Presentation by Cambodian Participants Phuket, Thailand February 2012 Health Impact Assessment Royal Government of Cambodia

 Using tools for decision makers  Providing structure and process to improve health outcomes  Promoting cross-sectoral working by promoting partnerships and sharing of responsibilities for health  Prospective assessments of impacts in the early planning stages  Protecting the most vulnerable people, who may be at risk from proposed developments  Encouraging practices good governance with transparent procedures utilizing identified and public participation 2

Aims: To guide decisions on policy, procedures, planning and projects to enhance the positive health impacts and mitigate the negative. General Objective: 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, and programs. 3

 To facilitate the selection of criteria and procedures that ensure best practices in health impact assessments in Cambodia.  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 stakeholders in support of an efficient health impact assessment process that is effectively coordinated with other impact assessment processes. 4

 Encourage and assist as required the development of an Association of HIA professionals within the country to further enhance capacity building.  Implement measures that ensure public participation in the HIA process including full access to relevant information.  Ensure wider reaching collaboration of HIA practitioners within the region.  Ensure institutional regulation and compliance of the HIA process. 5

 Apply screening criteria to the policy, program, project or plan. Determine whether an HIA is required.  Scoping will involve setting out the parameters of the HIA.  Establishing the Steering committee, choosing the appropriate level of HIA and agreeing on the Terms of Reference.  Select the appropriate assessor.  Undertake the HIA with a Health Impact Statement (HIA report) and recommendations for Health Risk Management (HRM).  Appraisal of HIA statement.  Negotiation with final choice of options for health risk management.  Change project, plan, program or policy as required.  Undertake monitoring and evaluation on the process, impacts and outcomes. 6

 HIA policy not approve yet by the National Committee for Environment and Health.  Need advocacy with relevant Ministries and stakeholders.  RGC not realize as priority issue.  The institution response on HIA undecided.  Neediness capacity on HIA among health professionals.  The procedures of the EIA is not include HIA.  Socio-economic growth within Cambodia can have both positive and negative impacts on the environmental and social determinants of health. 7

8  Initially assisted by WHO Country office: Draft Policy (2006)  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 and adoption.  Assisted by NCEH Secretariat (Preventive Medicine Department, MOH)  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.

COUNTRY  Political Commitment  Institutional Coordination and Collaboration  Human Resource Development and Allocation  Logistic Supports  Community Participation  Regional and International consideration ASEAN  Network Coordination and Participation  Promoting Sharing Information and Best Practices  Capacity Building  Financial Assistances 9

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