1. COUNTRY PRESENTATION : NEGARA BRUNEI DARUSSALAM
1st HIA FOR ASEAN WORKSHOP “UNDERSTANDING HEALTH IMPACT ASSESSMENT (HIA): A FOUNDATION FOR THE WELL BEING OF THE ASEAN COMMUNITY
COUNTRY PRESENTATION : NEGARA BRUNEI DARUSSALAM
By:
Dr. Jeffrin Yusof
Public Health Medical Officer
Ministry of Health
Brunei Darussalam

2. Presentation Outline 1. Brief overview on Brunei Darussalam 2
Presentation Outline 1. Brief overview on Brunei Darussalam 2. Health Status in Brunei Darussalam 3. Why we should have HIA in Brunei Darussalam 4. HIA development in Brunei Darussalam 5. Recommendations for promoting HIA in Brunei Darussalam and ASEAN 6. Challenges in Brunei Darussalam

3. BRUNEI DARUSSALAM
COUNTRY PROFILE
Capital : Bandar Seri Begawan
Total area : 5,765 sq km
Total population : 414,400 (2010)
Ethnic group : Malay, Chinese, Indigenous and others
Government type : Sultanate constitution (known as Malay Islamic Monarchy)
Import : Machinery and Transport Equipments, Manufactured goods, Foods and Chemicals
Export : Crude Oil, Natural Gas
Natural resources : Oil and Gas

4. Languages: Malay, English, Chinese, Iban and other indigenous dialects
BRUNEI DARUSSALAM PROFILE
Four districts:-
1. Brunei-Muara
2. Belait
3. Tutong
4. Temburong
Terrain: To the East - flat coastal plain rises to mountains; to the West - hilly lowland with a few mountain ridges.
Climate: Equatorial; high temperatures and high humidity, and rainfall.
Languages: Malay, English, Chinese, Iban and other indigenous dialects

5. HEALTH STATUS IN BRUNEI DARUSSALAM
The four leading causes of death which accounted for 50% of the total deaths are Cancer (malignant neoplasms), Heart Diseases, Diabetes mellitus and Cerebrovascular Diseases (2010)
All Brunei citizens have access to free healthcare from public hospitals

6. WHY WE SHOULD HAVE HIA IN BRUNEI DARUSSALAM
Mission and Vision for Ministry of Health, Brunei Darussalam:-
To attain high quality of life by being socially, economically and mentally productive throughout the life span. Also, to improve the health and well being of the people of Brunei Darussalam through a high quality and comprehensive health care system which is effective, efficient, responsive, affordable, equitable and accessible to all in the country.

7. WHY WE SHOULD HAVE HIA IN BRUNEI DARUSSALAM
As part of our National Health Care Plan Strategic Goals:-
Enhance the quality of health care
Improve the quality of policy-making and management
Enhance cost-effectiveness in Health Service Delivery
Seek innovative ways for health care financing and funding
Promotion of cultural changes in the work place
Enhancing technology and information management
Strengthening the management of the emergence of chronic non communicable diseases
Prevention of the re-emergence of ‘old’ communicable diseases
In terms of environmental policy:-
To maintain sustainable utilization of natural resources
To minimize negative impacts on environment arising from population growth and human activities
To achieve balanced goals of socio-economic development and sound environmental quality

8. HIA DEVELOPMENT IN BRUNEI DARUSSALAM
In Brunei Darussalam, relevant departments and agencies have developed guidelines, standards and regulations to protect the environment. The recent development of the Environment Order by the Department of Environment, Parks and Recreation has brought all relevant acts and regulations under one umbrella to address the environmental issues.
Some of the relevant acts / guidelines adopted are listed as follows:-
Poison Act: This legislation extends provision to control the import, sale, storage, handling and use of hazardous chemicals. All chemicals, which are classified under the scheduled list, are subjected to legislative control by this act. The control of these chemicals are governed by the issuance of licence to import and store, to keep and sell by wholesale or retail.
 Land transport Act: This led to the establishment of vehicle inspection centres and accreditation of workshops. The act also looks into the emissions generated from vehicles.
Standard for Industrial Effluents: The guideline outlines the accepted standards to be observed by all industries and other sources which discharge the effluents directly into sewage treatment plants and waterways

9. HIA DEVELOPMENT IN BRUNEI DARUSSALAM
Municipal Act and the Miscellaneous Licenses Act: Controls all business activities and issuances of licences
Infectious Disease Act: Controls and prevents infectious diseases in Brunei Darussalam and prevents the entry of such diseases through the various movements of population.
EHD/2010

10. HIA DEVELOPMENT IN BRUNEI DARUSSALAM
Public Health (Food) Act, 2000: Controls the quality and safety of imported and locally produced food products, and assessment of food premises and food handlers.
Public Health Emergency Operation Plan: Primarily to guide Public Health Personnel in planning, mitigating and responding to a public health emergency in Brunei Darussalam according to current best practices and taking into consideration the constraints within the Department of Health Services.
Building Guidelines and Requirements, Brunei Darussalam Standard: Subject to periodical review to the current needs of the local industries to keep abreast of progress in the industries concerned, for example, health requirements for building industrial premises.

11. RECOMMENDATIONS FOR PROMOTING HIA BRUNEI DARUSSALAM AND ASEAN
Identification of stakeholders involved in HIA and proper governance of HIA by stakeholders and thus having consistency between multi-sectoral stakeholders in the application of HIA
Identification and clarification of activities of HIA and EIA is required whether it needs to be separated or integrated as this involves different Ministries, namely the Ministry of Health and Ministry of Development, respectively, in order to prevent duplication .
Requirement of epidemiological studies, reviews, mapping and development of methodological processes for HIA
Capacity building and training further required in the application of HIA

12. RECOMMENDATIONS FOR PROMOTING HIA IN BRUNEI DARUSSALAM AND ASEAN
 BRUNEI
Existing policies and guidelines may need to be reviewed to determine whether HIA is necessary and every HIA in place should be reviewed and updated if necessary through S.W.O.T analysis (Strength, Weaknesses, Opportunity, Threats)
Surveillance and monitoring programmes should be established and enhanced to gather evidence based data and information, as a reference in decision making.
Widespread public awareness on the importance of HIA is necessary
Enhancing community participation in prevention and health promotion programmes.

13. RECOMMENDATIONS FOR PROMOTING HIA IN YOUR COUNTRY AND ASEAN
 ASEAN LEVEL
Sharing and support amongst ASEAN member states and relevant international organisations in the areas of :
Capacity building
Expertise
Information sharing
Experience
Advisory
Technology

14. CHALLENGES IN BRUNEI DARUSSALAM
Further expertise and manpower
Training and capacity building
Evidence based practices and research
Understanding of HIA amongst high level multi-sectoral stakeholders
Funding and resources
Public awareness and participation

15. THANK YOU