Review article: health impact assessment developments in Sweden
1Swedish National Institute of Public Health, Ostersund, Sweden. ida.knutsson@fhi.se
Scandinavian Journal of Public Health
|January 9, 2010
Summary
Sweden has strengthened its approach to health impact assessment (HIA) by focusing on supportive policies and organization. Key facilitators include integrating HIA with sustainable development, while obstacles involve funding and legal mandates.
Area of Science:
- Public Health
- Health Policy
- Environmental Health
Background:
- Contextual prerequisites are vital for effective health impact assessment (HIA).
- Sweden has actively worked to establish supportive conditions for HIA implementation.
- Factors considered include stewardship, organization, and public health culture.
Purpose of the Study:
- To examine how the Swedish government fosters prerequisites for HIA.
- To identify facilitators and obstacles in HIA implementation within Sweden.
- To analyze the role of public health policy in shaping HIA.
Main Methods:
- Literature review of relevant documents and policies.
- Analysis of government initiatives and organizational structures.
- Assessment of public health culture and its impact on HIA.
Main Results:
- Since 2000, Swedish government initiatives have aimed to increase public health and HIA application.
- National agencies and county administrative boards have been assigned roles to support HIA.
- The National Institute of Public Health plays a supportive function.
Conclusions:
- Facilitators include leveraging existing assessment knowledge and linking HIA to sustainable development.
- Obstacles comprise the absence of mandatory HIA legislation, funding shortages, and occasional gaps in public health expertise.
- Sweden's public health policy, emphasizing health equality, provides a crucial framework for HIA.
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