Outcome Mapping and Monitoring HIA Progress in Thailand Decharut Sukkumnoed Rungthip Sukkumnoed Duangjai Rungrojcharuenkij Health Public Policy Foundation

HIA Driving Forces in Thailand New Constitution 2007 New Constitution section 67 Environmental and Health IA National Health Act 2007 National Health Act Section 11 Right of people to ask for and participate in HIA of any public policy National Development Plan ( ) National Development Plan ( ) - Integration of Health in EIA system - Application of SEA with health considerations in main section and spatial planning Decentralization Decentralization

HIA Development Areas HIA in EIA HIA in EIA HIA for local Government and community HIA for local Government and community HIA for Health Public Policy HIA for Health Public Policy HIA in National Health Act HIA in National Health Act HIA across the Border HIA across the Border Knowledge base for HIA Knowledge base for HIA

“ How can we monitor HIA progress in these six areas?”

Application of Outcome Mapping OUTCOME MAPPING Building Learning and Reflection into Development Programs Sarah Earl, Fred Carden, and Terry Smutylo IDRC 2001 ISBN e-ISBN pp.

Concept of Outcome Mapping Outcomes are defined as changes in behavior, relationships, activities, or actions of the people, groups and organizations with whom a program works directly IMPACT OUTCOMES OUTPUTS ACTIVITIES INPUTS

Why Outcomes? (Not Impact) The main reasons to focus on the outcomes rather than the results (or impacts) is to avoid The main reasons to focus on the outcomes rather than the results (or impacts) is to avoid The myth of linear, cause and effect thinking, which contradicts the understanding of development as a complex process that occurs in open system. The myth of linear, cause and effect thinking, which contradicts the understanding of development as a complex process that occurs in open system. the replacing of agreements and partnerships based on shared values by bureaucratic programming based on plan, budgets, and accounts. the replacing of agreements and partnerships based on shared values by bureaucratic programming based on plan, budgets, and accounts. the overlooking of multiple endogenous contributions and their interactions within development processes. the overlooking of multiple endogenous contributions and their interactions within development processes. The rejections of the new initiatives and actions, which results from the attempt to achieve the measurable or actionable results. The rejections of the new initiatives and actions, which results from the attempt to achieve the measurable or actionable results.

Focus on Boundary Partners HIA Development Plan The Real World O = Boundary Partners = individuals, groups, and organizations with whom the program interacts directly and with whom program anticipants opportunities for influence to make change in the real world

Spheres for Monitoring FACILITATOR/ CHANGE AGENT Organizational Practices Strategies &Activities BOUNDALY PARTNER Outcome Challenges &Progress Markers

Outcome Mapping Design Why ? (vision) Why ? (vision) Who ? (boundary, partners) Who ? (boundary, partners) What ? (outcome, challenges and progress markers) What ? (outcome, challenges and progress markers) How ? (mission, strategy maps, organizational practices) How ? (mission, strategy maps, organizational practices)

Why? HIA Vision To development HIA to be a social learning process for development healthy public policies in various sectors and various levels - HIA in EIA - HIA for local Government and Community - HIA for Public Policy - HIA in National Health Act - HIA across the Border - Knowledge base for HIA

Who? HIA Boundary Partners HIA in EIA - Office of Natural Resource and Environmental Policy and Planning - Department of Disease Control HIA for Local government and community - Department of Health - Some selected local governments HIA for HPP - Health Public Policy Foundation - Policy stakeholders HIA in National Health Act - National Health Commission - National and Specific Health Assembly HIA Across the Borders - National Health Commission - World Heath Organization Knowledge base for HIA - Various Universities - HPP academicians or researchers

What ? Outcome Challenge Progress Markers 1. To integrate HIA in the EIA system and to develop EIA system to fit with the constitutional norms. Expect to see1.the developments of the recommendations for the improvement of public participation in the EIA system 2.the publication of the people handbook for their right protection based on new constitution and National Health Act 3.the development of the HIA guidelines in specific sectors, such as energy or mining 4.organizing public forum for EIA improvement and integrating HIA in EIA Like to see1.case studies in applying HIA in EIA systems, based on the guidelines 2.the development of the comprehensive HIA guidelines for all EIA projects 3.establishing the working group for developing HIA and EIA 4.developing the governance assessment in EIA system and project Love to see1.the whole reform of EIA process 2.the applications of the community rights according to the section 67 in the Thailand’s new constitution

How? : strategy map strategycausalpersuasivesupportive HIA in EIA Constitutional norms Working group People Forum Governance assessment Guidelines Workshop HIA for Local Government and community Guidelines Training Case Studies Forum Training Web-site Consulting HIA for HPP Case studies SEA norms Policy Documents and Forum Training Workshop Activities HIA in National Health Act Legal rules (Section 11) Health Assembly Health Assembly Academy HIA across the Borders HIA2007 HIA2008 SEA-Oceania Network Case studies Workshops Knowledge base for HIA HIA Courses HIA Textbooks Thesis on HIA Applications Fund, Advisers, Materials

How?: Eight Organizational Practices 1. Prospecting for new ideas, opportunities, and resources. 2. Seeking Feedback from key informants. 3. Obtaining the support of your next highest power 4. Assessing and (re) designing products, services, systems and procedures 5. Checking up on those already served to add value 6. Sharing your best wisdom with the world 7. Experimenting to remain innovative 8. Engaging in organization reflection

Monitoring Three Parallel Processes An Outcome Journal – monitoring the boundary partners 'achievement of progress markers. An Outcome Journal – monitoring the boundary partners 'achievement of progress markers. A Strategy Journal – monitoring program’s (or facilitator’s) actions in support of the boundary partners A Strategy Journal – monitoring program’s (or facilitator’s) actions in support of the boundary partners A Performance Journal – monitoring the organizational practices being employed by the program (or facilitator) A Performance Journal – monitoring the organizational practices being employed by the program (or facilitator)

Monitoring Mapping Inside-Out and Outside In Performance Journal monitoring the organizational practices Strategy Journal Monitoring the strategic action in support of the boundary partners Outcome Journal monitoring the progress markers of boundary partners HPPF HIA Development Plan

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