Promoting sustainable regeneration: learning from a case study in participatory HIA

The object of the health impact assessment (HIA) was to inform economic development of a neighbourhood in Sheffield (England) and to use HIA as a tool to increase the participation of local communities in strategic development decisions. Community profiling and literature review was followed by analysis and prioritisation of policy and health impacts, and recommendations for policy change. A series of Standing Conferences were used to bring community, statutory and private sector perspectives together for debate. The paper reflects upon the extent to which the economic, environmental, and social HIA recommendations have been implemented, 2 years on. It concludes that most progress has been made where lobbying and action by local groups has been able to bring about change. Unsurprisingly regional and national policy making has proved harder to influence. Involvement of two community partnership groups was important in building community involvement. The learning is summarised in a 10 point list of factors which enable HIA to make a difference. It is concluded that participatory HIA can not only assist in identifying the integrated solutions which sustainable development requires, but also helps form the partnerships and alliances required to realise such solutions. (C) 2003 Published by Elsevier Inc.