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