HIA practices in Nigeria

Health impact assessment (HIA) provides useful information on existing health services, their capabilities and the health status of the local communities, which is otherwise often unavailable. In Nigeria, HIA is usually applied to projects and, by exposing existing health inequities in project communities, provides the necessary tool for development proponents to act to provide or improve health services and to implement health promotion activities. Based on HIA experience in Nigeria, this paper highlights the deficiencies in national legislation with regards to HIA/EIA (environmental impact assessment) integration and a number of learning points are discussed. First, a complete health baseline is critical to the understanding of project impacts; analysis must be broad-based, considering existing health determinants. Second, community stakeholders and proponents may modify the implementation of health mitigation measures and should be seen as collaborators in the assessment process. Third, strong HIA recommendations can influence project design. A greater participation of the health sector in EIA is required to enhance HIA utilization.     

Establishing mixed method research design guidelines in health impact assessment investigations

In the last decade local policymakers and community health officials have been using a Health Impact Assessment (HIA) strategy to assess the health impacts of their policy decisions. The HIA research design is founded on the mixed method research approach (integration of quantitative and qualitative data slices within a single investigation) to get as comprehensive assessment as possible of the expected impacts. The HIA literature has yet to provide any guidelines on how community health investigators should conduct a mixed-method HIA research. We conducted a content analysis of 100 HIAs executed around the world published between 1999 and 2011 and analysed their research methodologies. Observations generated from the analysed HIAs were used to establish an ‘HIA mixed method model’ by which a series of mixed-method design guidelines were used to help community health researchers improve the analytical capabilities in their future HIA investigations.     

Assessing impacts on people's relationships to place and community in health impact assessment: an anthropological approach

This paper explores a way in which health impact assessment (HIA) practitioners can improve their evaluation of the effects of infrastructure developments on people's intangible connections and emotional attachments to places and communities, and their health impacts. This assessment poses conceptual and methodological challenges. It is argued that social anthropology and the social sciences offer HIA a conceptual vocabulary and a methodology for exploring these relationships. These relationships are defined then positioned in HIA as an outcome of the health determinant, social capital. The paper offers a critique of their treatment in an HIA case study from the United Kingdom. Its shortcomings are used to propose a predominantly qualitative, anthropological methodology. The overall approach offers benefits. Practitioners gain clarification, new tools, a more holistic HIA, and links between these relationships, well-being, and sustainability and resilience. Developers are shown how to sensitise their approach, potentially enhancing community support.     

Bringing health impact assessment to the Mongolian resource sector: a story of successful diffusion

Following the 2009 signing of the stability agreement between the Mongolian Government and Canadian mining company Turquoise Hill Resources (formerly known as Ivanhoe Mines), researchers from Simon Fraser University secured funding from the Canadian Institutes for Health Research to conduct applied knowledge translation (KT) research that introduces health impact assessment (HIA) to Mongolia's rapidly emerging resource sector. HIA is a highly regarded informed decision-making tool that helps to identify, assess and mitigate (or promote) potential positive and negative human health impacts of policies, projects and programs. We engaged in a series of knowledge synthesis, KT and dissemination activities with key public and private sector stakeholders as well as community representatives. Our goals were to develop consensus on a socially and culturally appropriate approach to equity-focused HIA, draw on this consensus to develop a contextualized HIA toolkit, build local HIA capacity based on this toolkit, strengthen the HIA regulatory environment and provide evidence-based support for efforts to institutionalize HIA in the resource sector. These efforts have resulted in the inclusion of HIA in the environmental impact assessment law of Mongolia, and the focus has now shifted from KT to further supporting HIA institutionalization and practice.     

Mental health impact assessment: population mental health in Englewood,Chicago, Illinois,USA

In this paper, we describe a pilot mental health impact assessment (MHIA) undertaken by the Institute on Social Exclusion (ISE) at the Adler School of Professional Psychology. This pilot involved a multi-method approach that included literature reviews and direct engagement of community stakeholders. It resulted in a policy document that summarized the anticipated effects of a proposed amendment to Chicago's Vacant Buildings Ordinance on the collective mental health of people living in Englewood, a neighbourhood located on the city's southwest side. The Chicago City Council passed the proposed amendment in the summer of 2011.Working to advance health impact assessment (HIA) practice, the project aimed to assist Englewood residents by empowering them to participate in the systematic review of a proposed policy change that would impact their own community's mental health. Additionally, the pilot sought to ensure that any policy decision reflected an evidence-based understanding of its probable effects on the mental health of Englewood residents. Thus, these efforts were designed to narrow several health inequities as suggested by key indicators of community mental health.     

Development of a quality assurance review framework for health impact assessments

The use of health impact assessments (HIAs) has rapidly increased over the last two decades and has been undertaken to evaluate the health implications of many new projects across the globe. In July 2017, Wales became the first country to legislate for broad approach HIAs, i.e. it considers not only environmental health effects but the social determinants of health, well-being and inequalities. Although the introduction of statutory HIA will ensure the use of HIAs, experts have expressed concerns that legislative measures could lead to poor-quality HIAs and associated reports. This paper outlines the development process and analytical reflections of a quality assurance (QA) review framework for HIAs. The framework has been developed over a 2-year period which allowed the collective intellectual capital behind it to evolve in response to practice-based learning. A standardised form of QA for all types and levels of HIA will provide greater clarity regarding the required criteria for conducting and completing an HIA and ensuring this takes place in a robust, interdisciplinary and inter-sectoral manner. Therefore, this QA review framework should fit into existing HIA practice and complement other tools such as best practice guidance to sustain the global reputation of HIA.     

Developing a model curriculum for a university course in health impact assessment in the USA

As health impact assessments (HIAs) become increasingly common in the USA, there is growing demand for instruction beyond short courses and online training. As of October 2013, there are graduate level courses that include instruction on HIA in at least 17 universities in the USA, including four courses that focus explicitly on HIA. Instructors of these four courses collaborated to develop a model curriculum for teaching HIA that draws on a framework for experiential learning and on a theoretical model of curriculum formulation. This article includes an in-depth analysis of these courses and presents a model curriculum for HIA instruction during an academic quarter or semester course in a university. This model curriculum may help faculty develop a graduate level HIA course at their institution, as well as inform public health and community design professionals interested in building capacity to conduct HIAs, and students considering taking an HIA course. International instructors could also learn from the US experience, and apply the model curriculum to their setting and educational structure.     

Examining public understanding of the environmental effects of an energy-from-waste facility

This research examined public understanding of the environmental effects of a proposed energy-from-waste facility from the perspective of an Environmental Impact Assessment (EIA) practitioner. Disparities were identified between the public perceptions examined and the results of the EIA, notably on air quality and health effects from chimney emissions; the facility's noise characteristics; traffic volumes and associated air quality, noise and amenity effects; daylight, sunlight and overshadowing effects; and cumulative effects. Lessons for EIA practitioners are drawn that enable better appreciation of specific areas of public concern. Ways in which communications might be improved in future EIAs to aid public understanding are also identified.     

Supply chain risk and resilience: theory building through structured experiments and simulation

The research literature of supply chain risk and resilience is at a critical developmental stage. Studies have established the importance of these topics both to researchers and practitioners. They also have identified factors contributing to risk, the impact of risk and disruptions on performance, and the strategies and tactics used to build the capacity for supply chain resilience. Although these efforts can provide support for constructing a theory of risk and resilience, researchers are currently restricted in their ability to build such a theory by the difficulty of collecting the necessary data. This paper contributes to this literature development effort by summarising prior research reviews and developing a three-component framework aimed at helping researchers to build better theories. This is accomplished through combining structured experimental design with discrete-event simulations of supply chains. The result is a methodology that allows researchers to develop better understanding of the factors that link a disruption to its impact on supply chain performance through both direct and interaction effects. Following the methodology development, the paper concludes with an example using the factors of shock interarrival time, supply chain connectivity and buffer stocks to illustrate the potential for contributing to the theory-building process.     

Emphasising enhancement in all forms of impact assessment: introduction to a special issue

In the context of impact assessment (IA), ‘enhancement’ refers to deliberate attempts taken in the design and subsequent phases of projects, programmes, plans and policies to ensure the success of a wider range of direct and indirect positive outcomes to communities and/or the biophysical environment. This can be in the form of opportunities for social and community development, improved health and wellbeing, improved biodiversity, restored ecosystems and landscape character, and protected and respected cultural heritage. This first ever special issue on enhancement advocates that all forms of IA should consider opportunities for enhancement. Specific reference is made to strategic environmental assessment (SEA), environmental impact assessment (EIA), social impact assessment (SIA) and health impact assessment (HIA). The paper presents views from IA practitioners regarding perceptions of the barriers to greater use of enhancement in IA and suggestions for possible solutions to those barriers. Investment in enhancement initiatives contributes to sustainable development and resilience, and is consistent with corporate social responsibility obligations of proponents.     

Development and validation of a Re-Modified Work-Style Short Form Questionnaire for assessment of stress in medical practitioners working in Indian hospitals

Medical practitioners are unduly stressed, leading to ill health, loss of work efficiency, sometimes affecting decision-making capability. The present study was conducted with the aim to quantify the psychosocial factors that affect the medical practitioners working in Indian hospitals. This study constructed and validated Re-Modified Work-Style Short Form Questionnaire, an eight-item instrument based on work style of 108 medical practitioners comprising Indian physicians and surgeons. The re-modified tool had acceptable validity and internal consistency, which the modified one did not. Explorative factor analysis identified and labelled three factors: ‘Working through pain’, ‘Deadlines/pressure’ and ‘Self-imposed workload’. The findings of the study reveal that the mean total work style score exceeded the standardised limits ≥16, which suggests that the work style of medical practitioners working in Indian hospitals are at risk which may precipitate psychosocial stress. Factor weights was derived through Analytic Hierarchy Process to prioritise the relative importance of three potential work-style factors. The study may help to increase the preventive strategies to proactively reduce the effect of risk factors for the precipitation of stress, successfully leading to its attenuation.     

Use and effectiveness of health impact assessment in the energy and natural resources sector in the United States, 2007 – 2016

Decisions made in the energy and natural resources sector can affect public health. This report reviews the characteristics and assesses the effectiveness of health impact assessments (HIAs) conducted in this sector. A total of 30 HIAs conducted in 14 states in the United States were identified using a targeted literature search. Five HIAs illustrative of the different source and sub-sector categories, and with identifiable impacts on decision-making processes were selected for review. An existing conceptual framework (Wismar) was used to assess the effectiveness of the five selected HIAs on decision-making related to non-renewable energy, renewable energy, mining, and energy conservation. The 30 HIAs were performed for a variety of projects and assessed health impacts ranging from metabolic disorders to community livability. Eight of the 30 reports were incorporated into environmental impact assessments. All five selected HIAs were generally effective and raised awareness of the health effects of the projects being assessed; four were directly effective and led to changes in final project decisions. Their variable effectiveness may be related to the extent of community engagement and consideration of equity issues, differences in the details and quality of monitoring and evaluation plans devised as part of the HIA process, and whether the outcomes of monitoring and evaluation are reported.     

健康风险沟通中信息图形设计的易读性与可及性研究——以新冠疫情为例

目的 在持续的公共卫生危机期间,以信息图形提升公众对健康风险的认识是必要的手段之一。但信息图形涉及对数据、概念、流程等科学话语的视觉转译,公众可能会面临信息理解的易读性和可及性的问题。确认何种健康信息及其图形感知的设计可提升对风险概念的有效理解。方法 以新冠信息图形为例,基于风险传播、风险大小、风险接触和风险规避4个典型的风险沟通的类型,展开了一项联合社区用户、专家和设计师的焦点小组研究。结果 研究得到了5项设计建议,包括简化信息但不牺牲信息的丰富性,提供风险背景的上下文,数值比例的图形转换,感知-概念的图文整合,区分受众不同健康素养水平,谨慎处理信息的伦理问题。结论 健康风险信息紧急而复杂。信息设计可以提前介入,理解细分人群的信息行为、信息环境,快速响应沟通策略。研究得出的相关结论可对健康风险沟通实践提供参考,亦可拓展信息设计对健康传播跨学科研究的新范式。     

Understanding the Blockchain technology adoption in supply chains-Indian context

Blockchain technology (BT) is expected to bring a revolutionary paradigm shift in the manner the transactions are carried in the supply chains. BT provides better visibility and transparency by removing the disadvantages of trust related issues in a supply chain. In this paper, we advance the literature on BT and its adoption in the supply chain by developing, and statistically validating a model for understanding the user perceptions on BT adoption. The model is based on the integration of three adoption theories- technology acceptance model (TAM), technology readiness index (TRI) and the theory of planned behaviour (TPB). Based on a survey of 181 supply chain practitioners in India the proposed model was tested using structural equation modelling. The study found that the TRI constructs- Insecurity and discomfort have an insignificant effect on the perceived ease of use and usefulness. Perceived usefulness, attitude, and perceived behavioural control affect the behavioural intention. Subjective norm has a negligible impact on behavioural intention. This is one of the preliminary studies on BT adoption in supply chain and the findings imply that the supply chain practitioners perceive BT adoption free of efforts and would help them to derive maximum benefits for improving the supply chain effectiveness.     

危险品运输选线的定量风险评价模型

定量化风险评价是危险品道路运输选线的重要决策依据,但在如何定量其风险方面往往存在分歧。系统地总结了常见的危险品运输定 量风险评价模型,将其划分为传统风险评价模型及其特例、感知风险模型、条件风险模型、侧重后果的避灾风险模型以及改进后的传统风险模 型5类,分析了风险评价模型的性质和原则,对将来的研究发展提出了建议 。     

Elucidating the Indirect Contributions of Packaging to Sustainable Development: A Terminology of Packaging Functions and Features

Packaging has great potential to contribute to sustainable development through its functions. Previous research has indicated a need for increased knowledge among consumers, suppliers, authorities and media of how packaging functions and features influence sustainable development. Previous research also shows the need for a common terminology of packaging functions and features in order to facilitate and improve communication and understanding in development and decision processes. This conceptual paper sets out to identify, collect, analyse and systemize packaging functions and features and evaluate them based on their indirect contributions to sustainable development. The systemized functions and features are expressed in generic terminology. Three clusters of packaging functions were identified from the literature: protect, facilitate handling and communicate. Nineteen packaging features were also identified. They were grouped under the three functions and elaborated based on their indirect contributions to the environmental, social and economic dimensions of sustainable development. Fourteen potential positive indirect effects were identified including decreased product waste, reduced risk for human health hazards, increased handling and transport efficiency. Decreased product waste was generated by 13 of the features and was thus the most frequently appearing. Reducing waste is thereby indicated to be a manifold matter, but also one of great potential. The proposed terminology can contribute to an increased understanding of how packaging can actually contribute to sustainable development. In a theoretical context, this paper attempts to complement earlier work in sustainable packaging development by its emphasis on the indirect contributions of packaging to sustainable development.     

Nanotechnology and nanomaterials: toxicology, risk assessment, and regulations

Nanomaterials have very unique chemical and physical properties that suggest potential health hazards, but limited health and safety information exists for engineered nanomaterials. This review identifies a need for expanding efforts for addressing health and safety concerns in nanotechnology development and in nanotoxicology of engineered nanomaterials. The efforts include research to generate data for safety evaluation, toxicologic evaluation of potential human health effects, risk assessment to support risk-management decision-making, and regulations development to protect human health and the environment. The federal government's current understanding is that existing statutory authorities are adequate to address oversight of nanotechnology and its applications. On the other hand, the present review identifies weaknesses in the current research efforts and inadequacies in existing regulations. A collaborative effort involving multidisciplinary groups is a key element to address the related needs and issues. While federal agencies with regulatory responsibilities are looked upon to develop and implement sound policies and regulations to protect public health and the environment, state agencies may be required to initiate policies which rapidly incorporate new innovations and address public concerns. To address current and futures need related to nanotechnology, the responsible state agencies need to fill the information gaps and address the health and environmental issues. In California, activities have been initiated, but legislative authority and resources are required to provide risk assessment and health protection in an efficient and timely manner.     

Research-informed evidence and support for road safety legislation: Findings from a national survey

Public opinion is influential in the policymaking process, making it important to understand the factors that influence popular support or opposition to public health policies. Researchers and policymakers tend to agree that scientific evidence can inform decision-making, but this influence has not been explored sufficiently, especially in the area of injury prevention. This paper considers the potential for the communication of evidence-based research and public health data to influence opinion about legislation that could reduce road-related injury. We conducted a nationally-representative online survey to assess public attitudes toward four road-safety laws; ignition interlock, school zone red-light cameras, restrictions on infotainment systems, and children's bicycle helmets. For each law, we assessed initial support and then provided a research-informed statistic on either the injury risk posed or the law's efficacy reducing risk and re-examined the law's support or opposition. The survey was completed by 2397 U.S. adults. Each law was initially supported by a majority of respondents, with greatest support for ignition interlock (74.4%) and children's bicycle helmets (74.8%). Exposure to research-informed statements increased legislative support for 20–30% of respondents. Paired analyses demonstrate significant increases toward supportive opinions when comparing responses to the initial and research-informed statements. The study demonstrates considerable public support for evidence-based road-related laws. Overall support was augmented by exposure to research data. Injury prevention practitioners can capitalize on this support in efforts to build support for legislation that would prevent injury. Researchers should be encouraged to expand their efforts to share research results with both the public and policymakers.     

Developing performance indicators that reflect an expanded view of health: findings from the use of an innovative methodology

BACKGROUND: The increasing presence of managed health care in the United States has been accompanied by the widespread use of performance indicators to assess health plans along various dimensions of quality. Current performance indicator sets virtually ignore psychosocial and behavioral factors in the prevention and management of illness, especially chronic illness, in spite of documented evidence in the medical literature of the importance of these factors. Instead, current indicator sets focus primarily on biomedical interventions to prevent, treat, and manage illness. METHODOLOGY: In a novel method for developing performance indicators--the use of a storytelling methodology--eight interdisciplinary panels, composed of health care experts at the community, state, and national levels, each completed two stories about patients with chronic illnesses. The first story described experiences a patient might have in the health care system as it is today; the second story retold the events that might transpire if attention to psychosocial and behavioral factors were integrated into the health care system. FINDINGS: Differences between the two sets of stories developed by the panels revealed common themes and specific areas where indicator development might prove fruitful. Performance indicators were identified from these themes, and work is underway to operationalize them; to identify barriers and opportunities for their inclusion in indicator sets; and to further document their potential health and cost-effectiveness. DISCUSSION: Although not scientifically rigorous, the storytelling method was found to provide consistent results and may be applied to many aspects of the health care planning process, health education, and quality improvement efforts.     

The politics of green transformations,edited by Ian Scoones,Melissa Leach and Peter Newell

Abstract

Stakeholder engagement in Environmental Impact Assessment (EIA) and Health Impact Assessment (HIA) provides opportunities for inclusive environmental decision-making contributing to the attainment of agreement about the potential environmental and health impacts of a plan. A case evaluation of stakeholder engagement was carried out to assess its effect in terms of consensus-building. The case consisted in two health impact scoping workshops engaging 20 stakeholders: policy-makers, experts and residents. A Participatory Action Research approach was adopted. Methods included observation, semi-structured questionnaires and interviews. Analysis methods consisted of several coding rounds, in-depth reading and discussion of Atlas.ti output reports, as well as studying questionnaire results. Participants reported a broadening of perspectives on health in relation to the environment and attainment of shared perspectives. Still, meaningful differences remained, indicating that joint learning experiences, trust and mutual respect created a ‘sense of consensus’ rather than a joint view on the issues at stake. To avoid disappointment and conflict in later project development, explicit acknowledgment and acceptance of disagreements should be included as a ground rule in future stakeholder engagement processes.