health impact assessment
royal Government of cambodia
presentation by cambodian participants
13-14 February 2012
v Using tools for decision makers
v Providing structure and process to improve
v Promoting cross-sectoral working by promoting
partnerships and sharing of responsibilities for
v Prospective assessments of impacts in the early
v Protecting the most vulnerable people, who may be
at risk from proposed developments
v Encouraging practices good governance with
transparent procedures utilizing identified and
To guide decisions on policy, procedures, planning and
projects to enhance the positive health impacts and
mitigate the negative.
To provide a strategic framework whereby the right to
good health, poverty alleviation, reduction of social
inequity and sustainability of development in the RCG
that can be enhanced through the timely identification
of adverse health effects of policies ,plans, projects,
To facilitate the selection of criteria and procedures
that ensure best practices in health impact assessments in
To define the essential functions required to support
adequate and cost-effective health impact assessment
procedures in line with international standards.
To define the roles and responsibilities linked to these
essential functions, of policy or project proponents, or
all relevant stakeholders in the public and private sector.
To facilitate the establishment of institutional arrangements
between the different public and private sector
in support of an efficient health impact assessment process
that is effectively coordinated with other impact assessment
v Encourage and assist as required the development of an
Association of HIA professionals within the country to
further enhance capacity building.
v Implement measures that ensure public participation in
the HIA process including full access to relevant
v Ensure wider reaching collaboration of HIA practitioners
within the region.
v Ensure institutional regulation and compliance of the
v Apply screening criteria to the policy, program, project or plan.
Determine whether an HIA is required.
v Scoping will involve setting out the parameters of the HIA.
v Establishing the Steering committee, choosing the appropriate level of
HIA and agreeing on the Terms of Reference.
v Select the appropriate assessor.
v Undertake the HIA with a Health Impact Statement (HIA report) and
recommendations for Health Risk Management (HRM).
v Appraisal of HIA statement.
v Negotiation with final choice of options for health risk management.
v Change project, plan, program or policy as required.
v Undertake monitoring and evaluation on the process, impacts and
v HIA policy not approve yet by the National
Committee for Environment and Health.
v Need advocacy with relevant Ministries and
v RGC not realize as priority issue.
v The institution response on HIA undecided.
v Neediness capacity on HIA among health
v The procedures of the EIA is not include HIA.
v Socio-economic growth within Cambodia can have
both positive and negative impacts on the
environmental and social determinants of health.
v Initially assisted by WHO Country office: Draft Policy (2006)
v Via National Committee for Environment and Health (NCEH) as
National Steering Committee (all ministries “Minister of MoH as
Chair”, Secretaries/Under-Secretaries of State of all ministries,
and Director-General/Deputy Director General of national
committee) to discuss and debate the HIA draft for consideration
v Assisted by NCEH Secretariat (Preventive Medicine Department,
v HIA guideline(s), procedure(s) …is/are to be developed and
consulted with stakeholders and development partners…, then
it/they will be endorsed by NCEH. 8
Political Commitment Network Coordination and
Institutional Coordination Participation
and Collaboration Promoting Sharing
Human Resource Information and Best
Development and Allocation Practices
Logistic Supports Capacity Building
Community Participation Financial Assistances
Regional and International