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Health Impact Assessment: A Guide For Practice


Health impact assessment (HIA) is an emerging practice that aims to bring a greater understanding of human health consequences to public policy and  decision-making. The awareness and use of HIA in the United States is rapidly increasing, and this Guide aims to support practitioners in the field, by describing the key tasks and activities for HIA as well as the issues and challenges that arise in the course of  practice. The Guide includes illustrative examples from practice, as well as suggestions for stakeholder participation and the integration of health analysis in the environmental impact assessment process. The Guide is heavily informed by practice that has occurred in San Francisco and in the State of California.

Primary Toolkit:

Chronic Disease Prevention Toolkit

Keyword Area:

Health Impact Assessment (HIA)


100,000 - 149,999

Institutional Author:

Rajiv Bhatia





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.