ADB HIA Advisory Group
REGIONAL COUNTRY CONSULTATION
ON HIA GUIDELINES
Double Tree Hilton, Bangkok, November 1-2,
2016
Disclaimer: The views expressed in this presentation are the views of the author and do not necessarily reflect the views or policies of the
Asian Development Bank (ADB), or its Board of Governors, or the governments they represent. ADB does not guarantee the accuracy of the
data included in this paper and accepts no responsibility for any consequence of their use. Terminology used may not necessarily be
consistent with ADB official terms.
OBJECTIVES OF CONSULTATION
● Identify guideline needs
● Consider institutional arrangements
● Support for next steps
OUR FOCUS
● Health impact assessment
● Broadest health definition
● Projects not policies
● Guidelines for infrastructure development projects
● Consultation not training course
● 5 GMS countries
● Ministries of Health and Environment
CONTENT
– Story so far
– Country guidelines: needs and comparisons
– Institutional arrangements for Harmonization
• Between ministries
• Between countries
• With lending agencies
– Need for sector and province guidelines
– Next steps for countries with ADB
Introductions Showing the diversity and
experience in the room
SOCIAL DEMOGRAPHY
● Geographical Diversity
● Professional Affiliation
● Commissioned at least one
health chapter in an EIA
● Commissioned and
Reviewed at least one HIA
● Written an HIA guideline
● Attended an HIA training
course
5 COUNTRIES, 4 PATHS
● Capacity development, policies, regulations – Robert Bos
● Advocacy and networks – Yanyong Inmuong
● Demonstration projects – All + Salim Vohra
● Guidelines and Tools – Martin Birley
GUIDELINES AND TOOLS
● ADB
– Operational definition of health
– Health determinants and outcomes
– Introduction to HIA
– Screening for health in Environmental Safeguards
● Member countries
– Outline national guidelines
– Translation
– Planning this consultation
5 OUTCOMES, 3 DETERMINANTS
DETERMINANTS OF HEALTH
COUNTRY GUIDELINES: NEEDS AND
COMPARISONS
● Resource pack online
– http://tinyurl.com/jafnlel
● Outline national guideline
● Textbook
● Pre-consultation survey
● Posters
● Small group working
COUNTRY GUIDELINES: NEEDS AND
COMPARISONS – SMALL GROUPS
● Identify at least 3 important headings
for an HIA Guideline
● Identify 1 important item under each
heading
● What support is needed to get this
content into a Guideline?
● Project design
● Screening
● Scoping
● Terms of Reference
● Procurement
● Scheduling
● Baseline
● Assessing
● Cumulative and residual
impacts
● Reporting
● Appraising
● Health management plan
INSTITUTIONAL ARRANGEMENTS
OVERVIEW
TODAY
1. Essential functions of Ministries about HIA
2. How to get engagement and support from ministries
3. Screening: H in EIA, separate HIA, no HIA?
4. Coordination issues
5. Authority to review, certify and assure quality
TOMORROW
1. Managing transboundary impacts
2. Role of lenders
QUESTIONS ON INSTITUTIONAL
ARRANGEMENTS
1. How do the essential functions of the MoH, MoE, and
other concerned ministries, safeguard the health of
communities affected by infrastructure development
and where are the gaps and overlaps? –Use Venn
diagram
ESSENTIAL FUNCTIONS OF MINISTRIES
- PROJECT HIA
● What’s working well?
● What needs improvement?
● Where are the gaps and overlaps?
● Identify country
QUESTIONS ON INSTITUTIONAL
ARRANGEMENTS
1.
2. How could we get engagement and support from both
ministries in your respective countries? –take role as
external adviser
INSTITUTIONAL ARRANGEMENTS
PLENARY
● How would you decide whether a development project
required no HIA, Health in EIA, or a separate HIA?
● How could the procedures for EIA and HIA be
coordinated from a technical and an efficiency
perspectives? Examples will be provided
● Which institution could have, or has, the authority to
review and certify an HIA and associated Public Health
Management Plan? How could quality standards for
HIA be assured?
INSTITUTIONAL ARRANGEMENTS:
COORDINATION EXAMPLES
● Timing – Outputs of EIA may be inputs to HIA
• Air pollution
– Iterations
● Task sharing – Who maps location of public services?
– Who regulates occupational health and safety?
– Who summarizes government policies?
● Sampling – Who samples mosquitoes?
– Who does the community survey?
– Should there be medical surveys?