Health Impact Assessment in New Member States and Accession Countries HIA-NMAC

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1 Health Impact Assessment in New Member States and Accession Countries HIA-NMAC Gabriel Gulis and the NMAC group

2 The HIA-NMAC group: Gabriel Gulis, Jacob Hindhede, Peter Gry, Anne Pedersen, University of Southern Denmark, Esbjerg, Denmark Marco Martuzzi, Matt Soeberg WHO-EURO, Rome office, Rome, Italy Peter Otorepec, Institute of Public Health, Ljubljana, Slovenia Nur Aksakal, Gazi University, Ankara and Didem Evci, Aydin University, Aydin, Turkey Fabrizio Bianchi, CNR Pisa, Pisa, Italy Roza Adany, Balazs Adam, School of Public Health, Debrecen, Hungary Jarmila Korcova, Daniela Marcinkova, Marek Majdan, Trnava University, Trnava, Slovak Republic Joanna Kobza, Medical University of Silesia, Katowice and Bytom, Poland Ingrida Zurlyte, National Environmental health center, Vilnius, Lithuania Mileva Hristina, Ministry of Health, Sofia, Bulgaria Christine Baluci, Ministry of Health, La Valetta, Malta

3 Basic content information work package overview WP 1 Coordination of the project WP 2 Capacity building WP 3 HIA of CAP - wine production; a case study WP 4 HIA of CAP dietary fiber; a case study WP 5 HIA of tourism and recreational water; a case study WP 6 Addressing socio-economic determinants of health within HIA WP 7 HIA on policies related to vulnerable populations; a case study WP 8 Introducing HIA on local level WP 9 Dissemination of results

4 Work package 2: Capacity building -SDU Denmark Identification of professionals with need for training Public health Decision makers Politicians Administrators Development and pilot testing of training modules by professional groups in-class teaching 5 workshops conducted spring 2006 in Esbjerg, Ankara, Vilnius, Katowice and Sofia; around 350 participants, Slovakia and Hungary next week 23-26/10/2006 E-learning Esbjerg, 2 meetings out of 4 conducted online via Internet based Elluminate system

5 Work package 2: Capacity building -SDU Denmark Expected products Standard training package for non-health people (standard and e- learning) National HIA Web pages Analysis of possible institutionalization choices

6 Work package 3+4: HIA of CAP, wine and dietary fiber production, IVZ Slovenia and SDU, Denmark HIA of wine production policy in participating countries HIA of policies related to production of agricultural products containing high dietary fiber in participating countries Evaluation of recommended HIA methodology

7 Work package 3+4: HIA of CAP, wine and dietary fiber production IVZ Ljubljana, Slovenia and SDU Denmark Identification of national policy documents - how do we select it? A pre-screening tool Slovenia Wine and other grape and wine products act ; Slovakia Wine production act ; Hungary - regulation on Quality wine legislation covering grape growing and wine making Denmark - Still three regulations, environmental regulation seems to be the most important; Slovenia crop processing, milling industry regulation; Poland health promotion program; Slovakia not yet decided HIA methodology and impact indicators

8 Work package 5: HIA of tourism and recreational water policies Gazi University, Ankara, Turkey HIA of tourism and recreational water policy in participating countries and within EU Evaluation of recommended HIA methodology

9 Work package 5: HIA of tourism and recreational water policies Gazi University, Ankara, Turkey Identification of national policy documents - how do we select it? Turkey Law on encouragement of tourism; Slovakia Tourism development strategy of Slovakia ; Malta beach development project (might be general policy document still), Lithuania and Slovenia under selection Application of policy, strategy to different tourism sites (Turkey, Malta summer tourism, Slovakia winter tourism)

10 Work package 6:Socio-economic determinants within HIA WHO Rome office Methodology to address socio-economic determinants within HIA Application of methodology to selected case-studies (within other work packages of the project) Common understanding of socio-economic determinants Review of published, completed HIAs and evaluate socio-economic determinants within Epidemiological evidence of socio-economic determinants and health Indicators

11 Work package 6:Socio-economic determinants within HIA WHO Rome office Stages of HIA Current approaches in HIA Contribution of NMAC WP6 to HIA and SDH interface Screening SDH part of screening checklist Identify structural and intermediary SDH as part of NMAC case study Scoping SDH part of scoping checklist Identify SDH relevant indicators Appraisal and assessment Reporting and decision-making No standard approach No standard approach Assessment of structural and intermediary SDH relating to the case study Report on structural and intermediary SDH Monitoring and evaluation No standard approach Monitor SDH likely to be affected by the case study

12 Work package 6:Socio-economic determinants within HIA WHO Rome office 1 st. year Review of scientific and grey literature Summary of a range of socioeconomic position indicators made available to HIA-NMAC partners 2 nd. year International workshop - WP6 partners, WHO and invited international speakers on SDH on HIA, Spring 2007 application to NMAC case study Final report

13 Work package 7: HIA of policies related to vulnerable populations SPH Debrecen, Hungary Report on existing national developmental programs and how they consider and treat the problem of the Roma population in the region Report on HIA of the above mentioned and proposal for their improvement

14 Work package 7: HIA of policies related to vulnerable populations SPH Debrecen, Hungary Selection of policy pre-screening tool Hungary - Housing and social integration program of Roma living in slum settlements; Bulgaria Roma population legislation review completed, single act selected soon; Slovakia under consideration Methodology, indicators

15 Work package 8: HIA on local level CNR Pisa, Italy Guideline for introduction of HIA on local level HIA entry point Structured questionnaire developed and pilot tested in Italy Different size municipalities Politicians, managers, administrators 19 interviews completed, 4 in progress Assisted interview, recorded

16 Work package 8: HIA on local level CNR Pisa, Italy Questionnaire translated to English, and later into national languages Used in participating countries Evaluation of results, within country, internationally General understanding, comparability, generalizibility

17 Work package 9: Dissemination Project web pages 20_en.htm Conference presentations Single presentations at 7th. International conference on health impact assessment, Cardiff, Wales 5th Nordic health promotion research conference, Esbjerg, Denmark Balkan Environmental health conference, Beograd, Serbia and Montenegro International Association of Impact Assessment annual conference, Stavanger, Norway Parallel session workshop organization at 7th IUHPE conference, Budapest, Hungary Papers in scientific journals, internationally, nationally Half-page advertisement type paper in Parliament magazine of EC Elluminate bi-monthly group meetings, special class room established

18 What do we expect in summer 2007? Trained trainers and teaching modules Set of case studies Recommended methodologies for national and international policy HIA Guidelines for local level HIA

19 Thank you for your questions!

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