PROCESS OF THE HEALTH IMPACT ASSESSMENT IMPLEMENTATION IN THE SLOVAK REPUBLIC Zuzana Klochanova Trnava University Katarina Halzlova Public Health Autority of the Slovak Republic XI HIA International Conference 2011, In Times of Crisis, Healthier ways, 14th – 15th April, Granada, Spain

HIA legalization  „Get it (HIA) into law and we will do it...“  The Act on prevention, promotion and development of public health No. 355/2007  Obligatory to implement HIA at national, regional and local levels and carry out by Public health authority (UVZ SR) and Regional public health authorities (RUVZ) from January 2010

HIA legalization  Revision of The Act on prevention, promotion and development of public health No. 132/2010  Modification of Public health offices responsibilities from being HIA providers to reviewers of assessment reports from January 2011  Regulation of the revision No. 132/2010  In process of preparation

Health impact assessment Subject of assessment Projects Programs Policies Level of assssment Local Regional National

Hierarchy of Public health authorities in Slovakia Local level Regional public health authorities (37) Regional level Regional public health authorities (8 counties) National level Ministry of Health of the Slovak republic Public health authority of the Slovak republic

HIA at national level  Working group for Health impact assessment:  UVZ SR  RUVZ  Academia – Trnava University  Private sector  Other sectors  Created in 2009  Responsible for HIA implementation in Slovakia

HIA at national level  Education  BCA workshops (Ministry of Health, WHO) – training of trainers  Development of study materials  Development of model pre-screening and screening tools  Legislation modification  Organisation of workshops

HIA at regional and local level  Environmental health  Occupational health  Health promotion  Hygienne of children and adolescents  Laboratories  Epidemiology  Radiation prevention  Education  Workshops provided by Working group for HIA  Pre- screening and screening tools testing

Private sector  HIA providers  National register  HIA Licence  Appropriate education in Public health  3 and more years of practice  Testing

Hierarchy of responsibility in HIA Working group for HIA, Policy makers Trainers Comittee for licence conferment Public health authority Decission making Regional public health authorities Pre-screening Screening Decission making HIA providers Scoping Report Risk assessment providers Risk assessment

Barriers in HIA implementation  Language barriers  Prejudices  Unspecific responsibilities  Inter-sectoral cooperation

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