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.