Applying an HIA on an urban planning project: what is the added value in terms of health?

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1 Applying an HIA on an urban planning project: what is the added value in terms of health? Pauline Mordelet Ville de Rennes Anne Roué-Le Gall - EHESP Geneva 2-4 Octobre 2013

2 Introduction In 2011, one Health Impact Assessment (HIA) was conducted on an urban planning project : the Pontchaillou rail stop in Rennes. HIA was carried out collectively by : the city of Rennes, The School of Public Health (EHESP), the S2D Association, the Regional Health Angency of Britanny (ARS), and Rennes Metropole. This is the first experimentation of a Health Impact Assessment on an urban planning project in France. Several recommendations were issued in order to minimize the negative effects and maximize the positive impact of the project on the health and quality of life of populations. Two years later, the project has begun its operational stage and is being monitored with regard to the HIA recommendations. This monitoring work supports the operational implementation of recommendations What added value of the HIA on the project in terms of health? 2

3 Applying an HIA on an urban planning project : what is the added value in terms of health? I. The Health Impact Assessment of the Pontchaillou project II. Monitoring of the implementation of recommendations III. What added value in terms of health? 3

4 I. The Health Impact Assessment of the Pontchaillou project 4

5 I. The Health Impact Assessment of the Pontchaillou project 5

6 I. The Health Impact Assessment of the Pontchaillou project A place of great social and functional diversity An important crossroads in terms of transportation 6

7 I. The Health Impact Assessment of the Pontchaillou project The rail stop Public spaces Source photos : Ville de Rennes,

8 I. The Health Impact Assessment of the Pontchaillou project Poorly kept Little readibility in the space Source photos : Ville de Rennes, 2011 Inaccessible for people with reduced mobility 8

9 I. The Health Impact Assessment of the Pontchaillou project Main objectives of the project: To make platforms and public spaces accessible To restructure an urban area (Source : Perspective 3D prévisionnelle - Pattou Tandem architectes urbanistes, 2010) Developped jointly by : The Brittany Region The national railway compagny (SNCF) The owner and manager of the French Railway network (RFF) The University Hospital Pontchaillou The City of Rennes Rennes Metropole 9

10 Screening Scoping Assessment Recommendations Monitoring A HIA conducted over the course of 6 months A wider scope Source : Pattou Tandem et Ingerop Rennes, 2010 Source : Ville de Rennes,

11 Screening Scoping Assessment Recommendations Monitoring A HIA conducted over the course of 6 months A wider scope The affected population: TER users Residents of neighborhoods People with Reduced Mobility CHU users 11

12 Screening Scoping Assessment Recommendations Monitoring ~ 40 Health determinants Individual factors and lifestyles Socio-cultural environment Physical environment Economic environment Collection of Data Study of the ongoing project (Pattou Tandem) Field observations Mapping of geographical data, Individual interviews with key actors Questionnaires with local residents Community meetings A multicriteria grid Characterisation of positive and negative impacts 12

13 Screening Scoping Assessment Recommendations Monitoring Health determinants Data Impacts Déterminant de la santé (tableau 3) Élément du projet susceptible d'avoir un impact sur la santé / la qualité de vie A : Élément issu du projet initial B : Réflexion issue des différents échanges Possibilité d action sur l élément du projet 0 : aucune 1 : envisageable 2 : certaine Population concernée Impact potentiel identifié sur la santé / la qualité de vie Impact négatif Qualification : 1 Impact positif Qualification : +1 Bilan qualitatif des impacts potentiels identifiés sur la santé Négatif Non qualifiable Positif 13

14 Screening Scoping Assessment Recommendations Monitoring Health determinants Data Impacts Élément du projet susceptible d'avoir un impact sur la santé / la qualité de vie Results : Possibilité d action sur l élément du projet Impact potentiel identifié sur la santé / la qualité de vie Bilan qualitatif des impacts potentiels identifiés sur la santé Négatif Déterminant de la santé Population 0 : aucune B : concernée (tableau 3) A : majority Élément of positive impacts Réflexion 1 : issu du Impact Qualification : Impact Qualification : Non qualifiable issue des envisageable projet négatif différents 1 positif HAI confirmed the elements brought +1 into Positif initial échanges 2 : certaine focus by the project and offered new elements 14

15 Screening Scoping Assessment Recommendations Monitoring 41 recommendations issued for decision makers: Transport and mobility: to improve security, promote active mobility Public spaces : living environment, well-being Multiservice building Environment (water, noise, air ) Participation 15

16 II. Monitoring of the implementation of recommendations 16

17 II. Monitoring of the implementation of recommendations A project with complexity : a long operation 17

18 II. Monitoring of the implementation of recommendations and a multiplicity of landowners, infrastructure owners and scope Centre Hospitalier Universitaire RFF Ville de Rennes Habitat 35 Challenge : involve all the owners and convince them to implement the recommendations «key actors of the success of HIA» Source : Bruno Remoué & Associats Arquitectura Urbanisme

19 Screening Scoping Assessment Recommendations Monitoring Currently, the implementation of the HIA recommendations has started for the public spaces of the Pontchaillou railway stop (contracting owners : City of rennes) through : Analysis grid developped during HIA and 41 recommendations Study of the project in progress developped by consultant and engineer «Ingerop», and architects and urbanists «Bruno Romué et associés». Regular meetings with the departments in charge of the operation conducted in the city of Rennes and project management. Elaboration of a monitoring assessment tool 19

20 Screening Scoping Assessment Recommendations Monitoring Recommendations Data Analysis 20

21 III. What added value in terms of health? 21

22 III. What added value in terms of health? To date, a contribution on three thematics: Transport and mobility: issues of active mobility, such as cycling or pedestrian traffic, have been put at the heart of the project as a tool for health promotion. Public spaces: Green spaces has evolved into a living environment, a meeting place focused on well-being ("Health Garden ). Architects and urban planners have integrated this idea and are now using it for the entire project. Environment: the HIA offered an overview of the potential impact of the project on the environment (water, air, noise, ground, electromagnetic waves...) outside of the regulatory framework commonly used to handle such issues. 22

23 III. What added value in terms of health? The monitoring currently conducted on the public spaces will also be performed on the CHU and RFF spaces. It is necessary to continue to mobilize all the actors, but also to keep the steering group and manager team active. 23

24 In conclusion, other perspectives Added value in terms of health that goes beyond the limits of the project For the city of Rennes: The HIA has initiated discussions on the impact of vegetation and green spaces on health and quality of life in the city, and on the implementation of an area of health promotion in the city. A willing to continue to experiment the HIA on other areas of urban planning For the consideration of Health in urban planning: By providing feedback and methods towards the development of a guide for the Health regional agency, adaptable to urban planners, led by the Directorate General of Health and the EHESP School of Public Health. And finally, with the promotion of the HIA concept in France through events 24

25 Thanks Laurine Tollec, Alain Jourdren, Françoise Jabot, Fréderic Auffray, Catherine Jegou, Anne Vidy, Pascal Thébault, Jean Simos and everyone involved in the project. L. Tollec et al., 2013, L évaluation impacts sur la santé (EIS): une démarche d intégration des champs santé environnement dans la voie du développement durable. Application à un projet d aménagement urbain: la halte ferroviaire de Pontchaillou à Rennes. Développement Durable et Territoire n 4-Juillet 2013 L. Tollec, 2011, Construction et mise en œuvre dune démarche d Evaluation des Impacts sur la Santé pour un projet d aménagement urbain : Application à la halte ferroviaire de Pontchaillou et ses abords. Mémoire de l EHESP

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