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Health impact assessment for engaging natural resource extraction projects in sustainable development in producer regions

English title Health impact assessment for engaging natural resource extraction projects in sustainable development in producer regions
Applicant Winkler Mirko
Number 169461
Funding scheme r4d (Swiss Programme for Research on Global Issues for Development)
Research institution Schweizerisches Tropen- und Public Health-Institut
Institution of higher education University of Basel - BS
Main discipline Public Health and Health Services
Start/End 01.09.2017 - 31.08.2020
Approved amount 1'644'341.00
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All Disciplines (6)

Discipline
Public Health and Health Services
Human Ecology
Political science
Economics
Methods of Epidemiology and Preventive Medicine
Health

Keywords (9)

Africa; Externalities; Health impact assessment; Health systems; Natural resource extraction; Public health; Resource governance; Resource Impact Dashboard; Sustainable development goals

Lay Summary (German)

Lead
Der Abbau von natürlichen Ressourcen (z.B. Öl, Gas, Mineralien) wirkt sich in Erzeugerregionen stark auf die Gesellschaft, die Gesundheit der Bevölkerung und die Ökosysteme aus. Das «HIA4SD» Projekt analysiert die Bedingungen, unter denen die Gesundheitsfolgenabschätzung (engl. Health Impact Assessment (HIA)) ein wirksamer Regulierungsmechanismus ist um den Abbau von natürlichen Ressourcen mit den gesundheitsbezogenen Zielen der SDG 2030 Agenda zu koppeln.
Lay summary

Inhalt und Ziel des Forschungsprojekts

In vielen Ressourcen-Abbaugebieten in Afrika nehmen übertragbare Krankheiten wie HIV/AIDS zu, während gleichzeitig eine Verschlechterung des Gesundheitssystems und anderer gesundheitsrelevanter Faktoren zu beobachten ist. Eine Stärkung des Gesundheitswesens im Umfeld von zum Beispiel Bergbauprojekten kann viel seltener festgestellt werden.

Das «HIA4SD» Projekt identifiziert die Einflussfaktoren, welche zu diesen unterschiedlichen Resultaten führen. Dazu werden georeferenzierte Gesundheitsdaten sowie die bestehenden nationalen und internationalen Regulierungsmechanismen und ihre Umsetzung analysiert. In einer zweiten Projektphase bilden die Forschungsergebnissen die Grundlage für einen Policy-Dialog. Er dient dazu, Gouvernanz- und Verantwortlichkeitsmechanismen so weiter zu entwickeln, dass Projekte zur Ressourcengewinnung negative Gesundheitsauswirkungen internalisieren und zu einer Stärkung der Gesundheitssituation in den Abbaugebieten führen.

Wissenschaftlicher und gesellschaftlicher Kontext

Das Projekt trägt in vier Afrikanischen Ländern (Burkina Faso, Ghana, Mozambique und Tanzania) sowie auf regionaler und internationaler Ebene zu einer evidenzbasierten Debatte über die Ressourcen-Gouvernanz bei. Durch den aktiven Einbezug einer breiten Palette von Akteuren und den Aufbau von Fachwissen zur Durchführung von HIAs in Afrika fördert das Projekt die gezielte Berücksichtigung gesundheitlicher Aspekte in der Planung und Ausführung von Ressourcenabbau-Vorhaben. Im besten Fall wird das Projekt die Anwendung der Folgenabschätzung als Regulierungsmechanismus verstärken und diese mit den gesundheitsbezogenen Zielen der SDG 2030 Agenda koppeln.

Direct link to Lay Summary Last update: 30.08.2017

Responsible applicant and co-applicants

Employees

Publications

Publication
Quantification of Annual Settlement Growth in Rural Mining Areas Using Machine Learning
Dietler, Farnham, de Hoogh, Winkler (2020), Quantification of Annual Settlement Growth in Rural Mining Areas Using Machine Learning, in Remote Sensing, 12(2), 235-235.
Using district health information to monitor sustainable development
Farnham Andrea, Utzinger Jürg, Kulinkina Alexandra V, Winkler Mirko S (2020), Using district health information to monitor sustainable development, in Bulletin of the World Health Organization, 98(1), 69-71.
Health impact assessment for promoting sustainable development: the HIA4SD project
Winkler Mirko S., Adongo Philip B., Binka Fred, Brugger Fritz, Diagbouga Serge, Macete Eusebio, Munguambe Khátia, Okumu Fredros (2019), Health impact assessment for promoting sustainable development: the HIA4SD project, in Impact Assessment and Project Appraisal, 1-8.
Health impact assessment and health equity in sub-Saharan Africa: A scoping review
Leuenberger Andrea, Farnham Andrea, Azevedo Sophie, Cossa Herminio, Dietler Dominik, Nimako Belinda, Adongo Philip B., Merten Sonja, Utzinger Jürg, Winkler Mirko S. (2019), Health impact assessment and health equity in sub-Saharan Africa: A scoping review, in Environmental Impact Assessment Review, 79, 106288-106288.
Health studies in the context of artisanal small scale mining: a scoping review (term paper)
Scheidegger Rahel, LeuenbergerAndrea, WinklerMirko (2019), Health studies in the context of artisanal small scale mining: a scoping review (term paper), Swiss Federal Institute of Technology, Zurich.
Investigating the inclusion of health in impact assessment reports of natural resource extraction projects in sub-Saharan Africa (term paper)
Azevedo Sophie, DietlerDominik, WinklerMirko (2019), Investigating the inclusion of health in impact assessment reports of natural resource extraction projects in sub-Saharan Africa (term paper), Swiss Federal Institute of Technology, Zurich.

Collaboration

Group / person Country
Types of collaboration
Research Institute of Health Sciences (IRSS) Burkina Faso (Africa)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
Universtity of Health and Allied Sciences Ghana (Africa)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
Manhiça Health Research Centre Mozambique (Africa)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
NADEL - Center for Development and Cooperation Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
Ifakara Health Institute (IHI) Tanzania (Africa)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
- Industry/business/other use-inspired collaboration

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
8th European Conference on African Studies (ECAS) Talk given at a conference Diverging Corporates: Explaining diverging performance by large scale mining firms in Africa 11.06.2019 Edinburgh, Scotland, Faroes Engebretsen Rebecca; Brugger Fritz;
38th Annual Meeting of the International Association for Impact Assessment Talk given at a conference SDGs and HIA in Africa: The HIA4SD project; and Current challenges and opportunities for HIA 16.05.2018 Durban, South Africa Winkler Mirko;
37th Annual Meeting of the International Association for Impact Assessment Talk given at a conference Health impact assessment for engaging natural resource extraction projects in sustainable development in producer regions 04.09.2017 Montreal, Canada Winkler Mirko;


Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
Invited presentation at UNAIDS Headquarters Talk 21.01.2020 Genevar, Switzerland Winkler Mirko;
Fórum Económico e Social de Moçambique (MOZEFO 2019) Talk 21.11.2019 Maputo, Mozambique Winkler Mirko; Macete Eusébio Victor;
Swiss Agency for Development, Brown Bag Lunch Seminar Talk 26.03.2019 Bern, Switzerland Farnham Andrea; Winkler Mirko;


Self-organised

Title Date Place
Mozambique multi-stakeholder meeting 20.08.2019 Maputo, Mozambique
Ghana HIA4SD project kick-off meeting 25.06.2019 Accra, Ghana
Tanzania HIA4SD project kick-off meeting 04.07.2018 Dar es Salam, Tanzania
Mozambique HIA4SD project kick-off meeting 19.06.2018 Maputo, Mozambique
Burkina Faso HIA4SD project kick-off meeting 29.05.2018 Ouagadougou, Burkina Faso

Abstract

Background: Health is central to sustainable development, and thus cross-cutting issue of the Sustainable Development Goal (SDG) 2030 agenda. Natural resource extraction projects in Africa have considerable potential to positively act on health-related targets of SDGs. The past has shown, however, that natural resource extraction projects often adversely impact on health determinants (e.g. local health systems, access to water and sanitation, food availability) and health outcomes (e.g. HIV/AIDS, vector-related diseases and communicable diseases). While countries worldwide have established the legal requirement that an environmental impact assessment (EIA) must be done prior to implementation of a large development project, not a single country in Africa is actively promoting health impact assessment (HIA), let alone regulating it. We conjecture that for tapping the potential of impact assessment to engage the natural resource extraction projects in producer regions in sustainable development one needs to work towards integrated impact assessments that are grounded in intersectoral collaboration and backed up by a robust regulation that embraces the agenda set by the SDG 2030 agenda.Aim and objectives: This project aims to inform and facilitate a policy dialogue at the national and international level on whether current regulatory approaches to impact assessment in Africa promote sustainable development. In Phase I (2017-2020), the project aims to generate an evidence-base at the national and local level on the strengths and limitations of current impact assessment practice in Africa in engaging natural resource extraction projects to work towards health-related targets of the SDG 2030 agenda. In Phase II (2020-2022), the research outcomes of Phase I will be utilised to inform and facilitate a policy dialogue at the national and international level on how the current governance architecture can be amended to make full use of impact assessments as a regulatory mechanism to support producer regions in working towards the SDGs.Approach: This inter- and trans-disciplinary research project will be carried out in four countries in Africa: Burkina Faso, Ghana, Mozambique and Tanzania. The activities of the project will target different levels (local, national and international) and will be structured in ten work packages (WPs): (1) project coordination; (2) institutional, policy, regulatory and political economy analysis of the current setup for health in impact assessment; (3) evaluation at the national level of past and concurrent impacts of natural resource extractive projects on health-related targets of the SDGs; (4) health systems and socioeconomic assessment at district level to determine how natural resource extraction projects interact with, and have effect on, local health systems; (5) integration with the ‘Resource Impact Dashboard’ (RID) (an ongoing r4d project) (end of Phase I); (6) policy options and dialogue; (7) launch of the ‘HIA4SD Initiative’; (8) HIA case studies at the local level; (9) HIA capacity building; and (10) analytic comparative synthesis for expanding the impact of the HIA4SD project from the national level to the regional and global level.Expected outcomes: (1) further development and fostering of the research partnerships; (2) assessment of the effectiveness of the current institutional and regulatory setup to effectively mitigate and minimise potential adverse health impacts of natural resource extraction projects; (3) empirical evidence on the associations between natural resource extraction projects and health-related SDG indicators; (4) empirical evidence on associations between health system performance, cost/benefits and the presence of natural resource extraction projects; (5) advances in systematic and transparent monitoring of health impacts related to the extractive sector; (6) policy dialogue at the national and international level, including the corporate level, on regulatory approaches to impact assessment for promoting sustainable development; (7) an online platform that supports stakeholder engagement and dissemination of the methods and outcomes of the HIA4SD project at the national and international level; (8) HIA case studies that support the policy dialogue process and integrate with the capacity building efforts; (9) increased human capacities in conducting, evaluating and enforcing health in impact assessment; and (10) a policy dialogue at the regional level and in other African countries on whether current regulatory approaches to impact assessment are sufficient for engaging natural resource extraction projects - and any other large infrastructure developments - in sustainable development in producer regions.
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