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The Role of Conceptual Learning in Health Impact Assessment B Harris-Roxas Centre for Health Equity Training, Research and Evaluation (CHETRE) Part of the UNSW Research Centre for Primary Health Care and Equity Sydney, Australia
All HIAs are done to learn something
But do we agree on what  we’re supposed to learn?
Glasbergen puts forward a model of learning for impact assessment • Technical learning, which involves searching for technical solutions to fixed objectives; • Conceptual learning, which involves redefining goals, problem definitions and strategies; and • Social learning, which emphasises dialogue and increased interaction between those involved (distinct from the concept of social learning described in the psychology literature) Glasbergen, P. (1999). Learning to Manage the Environment. Democracy and the Environment: Problems and Prospects.  In W. Lafferty and J. Meadowcroft. Cheltenham, Edward Elgar: 175-193.
Does this apply to HIA?
Methods Pilot study Secondary analysis of data on 10 HIAs –31 interviews (collected for studies in 2007 and 2009) to see how people referred to learning Free coding (thematic identification)
Preliminary Findings
Where learning was mentioned it was usually in terms of “other people’s learning”, i.e. other people gaining understanding of health impacts or the proposal being assessed, rather than personal learning
Where learning was alluded to it emphasised better understanding of the connection between the proposal being assessed or related activities,  and health This often focused on mitigation or enhancement measures Technical learning
Most learning discussed was technical in nature and focused on making changes
In a minority of cases (n=6, Total n=31 interviews) learning was described as interactive on participatory learning – coming together enabled a better understanding of health impacts but also ways of working and facilitated other ongoing work. Social learning
There was almost no recognition of conceptual learning, though it was evident when there were disagreements about what the goals of the HIA were e.g. whether the role of the HIA was to suggest markedly different alternatives or just to make predictions and to suggest mitigation measures
Does this mean that opportunities for considering alternatives within HIAs are being lost?
Alternatives are not all the same: End of pipe alternatives Area alternatives Size alternatives Technological alternatives Institutional alternatives Goal alternatives Without conceptual learning  we won’t see the final two Source: Thai Health Public Policy Foundation (2007) A Training Manual for  Health Impact Assessment: Bangkok.
Conclusion Whilst HIAs are clearly resulting in learning further research is required to describe the nature of the learning and the mechanisms by which this occurs There’s also value in being explicit about what you hope to learn and what role alternatives will play – this helps to scope the assessment and may minimise conflict
More information  hiaconnect.edu.au [email_address]

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