A Comparative Analysis of Health Impact Assessment Implementation Models in the Regions of Montérégie (Québec, Canada) and Nouvelle-Aquitaine (France)

Françoise Jabot, Emile Tremblay, Ana Rivadeneyra, Thierno Amadou Diallo and Geneviève Lapointe
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Françoise Jabot: Univ Rennes, EHESP, CNRS, ARENES–UMR 6051, F-35000 Rennes, France
Emile Tremblay: Direction of environmental health and toxicology, Institut National de Santé Publique du Québec, Quebec City, QC G1V 5B3, Canada
Ana Rivadeneyra: Univ Bordeaux, ISPED, F-33000 Bordeaux, France
Thierno Amadou Diallo: National Collaborating Centre for Healthy Public Policy, Montreal, QC H2P 1E2, Canada
Geneviève Lapointe: Direction of environmental health and toxicology, Institut National de Santé Publique du Québec, Quebec City, QC G1V 5B3, Canada

IJERPH, 2020, vol. 17, issue 18, 1-18

Abstract: Many countries have introduced health impact assessment (HIA) at the national, regional, or local levels. In France and in Québec, there is increasing interest in using HIA to inform decision-makers and influence policies, programs, and projects. This paper aims to compare HIA implementation models in two regions: Nouvelle-Aquitaine (France) and Montérégie (Québec, Canada) using a case study methodology. The objective is to gain a better understanding of the similarities and differences in the approaches used to achieve the operationalization of HIA. The methodological approach involves four steps: (1) design of an analytical framework based on the literature; (2) exchanges within the research team and review of documents concerning the two implementation strategies under study; (3) development of the case studies based on the proposed framework; and (4) cross-comparison analysis of the case studies. The findings show that the two regions share certain similarities, including the strong commitment and political will of the public health organizations involved and a well-established culture of engaging in intersectoral action with municipal partners. Differences mainly concern their different approaches to implementing HIAs in accordance with the regional policies and the organizational and administrative contexts in place. This study identifies potential avenues for supporting the practice of HIA at the municipal level.

Keywords: health impact assessment; context; municipal level; health promotion; intersectoral collaboration (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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