Planning & HIA. Anna Ricklin, MHS. Manager, Planning & Community Health Research Center

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1 Planning & HIA Anna Ricklin, MHS Manager, Planning & Community Health Research Center

2 Introduction to APA Serving 43,000 members Publications Conferences, Webinars, Local trainings American Institute of Certified Planners (AICP) Functional areas that relate to health: Environmental planning Food system planning

3 National Centers for Planning 3 Centers Hazards Planning Research Center Green Communities Research Center Planning & Community Health Research Center Research, Education, and Policy Conduct research on best practices Provide training and technical assistance Inform planning and public policy at local, state, and national levels Multi-disciplinary and Collaborative Approach Work with partner organizations and federal agencies to develop and disseminate material

4 Planning & Community Health Research Center

5 Planning & Community Health Research Center Priority Issues Planning for: Active living and physical activity Access to healthy food and good nutrition Aging population and people with disabilities Education for future planners and health professionals Environmental health Environmental justice and social equity Healthy community design Schools Social cohesion and mental health

6 Planning & Community Health Research Center Current Projects Evaluation of comprehensive and sustainability plans for inclusion of: General public health goals, policies and implementation mechanisms Active Living Food systems, security and access

7 A Brief History of Planning Turn of 20 th century solutions to over-crowding, sanitation Separation of land uses, zoning, address urban pollution nwhm.org/online-exhibits/ progressiveera Initial collaboration for public health purposes By 1920s fields began to diverge, developing distinct missions

8 What HIA does for Planning Brings public health back to center of planning Increases awareness among planners about the built environment-health connection Demonstrates impact of land use decision making Builds capacity for planners to include health promoting elements in plans that may otherwise be sidelined Diversifies stakeholder involvement: Citizens maintain the most power to influence government HIA should be required for policies or projects? Probably not.

9 Challenges Needs champions HIA is reactive, unevenly applied Struggle with how to move beyond HIA toward including health in process from the beginning New tool Health in Planning Checklist in development with CDC For use with community engagement

10 APA s free online HIA training course 6 hour course Modules cover Screening, Scoping, Assessment, Recommendations, Reporting, Evaluation Includes planning related case examples and potential scenarios for applying HIA in planning work Why people are taking the course: Integrate into planning, zoning or project development process Use HIA to form a relationship with the public health department Use HIA to form a relationship with the planning department Lead an HIA on projects in the planning department / in the public health department

11 APA s free online HIA training course Course evaluations: Very positive Most agree HIA is relevant to their work and community Most agree: This program introduced me to new ideas or provoked me to think more critically about planning. Many agree: The benefits of Health Impact Assessment outweigh any monetary and or time cost. Planning for Healthy Places with Health Impact Assessments

12 Transportation Transportation environment most significant opportunity to impact physical activity Complete Streets: biking, walking, transit connections Safe Routes to School Making exercise a part of daily life Public space sidewalks, intersections, bus/train stations Safety sustainability.uchicago.edu

13 Some Research Neighborhoods with incomplete sidewalks and high traffic streets have higher obesity rates Perceived and observed neighborhood indicators of obesity among urban adults. Boehmer TK, et al. Int J Obesity. 2007, 31, 6, Walking and biking to public transit builds exercise into commuting Besser LM, Dannenberg AL. Walking to Public Transit: Steps to help meeting physical activity recommendations. Am J Prev Med. 2005;29: Lessons for public health professionals about the planning process Malizia, EE. City and Regional Planning: A Primer for Public Health Officials. The Art of Health Promotion Am J Health Prom. 2005; May/June: 1-13.

14 Improving Safety Table 1. Baltimore City Crashes (MDOT) 3 year average (2007) % statewide crashes % statewide VMT Pedestrian involved Pedal cyclist involved More walking and biking infrastructure = safer streets Jacobsen PL. Safety in numbers: more walkers and bicyclists, safer walking and bicycling Inj. Prev. 2003;9:

15 Baltimore Red Line mile transit line [light rail] East-west line will create a system with two existing rail lines Route will connect directly to major employment centers and downtown Reunite east and west

16 Baltimore Red Line HIA Red Line Community Compact: Defining the Success of the Baltimore s Red Line Transit Project Collaborative agreement among City & State agencies, nonprofit/private entities and community groups Sets specific goals & strategies Making the Red Line Green: water, energy, green space, health & safety Impetus for undertaking HIA

17 Baltimore Red Line HIA Submitted as comment to DEIS Premise: Red Line will improve health How can we maximize positive health impacts? Analysis and Recommendations to: Improve air quality Improve accessibility and connectivity to services and opportunities for physical activity Mitigate construction issues

18 Baltimore Limited physical activity Less than 50% Maryland residents get recommended exercise per week High prevalence of obesity 35% of Baltimore residents obese (2007) Increase of 50% over past decade Obesity twice as common among African American adults as white adults

19 Recommendations for Accessibility 1. Coordinate with City Bike/Ped planner 2. Use Complete Streets design principles: Widen pedestrian zone Plan for numerous & safe crosswalks Include complete bike facilities Wayfinding

20 Baltimore Red Line HIA - Implementation City-driven through the Compact process Health & Environment Sub-committee Partners from Health Dept, Planning Dept, Baltimore Medical Systems, Parks & People Foundation Developed set of Green Design Guidelines Refining and producing recommendations for specific locations/areas

21 Baltimore Red Line HIA - Challenges Scoping the project Initial unfamiliarity with engineering/planning documents Getting the right information; Quantitative v. Qualitative Implementation: Keeping health at forefront Coordination - Sub-committee no longer meets Funding for extras e.g. bike facilities, trees/landscaping, corridor enhancements

22 Thanks! health

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