HIA: A MULTIDISCIPLINARY AND CROSS-SECTOR PROCEDURE … Gabriel Gulis.pdf · Steps of HIA and...
Transcript of HIA: A MULTIDISCIPLINARY AND CROSS-SECTOR PROCEDURE … Gabriel Gulis.pdf · Steps of HIA and...
HIA: A MULTIDISCIPLINARY AND CROSS-SECTOR PROCEDURE IN
THE INTERNATIONAL FRAMEWORK
Gabriel GulisUniversity of Southern Denmark
Esbjerg, [email protected]
ObjectivesnHIA –short overviewnExamples of international/national policiesnMulti-disciplinarity and cross-disciplinaritynConclusions
www.hia-nmac.sdu.dk
General model
Policy I.
Basic regulations (general rules) enacted by the Hungarian ParliamentüAct No CII of 1994 on the wine communitiesüAct No XVIII of 2004 on grape growing and wine managementüAct No XVIII of 2004on the excise duty and the specific rules of selling excise goods
Implementing regulations (special rules) framed by the Ministry of Agriculture and Rural Development onüDistillation of by-products (Decree No 75/2004)üCertificate of origin (Decree No 94/2004)üVineyard register (Decree No 95/2004)üGathering and submission of data (Decree No 96/2004)üProtection of origin (Decree No 97/2004)üLabelling (Decree No 98/2004)üProduction of wine (Decree No 99/2004)üProduction potential, restructuring and conversion (Decree No 7/2007)üWine producer manufactures (Decree No 101/2004)üGIS register of vineyards (Decree No 102/2004)üClassification of grape vine varieties (Decree No 104/2004)üWine Examining Committees (Decree No 103/2004)üNational Institute for Wine Qualification (Decree No 58/2005)
Basic regulationüCouncil Regulation (EC) No 1493/1999 of 17 May 1999 on the common organisation of the market in wine
Implementing regulationsüProduction potential (1227/2000)üMarket mechanisms (1623/2000)üOenological practices (1622/2000)üLabelling (753/2002)üQuality wines (1607/2000)üTrade with third countries (883/2001)üAccompanying documents, register (884/2001)üControl (2729/2000)üDeclarations (1282/2001)
International LevelCAP Policy
Rules, regulations, decrees
National levelLegislations Acts
Health
Consumption
Labeling, SES, media, Income, education,…
Processing
Agriculture, environment, taxation, subsidization
Policy level
Determinant of health level
Risk factor level
Health effect level
Farmers, producers, policy makers
Producers, market, media, education, public health …
General population
Policy II.
Policy III.
Multi- disciplinaritynWine policy
n rural planning, agriculture, land use, sociology, medicine, public health, toxicology, ecology, economy, etc…
nDietary fibre policynAgriculture, food processing, land use, ecology, sociology, medicine, economy, public health, etc…
nTourism policynEconomy, water management, environmental sciences, land conservation, biology, architecture, health sciences, public health, diving technologies, sport sciences, etc…
Cross-disciplinaritynData availability – wine production data from agriculture, health data from health and national statistics systems nTrends in tourism (exposure) – trends in healthnPlanning of services, workforce nFull chain approach nPolicy – determinants of health – risk factors – health outcome
Disciplines, Health effects, SectorsMedicine, biology, toxicology Liver Cirrhosis health sector
•Epidemiology, consumer sciences, etc… agriculture, business, finance...
Alcohol consumption•
Psychology, sociology, behavioral sc… Education, economy, social…
Social determinants•
Politology, policy making, sociology…. Economy, agriculture, health…•
Policy
Steps of HIA and intersectorality• Screening – single actor, single sector usually• Scoping – inter-sectoral and cross-disciplinary,
participatory• Risk appraisal – single sector with involvement of many
different disciplines and occasionally sectors• Report writing – single actor, sector with involvement of
other sectors• Decision making – depending on the case, but mostly
single sector• Monitoring and evaluation – single sector, actor! (with
involvement of others…9
Foundation of sound political decisions
B2 – determinants of health
B4?, B5?, B6? Differs, at some
extent exist
C1- not a mustC2 – participation
C3 – data, literature access
C4 – public demand
statute?
A1 data?
A2 - 3? Who is a target group? PH practitioners? planners ? politicians?...
A4? transparency
B1 – uncertainties, lack of clear definitions?
B3 –commitment and support needed?
B7 – conflict of interest of politicians and citizens?
C5-frequent changes?
HIA implementation
LACK
of
TRAINING
ConclusionsnHIA acts across disciplines and sectorsnSystematic capacity building is needed not only within health sector; other sectors should be aware of their responsibility for health