Health Impact Assessment (HIA): A Comparative Case Study of Sri Lanka and Wales: What Can a Developing Country Learn From the Welsh HIA System?

The health impact assessment (HIA) is increasingly recognized around the world as an effective governance tool to incorporate Health in All Policies to address the wider determinants of health. However, it is still poorly recognized and practiced in many developing countries, including Sri Lanka, where its applicability is most appropriate considering the complexity of social determinants of health and inequalities. This comparative case study aimed to explore the barriers for implementation of HIA in Sri Lanka in the areas of supportive policy framework, institutional infrastructure, capacity-building, and multisectoral collaboration and to compare them with a successful HIA system in a developed country (Wales) with a view toward identifying the “best practices” applicable in a developing country context.

Authors: Yasaswi N Walpita, Liz Green

A Health Impact Assessment of the ‘Staying at Home and Social Distancing Policy’ in Wales in response to the COVID-19 pandemic.

The HIA outlines the potential health and wellbeing impacts of the Staying at Home and Social Distancing Policy (commonly referred to as ‘Lockdown’) on the population of Wales in the short, medium and long term. It draws upon learning from international evidence, latest data and intelligence and the views of expert stakeholders.

Authors: Liz Green, Laura Morgan+ 5 more
, Sumina Azam, Laura Evans, Lee Parry-Williams, Louisa Petchey, Mark Bellis

Health Impact and Social Value of Interventions, Services, and Policies: A Methodological Discussion of Health Impact Assessment and Social Return on Investment Methodologies

Assessing the positive and negative impact of policies, services and interventions on health and well-being is of great importance to public health. Health Impact Assessment (HIA) and Social Return on Investment (SROI) are established methodologies which assess potential effects on health and well-being, including social, economic and environmental factors, indicating synergies, and cross-over in their approach. Within this paper, we explore how HIA and SROI could complement each other to capture and account for the impact and social value of an assessed intervention or policy.

Authors: Kathryn Ashton, Lee Parry-Williams+ 2 more
, Mariana Dyakova, Liz Green

The Public Health Implications of Brexit in Wales: A Health Impact Assessment approach – A Rapid Review and Update

This is a short supplementary follow up report and builds on a detailed analysis of The Public Health Implications of Brexit in Wales: A Health Impact Assessment Approach, originally published in January 2019, which examines the potential effects of Brexit on the short, medium and long-term health and well-being of people living in Wales.

Authors: Louisa Petchey, Liz Green+ 5 more
, Nerys Edmonds, Mischa Van Eimeren, Laura Morgan, Sumina Azam, Mark Bellis

Health Impact Assessment Training and Capacity Building Framework Technical Document

The Wales Health Impact Assessment Support Unit have published a framework for training and capacity building in HIA this week. The technical report sets out an underpinning framework for the WHIASU’s approach to the design, development, delivery and evaluation of training and capacity building for HIA over the next five years. The framework is the result of 18 months research, development and engagement. The technical document details a newly developed ‘Skills and Knowledge Framework for HIA’ and a ‘Development Pathway for HIA’ which can inform workforce development and capacity building. The framework has been developed with engagement and feedback from HIA practitioners from Wales and beyond. It has also been designed with the input of key stakeholders including Natural Resources Wales, Local Health Boards, planning officers, environmental health practitioners, and public health specialists.

Authors: Nerys Edmonds, Lee Parry-Williams+ 1 more
, Liz Green

The Public Health Implications of Brexit in Wales: A Health Impact Assessment Approach

The United Kingdom’s withdrawal from the European Union (EU) (informally referred to as “Brexit”) is an unprecedented event in UK history, and evidence of the impact of Brexit on a wide range of policy areas is either unknown or highly contested. The Wales Health Impact Assessment Support Unit, Public Health Wales, has carried out a Health Impact Assessment (HIA) to better understand the potential implications of Brexit for future health and well-being in Wales.

Authors: Liz Green, Nerys Edmonds+ 5 more
, Laura Morgan, Rachel Andrew, Malcolm Ward, Sumina Azam, Mark Bellis

Health in planning assessments

In the latest edition of Planning in London, Michael Chang (Town and Country Planning Association), Liz Green (WHIASU) and Jenny Dunwoody (Arup) provided an overview of opportunities to integrate health considerations in a range of assessments in the process. These include the Strategic Environmental Assessment, Environmental Impact Assessment and the Health Impact Assessment. This article is set in the context of the forthcoming London Plan, a statutory strategic planning document for whole of London, which will see Boroughs adopt the policy of using HIAs in the planning applications process. Many of the issues and themes set out in the article will also be relevant and of interest to practitioners in Wales. (pp52-53)

Authors: Michael Chang, Liz Green+ 1 more
, Jenny Dunwoody

Developing a framework for managing the night-time economy in Wales: a Health Impact Assessment approach

This case study outlines the approach of a prospective Health Impact Assessment (HIA) to re-develop an existing reactive framework for managing the night-time economy in Wales. Inclusion of a range of stakeholders in the process enabled the reformulation of realistic proactive objectives which account for both health and well-being. This article highlights the benefits of HIA and can be used to inform future policy developments.

Authors: Kathryn Ashton, Janine Roderick+ 2 more
, Lee Parry-Williams, Liz Green

A Framework for Managing the Night Time Economy in Wales

The night time economy in Wales concerns the economic activity occurring between the hours of 6pm to 6am. This encompasses a range of activities from restaurants and establishments serving food, the on and off trade sale of alcohol, music venues and clubs with dancing and entertainment, cinemas and other leisure activities.

Authors: Kathryn Ashton, Janine Roderick+ 2 more
, Lee Parry-Williams, Liz Green

Quality Assurance Review Framework for Health Impact Assessment (HIA)

This Quality Assurance Review Framework is a critical appraisal tool for HIA. It sets out to ensure that HIA practice in Wales continues to reflect the important values, standards and approaches that have underpinned the development of HIA practice in the country to date.

Authors: Liz Green, Lee Parry-Williams+ 1 more
, Nerys Edmonds

The Case for Investing in Prevention: Housing

This is one in a series of short reports examining the case for investment in prevention activities. Each report includes a review of the literature which, while not exhaustive, aims to provide an overview for the reader and sign-post to further information for those requiring greater detail.

Authors: Sara Long, Liz Green+ 3 more
, Joanna Charles, Mark Bellis, Rhiannon Tudor Edwards

Housing and Health Evidence Review for Health Impact Assessment (HIA)

This guidance document was produced by the Wales Health Impact Assessment Support Unit (WHIASU) for Public Health Wales to ensure that decisions relating to housing and HIA are made from an evidence-informed standpoint. It is designed to be read in conjunction with Health Impact Assessment: A Practical Guide (Chadderton et al., 2012) which provides detailed guidelines and proformas for carrying out an HIA.

Authors: Ellie Byrne, Eva Elliott+ 2 more
, Liz Green, Julia Lester

A Practical Guide to HIA

The Welsh HIA Guide is a comprehensive and practical toolkit for practitioners and those who may have an interest in using the process as part of their work.

Authors: Chloe Chadderton, Eva Elliot+ 3 more
, Liz Green, Julia Lester, Gareth Williams