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Émeline Rococo, Ana Rivadeneyra-Sicilia, Bianco De Rosario

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |August 10, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Citizen participation in Health Impact Assessment (HIA) is often unclear in practice, facing political and financial hurdles in France. Enhancing practitioner capacity and defining participation objectives are key to improving its implementation.

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    Area of Science:

    • Public Health
    • Environmental Health
    • Health Policy

    Background:

    • Citizen participation is a foundational principle of Health Impact Assessment (HIA).
    • A significant gap exists between the ideal of citizen participation in HIA and its practical application.
    • Recent developments in HIA in France highlight the need to understand this concept and its implementation challenges.

    Purpose of the Study:

    • To explore the concept and implementation of citizen participation in Health Impact Assessment (HIA) in France.
    • To identify challenges and provide insights into the practical application of citizen participation in French HIAs.

    Main Methods:

    • An exploratory study utilizing semi-structured interviews, on-site observations, and document analysis.
    • Analysis of 11 HIAs conducted across 8 French regions between 2011 and 2018.

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  • Citizen participation was evaluated across five dimensions: stakeholder perceptions/expectations, scope, scale, engagement methods, and constraints.

    • Main Results:

    • The concept of citizen participation in HIA remains ambiguous in the French context, mirroring international findings.
    • While recent HIAs show some progress, implementation is hindered by political, financial, and human resource constraints.
    • Competition with existing local public participation mechanisms further complicates HIA citizen engagement.

    Conclusions:

    • Accumulated experience can improve citizen participation integration in HIA.
    • Clear definition of participation objectives, advance sensitization of city counselors, and strengthened HIA practitioner capacities are crucial.
    • Collaborating with participation specialists can enhance the effectiveness of citizen engagement in HIA, aligning practice with health promotion values.