HEALTH IMPACT ASSESSMENT OF MUNICIPAL POLICIES AS AN INSTRUMENT FOR IMPROVING PUBLIC HEALTH
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2014, Vol 0, Issue 3
Abstract
Reason There is plenty of scientific evidence about policies beyond healthcare sector such as economics, ecology, education, culture and living conditions, which have impact on health. Health impact assessment (HIA) on these policies is carried in many countries around the world according to methodologies approved on a national or local level. Purpose To investigate the disposition of local governing bodies in Republic of Bulgaria for conducting HIA on municipality public policy. Methods In 2013 a survey was conducted in all of the 264 municipalities of Republic of Bulgaria. The information was acquired via direct postal survey. A questionnaire was used consisting of 35 questions concerning the health problems on each municipality’s territory; determinants of health; assessment of the impact of public policy to health; health care accessibility and the policy in public health care. 168 municipalities (64%) responded to the invitation for participation. Results According to 156 (92.9%) of the participants it is important for the municipalities’ councils to form their policies according to the approach “Health in all policies”. More than half of the municipalities are convinced that the policies of the local governing bodies impact the public health.125 (74.4%) of the respondents are convinced in the need of methodology for HIA on the municipal policy to health. Conclusion: The municipalities (local councils) realize the responsibility of creating policies which do not have a negative impact of health. Despite the good awareness of determinants of health in the municipalities there aren’t any tools for HIA on public policies.
Authors and Affiliations
Paulina Kirova
Keywords
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