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Health Impact Assessment: A Guide for Practice


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. This guide is not definitive or exhaustive. The Guide complements other efforts to support high quality HIA practice, including the recently published Practice Standards for Health Impact Assessment developed by the North American HIA Practice Standards Working Group (Appendix I). The guide is heavily informed by practice that has occurred in San Francisco and in the State of California. Many other articles, guidance documents, case studies, and evaluations provide complementary resources for those interested in the field.

Primary Toolkit:

Healthy Community Design Toolkit

Keyword Area:

Community Design, Health Impact Assessment (HIA), Planning, Policies


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.