Good Practice Guidance on Health Impact Assessment Guidance2010-1 GoodPracticeGuidanceonHealthImpactAssessment Good Practice Guidance on Health Impact Assessment GoodPracticeGuidanceonHealthImpactAssessment List of Acronyms AIDS AcquiredImmuneDeficiencySyndrome CSW CommercialSexWorker HIV HumanImmunodeficiencyVirus HNA HealthNeedsAssessment HRA OccupationalHealthRiskAssessment/ HazardIdentificationandRiskAssessment HSE Health,SafetyandEnvironment EIA EnvironmentalImpactAssessment ESHMP EnvironmentalSocialandHealthManagementPlan ESHIA Environmental,SocialandHealthImpactAssessment ESHMP Environmental,SocialandHealthManagementPlan HIA HealthImpactAssessment HMP HealthManagementPlan IA ImpactAssessment HRA OccupationalHealthRiskAssessment ICMM InternationalCouncilonMiningandMetals NGO NonGovernmentalOrganization SEAT Socio-EconomicAssessmentToolbox SIA SocialImpactAssessment SIP SocialInvestmentPlan TB Tuberculosis TOR TermsofReference GoodPracticeGuidanceonHealthImpactAssessment Contents 1 Foreword 3 Section1: Introduction 5 1.1. PurposeoftheGuidance 6 1.2 CommunityHealthandWellbeingImpactsof MiningandMetalsProjects 8 Section2: Assessment 25 2.1 WhatisHealthImpactAssessment? 26 2.2 UndertakinganIn-houseRapidHealthImpactAssessment 43 2.3 IntegratingHealth,EnvironmentandSocial ImpactAssessements 58 Section3: Management 63 3.1 CommissioningandManagingaHealthImpactAssessment 64 3.2 ManagingCommunityHealthandWellbeingImpacts 70 3.3 FollowingUpCommunityHealthandWellbeingImpacts 76 Appendices 79 Appendix1: SourcesofFurtherInformation 81 Appendix2: UsefulHealthImpactAssessmentWebsites 82 Appendix3: KeyDefinitionsandConceptsUsedin HealthImpactAssessement 83 Appendix4: RapidHealthImpactAnalysisTableBlankTemplate 84 Appendix5: ExampleTableofContentsforanIn-depth HealthImpactAssessmentReport 85 GoodPracticeGuidanceonHealthImpactAssessment 2 GoodPracticeGuidanceonHealthImpactAssessment Foreword 3 Ensuringthatourmembers’operationscontributepositivelytothehealthand wellbeingofourworkersandcommunitiesisofparamountimportancetoICMM. ICMMhasdevelopedasetoftoolstohelpsitepractitionersassessandaddress therisksposedbyhazardsintheminingandmetalssector–thisGoodPractice GuidanceonHealthImpactAssessmentallowstheusertosubstantivelyassess theimpactsoftheiroperationsonthehealthofthelocalcommunities,alongside environmentalandsocialimpacts. AsisterpublicationGoodPracticeGuidance onOccupationalRiskAssessment(2009)providesthosepractitionerswiththe informationandtoolstheyneedtoassessthehealthandwellbeingofemployees andcontractors. ICMM’sinteractiononthisissueisguidedbytwoofourSustainableDevelopment Principles: • Toseekcontinualimprovementofourhealthandsafetyperformance • Tocontributetothesocial,economicandinstitutionaldevelopmentof thecommunitieswithinwhichweoperate. ThisGoodPracticeGuidancesetsoutanoverviewofhowminingandmetals operationscanaffectthehealthandwellbeingoflocalcommunities,describes typicalhealthimpactassessmentprocessesandoutlinesamethodologyfor undertakingarapidassessmentsothatin-housepractitionersareinvolvedfrom thestart. TheGoodPracticeGuidancerecognizestheimperativetointegratehealth impactassessmentwithenvironmentalandsocialimpactassessmentsandprovides thereaderwithmanagementtoolstoachievethis. TheICMM/WorldBankCommunityDevelopmentToolkitprovidesfurtherpractical adviceonengagingwithlocalcommunitiesandshouldbereferredtointhedesign ofhealthimpactassessmentstudies. Itisourintentionthatthispublicationprovidesapracticaltooltoassistcompanies inprotectingthehealthandwellbeingoftheirworkforceandlocalcommunities, anditaimstorepresent leadingpracticeforcompaniesoperatinginthemining andmetalssectortoday. DrR.AnthonyHodge,President GoodPracticeGuidanceonHealthImpactAssessment 4 GoodPracticeGuidanceonHealthImpactAssessment 5 SECTION 1: Introduction GoodPracticeGuidanceonHealthImpactAssessment 1.1 Purpose of the Guidance 6 Introduction HealthImpactAssessment(HIA)isasystematicapproachtopredictingand managingthepotentialpositiveandnegativehealtheffectsofpolicies,plans, programsandprojectsonlocalcommunitiesandthewidersociety.Thepurposeof thisguideisto: • promotetheuseofHIAintheminingandmetalssector • introducemanagersandhealthandsafetyadvisorstotheHIAprocess • provideapracticalresourceforconductinginitialin-houserapidHIAs • supportthecommissioningofin-depthHIAseitherasstand-alone assessmentsormoreusuallyaspartofIntegratedEnvironmental,Social andHealthImpactAssessments(ESHIA). WhydoHIA? Assessmentandmanagementofcommunityhealth,safetyandwellbeingimpactsis increasinglyconsideredpartoftheriskmanagementandsocialresponsibilityof miningandmetalsoperators.Arangeofindustrialsectorse.g.oilandgas,chemical manufacturingandtransportationareincreasinglylookingtoembedHIAwithintheir organizationalandprojectmanagementstructures.Fornewminingandmetals projectsandmodifications,oracquisitionsofexistingprojects,HIAcan: • Identifyandmaximizethepositivecommunityhealthandwellbeing impactsandopportunitiesthataminingandmetalsprojectcanbring. • Identify,avoidandminimize,throughchangestotheprojectdesignand implementation,theunintendednegativecommunityhealthandwellbeing impactsthatcanarise. • Identifyexistingcommunityhealthproblems,whichcouldamplifythe impactofaproposedprojectandaffectitsviability. • Identifycountry-specifichealthregulationswhichmayaffecttheproposed project. • Provideaprocessthroughwhichtheprojectcanworkinpartnershipwith localhealth,socialcare,andwelfareservicestojointlyalleviatethese healthproblems. • Formonepartofabroadercommunityandlocalstakeholderinvolvement andengagementprocessthatcanbuildtrust,drawoutanycommunity concernsandgenerateadialogueaboutthebestwaysthattheprojectcan benefitlocalcommunities. • Helptomakeexplicitthepotentialtradeoffsbetweencommunityhealth andwellbeingandothereconomic,environmentalandsocialobjectivesof theproposedproject. • Provideanequitable,transparentandevidence-basedapproachto planningandfundingcommunityhealthinfrastructureanddevelopment activitiestoprotectandenhancesustainablelocallivelihoods. • Helptojointlynegotiatethoseaspectsofcommunityhealthandwellbeing whicharetheresponsibilityoftheprojectandthoseaspectswhicharethe responsibilityoflocalgovernmentandlocalpublicservices. • Helptomanageprojectsustainabilityandobtainalongtermlicenceto operate. GoodPracticeGuidanceonHealthImpactAssessment