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Legal implementation of HIA; reflections

Legal implementation of HIA; reflections. Gabriel Gulis ( ggulis@health.sdu.dk ) Stella RJ Kræmar ( skraemer@health.sdu.dk ) University of Southern Denmark . PHASE project – WHO Healthy cities. Interview with a vice-mayor in Slovakia: “…get it (HIA) into law and we will do it…”.

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Legal implementation of HIA; reflections

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  1. Legal implementation of HIA; reflections Gabriel Gulis (ggulis@health.sdu.dk) Stella RJ Kræmar (skraemer@health.sdu.dk) University of Southern Denmark

  2. PHASE project – WHO Healthy cities • Interview with a vice-mayor in Slovakia: • “…get it (HIA) into law and we will do it…”

  3. Is it really so? • Rogers – Diffusion of innovation • Innovation • Social system • Channels • Time

  4. Innovation • HIA as a method (process, way of thinking and acting, etc..) is an innovation • Health was not part of considerations on new policies, projects, plans • If it was taken in account within for example EIA, it was at a rather limited extent (environmental determinants only) • Can a legal act add to content to HIA? • Yes • standardization, quality assurance and control, qualification of doers • No • He is a “creative exercise” which should not be restricted by legal matters • Whole HIA or parts of it only? (screening + scoping for example?)

  5. Social system • Rogers – “set of interrelated units that are engaged in joint problem solving to accomplish a common goal” • Common goal ☺ • Interrelated units • Governmental institutions (Ministries, departments, institutes) • Academia • Non-governmental institutions • Can a legal act provide supportive social system? • Yes, but needs to define the Units and their way of collaboration • Tradition and history plays an important role!

  6. Channels • Rogers – “communication channel is the means by which messages get from one individual to another” • Who are the “individuals” in case of HIA • Research ► practice • Research ► policy • And opposite way? • A legal act is a channel in principle, mostly a channel from policy to practice • Knowledge transfer channels? Education? Media?

  7. Time • Rogers divides time into five parts: • Knowledge • Development and establishment of HIA within academia and research environment, set up of training mechanisms; establishment of the innovation? • Persuasion • Opening of communication channels and knowledge transfer to policy makers and practitioners; set up of the social system? • Decision • Law on public health includes HIA as a “must” for the social system • Implementation • HIA is routinely conducted • Confirmation • Systematic research-practice-policy communication is ongoing • Last two steps feedback to first three

  8. Conclusion • Legal implementation of HIA is certainly possible but remains a challenge • In some cultures a law is perceived as a restriction; HIA should act as opposite and lead to options based on evidence and knowledge

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