HIA in Switzerland: strategies for achieving Health in All Policies

The purpose of this article is to review the status of Health Impact Assessment (HIA) in Switzerland and assess whether HIA can be used to implement Health in All Policies (HiAP) in this highly decentralized country. The methods include expert opinion and an extensive literature review, as well as t...

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Bibliographic Details
Published in:Health promotion international 2017-02, Vol.32 (1), p.149-156
Main Authors: Mattig, Thomas, Cantoreggi, Nicola, Simos, Jean, Kruit, Catherine Favre, Christie, Derek P. T. H.
Format: Article
Language:English
Subjects:
DEBATES
Health Impact Assessment - legislation & jurisprudence
Health Impact Assessment - utilization
Health Plan Implementation - organization & administration
Health Policy
Humans
Intersectoral Collaboration
Public Health Administration
Switzerland
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Summary:The purpose of this article is to review the status of Health Impact Assessment (HIA) in Switzerland and assess whether HIA can be used to implement Health in All Policies (HiAP) in this highly decentralized country. The methods include expert opinion and an extensive literature review, as well as targeted interviews with key informers in the cantons of Geneva, Jura and Ticino. HIA has been implemented successfully since the early 2000s in Switzerland. However, integration has been heterogeneous with only a few cantons taking the lead. Integration of HIA at the federal level was attempted in 2012 but failed due to resistance from a pro-business lobby. HIA in Switzerland has the potential to contribute to HiAP, but success depends on a wider dissemination of HIA and on some form of integration at the national level. In this respect, a ‘bottom-up’ approach based on inter-cantonal collaborations appears more promising than the ‘top-down’federal level approach.
ISSN:0957-4824
1460-2245
DOI:10.1093/heapro/dav087