The New Era of HIA in Thailand HIA Development Report 2006 and the future HIA development strategy Suphakit Nuntavorakarn Healthy Public Policy Foundation and HPP-HIA Program, Health Systems Research Institute, Thailand Paper presentation in the HIA concurrent session IAIA’07, Seoul, Korea

Introduction  Many organizations have joined hand in HIA development for many years  But never produced a report, nor setting a common and concrete action plan together.  The HIA Development Report 2006  To evaluate and summarize HIA development progress  To develop visions, goals, and action plan

The involved organizations on HIA Development Report 2006  Department of Health  Department of Disease Control  Office of Natural Resources and Envi. Policy and Planning  King Prajadhipok’s Institute  Health Systems Research Institute  Healthy Public Policy Foundation  Universities  National Economic and Social Advisory Council  National Health Reform Office  We Love Tha Chin River Society  The HIA Session in the National Health Assembly 2006

Part I: Thailand’s HIA Report 2006

The National Health System Reform The origin and the framework of HIA development in Thai society

Department of Health The Sanitation and HIA Division - Studying and applying HIA to several cases - E.g. Urban dev., Waste management, HELI International Project on Pesticide, etc. - Capacity strengthening for Intersectoral HIA

Health Systems Research Institute The Research and Development Program on Healthy Public Policy and HIA - Analytical Frameworks for the Thai context - Critical Mass through capacity building and networking - Enabling Environment through public communication - Institutional Framework

Health System Reform Office  The drafting and advocating process on the National Health Act since 2000  Facilitate and supports the Health Assembly at all level

The Health Assemblies  Several area-base and issue- base Health Assemblies use HIA as a tool  We Love Tha Chin River Society  The Eco-Cultural Study Group on the potash mining  Loei Civil Society, the gold mining project  NGOs and communities in Chiang Mai on the chemical use for agriculture  Etc.

Office of Natural Re. and Envi. Policy and Planning  Developing HIA in the EIA system  Set up a working group of related organizations to explore the integration and develop a guideline

Department of Disease Control  Developing HIA approaches for projects that require EIA  Some examples are the draft guidelines for airport and cement industry project

NESAC and the Cabinet’s Resolution  Developed and submitted the recommendation on HIA development for healthy public policy  The Ministerial Cabinet’s Resolution on 31 st May 2005, assigned roles and responsibilities to Ministry of Public Health

The 10 th National Economic and Social Development Plan  Develop HIA in the EIA system  Develop/apply SEA both for policy issues and area development

The Bangkok Charter for Health Promotion in a Globalized World  adopted at the 6 th Global Conference on Health Promotion in 2005  the importance of HIA in international policies in this era of globalization

Key issues from the past HIA development  Lack of coordinating system or mechanism to support the works of one another  More effective mechanisms to coordinate and link the Health Assemblies to policy advocacy works  Human resource capacity building and long-term development of teaching and learning system

From the past to future HIA development  HIA development at community and local level  HIA development in EIA system, which is at project level  HIA development for healthy public policy  HIA development for trans-boundary impacts and international policies

Part II: HIA Development Strategy

The challenges  Indications in the 10 th National Dev. Plan of HIA in the EIA and SEA development  HIA for public policy development at local level  HIA for Healthy Public Policy in other policy issues  The cornerstone and mechanism for knowledge enhancement, also long-term plan for HIA human resource  Tran-boundary health impacts and inter. policy dev.

HIA application at local level  Approarches, guideline, and case studies  HIA for legislation by local governments and communities  Build and support HIA capacities, also campaign for awareness  Synthesis of the experiences

HIA in the EIA system  Develop concepts and guidelines  Application of good governance principles  Capacity strengthening  People Guideline on HIA application in the EIA system

HIA for Healthy Public Policy  HIA concepts, processes, and tools for SEA  Develop healthy policy alternatives  Diverse spaces for public deliberation  Concepts and approaches of policy process analysis

HIA beyond the border  Coordinating & networking with neighboring countries  Contacts with international policy practitioners  International research and development  Policy process of relevant international organizations

HIA according to the National Health Act B.E.2550 (2007)  Developing the institutional structure of the HIA system  Supporting the Health Assemblies at all level

The other strategies for future HIA development  Knowledge base development  Public communication system  Goals and the Action Plan for 2007

The mechanisms for governance and coordination  Executive level National Health Commission and National Health Assembly National Health Commission and National Health Assembly  Directive level Set up a commission of senior staffs from various sectors Set up a commission of senior staffs from various sectors  Operational level Set up the HIA Development Coordination Committee of all organizations working on HIA development Set up the HIA Development Coordination Committee of all organizations working on HIA development

The emerging challenges for further HIA development  The operating and coordinating system for HIA according to the National Health Act  Integration of HIA in the EIA system  Supporting the Regional Health Promotion Centers  Applying SEA, Policy process analysis, learning- by-practicing  Strengthening cooperation and resource mobilization  Knowledge base dev. and the coordinating mechanism

Thank you for your attention