City Know-hows

A case study in developing a Health Impact Assessment from the eyes of a Community

Local residents protesting the toxic air in Southall, west London. Image © Clean Air for Southall & Hayes

This case study articulates that when culturally competent infrastructure is in place, community knowledge has the potential to redesign policies and systems. It centres on the co-production of a new type of Health Impact Assessment, putting the existing community first.

Share

Target audience

Communities, urban leaders, public health policymakers

The problem

Current methods for baselining community health and evaluating impacts fail to reflect the lived, cultural and economic realities of urban communities. This results in inaccurate analysis and strategies being developed. Urban communities hold deep knowledge from their experiences of how proposed interventions interact with other determinants of health. Due to inadequate research infrastructure this knowledge is not being realised and influencing areas such as the Health Impact Assessment.

What we did and why

Our collaboration co-created a new methodology reimagining the design, delivery, and management of the Health Impact Assessment using a community lens of the WHOs four interlinking principles: democracy, sustainable development, equity, and ethical use of evidence. We produced an assessment showing the differences between technocratic and experience-led approaches, and shared our methodology with 10 groups from around the UK in a pilot programme who conducted their own exercises locally.

Our study’s contribution

This case study demonstrates a few key points:
• Current models for evaluating local health fail to accurately capture the susceptibility of urban communities to increased levels of stressors from urban development.
• Current approaches to HIAs need more work to uphold the WHOs four interlinking principles: democracy, sustainable development, equity, and ethical use of evidence, in the eyes of community organisers.
• Greater infrastructure is needed to support impactful community engagement and design of policy.

Impacts for city policy and practice

Key implications are:

  • Local Authorities can use this methodology to influence how they engage with communities to review practices and embolden a justice-led praxis to help better serve people.
  • The HIA is a malleable area of policy use and therefore can be an easy approach for authorities and policy writers to influence.
  • Community-designed HIAs can involve multiple stakeholders, ensuring a systems thinking approach is working in action.

See also other Centric Lab work on grassroots Community Health and Impact Assessments.

Further information

Full research article:

A case study in developing a health impact assessment through the eyes of a community by Josh Artus, Hannah Yu-Pearson, Charlotte Kemp, Fonso, Angela Fonso and Daniel Akinola-Odusola.

Related posts

Peri-urban landscapes and the potential of integrated foodscapes to support healthy cities

As the global urban population grows, food production and housing are currently ‘competing’ with each other for land on the edges of cities. Both essential urban components, this research supports town planning and urban design professionals to explore alternative peri-urban land use typologies, where food production and housing co-exist for greater urban health and resilience.

Read More »