Implementing Health Impact Assessment at National Level: An Experience in Iran

  • Behzad DAMARI Dept. of Social Determinants of Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran
  • Abbas VOSOOGH-MOGHADDAM Ministry of Health and Medical Education, Tehran, Iran
  • Sahand RIAZI-ISFAHANI Dept. of Social Determinants of Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran
Keywords: Health impact assessment (HIA), Implementation, Developing countries, Iran

Abstract

AbstractBackground: According to the general health policies issued in 2014, Health Impact Assessment (HIA) or Health Annex should be implemented in Iran. The present study provided a model for executing HIA in the Iranian context as a developing country.Methods: This is a system design study with the qualitative approach. The data on the system components were gathered via reviews of the literature, in-depth interviews and focused group discussions (FGDs) with experts. The information were contently analyzed in order to draft the model and a consensus was reached on by the steering committee. Results: Fifteen in-depth interviews and six FGD meeting were conducted. The equity-based approach in assessing the health impacts of policies, programs and projects were chosen as the most practical tool. Experts believe that for the next five years, HIA should be used just for the "national projects" so that the ministries and national agencies could be empowered. Components of the model including structure, procedures, and standards, management style, mission and resources were prepared. The national regulations and protocols were sent to the SCHFS Secretariat for final revision and the council approval.Conclusion: The hasty implementation of HIA will face serious resistances as the health-oriented attitude and behavior in both government and non-governmental sectors will gradually form. Also, the overlapping of the contents of HIA with other tools such as Environmental, Cultural and Social Impact Assessments, currently used by other sectors, causes difficulties in implementing the HIA by the Ministry of Health and Medical Education.

References

World Health Organization (1948). Constitution of the World Health Organization. Geneva, Switzerland.

Marmot M (2007). Achieving health equity: from root causes to fair outcomes. Lancet, 370(9593): 1153-63.

Schmidt H, Gostin LO, Emanuel EJ (2015). Public health, universal health coverage, and Sustainable Development Goals: can they coexist? Lancet, 386(9996): 928-30.

Perkins DH (2001). Economics of development. 5th ed. WW Norton & Company, New York.

Melkas T (2013). Health in all policies as a priority in Finnish health policy: a case study on national health policy development. Scand J Public Health, 41(11 Suppl): 3-28.

World Health Organization (1999). Health Impact Assessment: main concepts and suggested approach. Gothenburg Consensus Paper. WHO European Centre for Health Policy, Brussels, Belgium.

Taylor L, Quigley R (2002). Health impact assessment: a review of reviews. NHS Health Development Agency, London, UK.

Winkler MS, Krieger GR, Divall MJ et al (2013). Untapped potential of health impact assessment. Bull World Health Organ, 91(4):298-305.

Chadderton C, Elliott E, Hacking N, Shepherd M, Williams G (2013). Health impact assessment in the UK planning system: the possibilities and limits of community engagement. Health Promot Int, 28(4):533-43.

Scott-Samuel A (1996). Health impact assessment. BMJ, 313(7051), 183–184.

Abrahams D, Den Broeder L, Doyle C, Fehr R, Haigh F, Mekel O, Metcalfe O, Pennington A, Scott-Samuel A (2004). EPHIA-European policy health impact assessment: a guide. European Commission, Brussels.

McHugh S, Maruca SD, Manning A (2006). Environmental, Social and Health Impact Assessment (ESHIA) Process, Inter H. Saf & Envir Conf. 2-4 April 2006, Abu Dhabi, pp.: 32-35.

Forsyth A, Slotterback C, Krizek K (2010). Health impact assessment in planning: development of the design for health HIA tools. Environ Impact Assess Rev, 30(1): 42–51.

Youker BW (2007). International Association for Impact Assessment. JMDA, 2(2):125-9.

Mahoney M, Simpson S, Harris E, Aldrich R, Stewart-Williams J (2004). Equity-focused health impact assessment framework. Collaboration for Health Equity Impact Assessment, Deakin, Australia.

Quigley R, den Broeder L, Furu P, Bond A, Cave B, Bos R (2006). Health Impact Assessment International Best Practice Principles. Special Publication Series No. 5. International Association for Impact Assessment, Fargo, USA.

Nilsen P (2015). Making sense of implementation theories, models and frameworks. Implement Sci, 10(1): 53.

National Research Council (US) Committee on Health Impact Assessment (2011). Improving Health in the United States: The Role of Health Impact Assessment. National Academies Press (US), Washington (DC), USA.

Fehr R, Viliani F, Nowacki J, Martuzzi M (2014). Health in impact assessments: opportunities not to be missed. WHO Regional Office for Europe. Copenhagen, Denmark.

Kraemer SR, Nikolajsen LT, Gulis G (2014). Implementation of health impact assessment in Danish municipal context. Cent Eur J Public Health, 22(4):211-4.

Phoolcharoen W, Sukkumnoed D, Kessomboon P (2003). Development of health impact assessment in Thailand: recent experiences and challenges. Bull World Health Organ, 81(6): 465-7.

Fakhri A, Harris P, Maleki M (2015). Proposing a framework for Health Impact Assessment in Iran. BMC Public Health, 15(1): 335.

Published
2018-02-03
How to Cite
1.
DAMARI B, VOSOOGH-MOGHADDAM A, RIAZI-ISFAHANI S. Implementing Health Impact Assessment at National Level: An Experience in Iran. IJPH. 47(2):246-55.
Section
Original Article(s)