. Various social development tools such as anti-racism trainings with a place-based approach, also fit in this category.
- Healthy Community Plans and Designs: Such proposals translate health research into practice at scales from the building to the region.
Participatory GIS is a growing field. For those interested in integrating participatory GIS into healthy planning, several web sites provide helpful illustrations of the potential.
Public Participatory GIS based in a company called Vertices in New Brunswick, New Jersey, (http://www.ppgis.info/) provides illustrative maps on topics from bike crashes to a calculator for calories burned walking different routes. Not all maps are local, for example the public health maps rangr from alcohol sales places in New Orleans to food sales in Philadelphia.
Transparent Chennai (http://www.transparentchennai.com/), at the Institute for Financial Management and Research, uses GIS but with a focus on topics such as squatter settlements, environmental hazards, and other aspects of quality of life. What is particularly handy about this site is one can build a map from different kinds of information including environmental, political, infrastructural, and social issues: http://www.transparentchennai.com/buildamap/. This site really shows the potential for a fairly integrated yet still user driven experience that could be particularly helpful for those interested in working with communities on issues of health and place.
|Part of a map from Transparent Chennai|
Map Kibera (http://mapkibera.org/) started in 2009 by several NGOs in a large squatter settlement in Nairobi Kenya, reportedly was an inspiration for Transparent Chennai. The site has a lot of information apart from maps, showing how different kinds of information—spreadsheets, a blog, twitter, a wiki, and so on—can be linked.
For a more technical, expert-led approach to using GIS see the DFH Threhold Analysis HIA and research oriented NEAT-GIS and LEAN-GIS protocols. These can however be used in a participatory setting. The Arden Hills Rapid HIA used similar maps as background information, for example (see report appendices).
My thanks to Azhar Tyabji, at the Institute for Financial Management and Research, for leading me to his colleague Nithya V. Raman (and her team’s) work on Transparent Chennai.
Many people are interested in when to do an HIA. The simple answer is, it depends. There are a lot of different formats that may be used alone or in combination.
- Screening tools to see if an HIA is worth it
- Scoping tools to investigate the topics and dimensions worth exploring more
- Desktop or mini HIAs that can be done quickly in an office
- Rapid assessments or appraisals that re more participatory, drawing on expert and local knowledge (see an earlier post for some examples)
- Intermediate HIAs that are more comprehensive or multi-dimensional but not yet on a par with a full environmental impact assessment
- Full HIAs—a lot of work
- Integrated HIA that are plugged in to other processes
Integrating health into planning often uses the approach called evidence-based practice. An article on this topic by some of the folks from Design for Health, including me, is currently available for free: http://www.informaworld.com/smpp/content~db=all~content=a918403162~frm=titlelink. It was a finalist in the Association of European Schools of Planning Best Paper Prize: [link no longer active]