Supporting Information Institutionalizing Health Impact Assessments: A consultation of experts on barriers and facilitators to implementing HIA in Italy Nunzia Linzalone a, * , Adele Ballarini b, Cristiano Piccinelli c,d, Francesca Viliani e, Fabrizio Bianchi a a
Institute of Clinical Physiology, National Council of Research Via Moruzzi, 1, 56127, Pisa, Italy Regional Public Health Service, Emilia-Romagna Viale Moro, 21, 40127, Bologna, Italy c,d Department of clinical and biological sciences, University of Turin, Regione Gonzole 10, 10043, and Center for Cancer Prevention of Piedmont region, Via Santena 7, 10126, Turin, Italy e International SOS, Vesterbrogade 149, 1620 Copenhagen, Denmark b
*
Corresponding author: Address as above. Tel.: +39-050-315-3462; Fax: +39-050-315-2095; E-mail address:
[email protected]
This document includes: Table S1; Fig. S1; Fig S2. Table S1. Summary of the characteristics of key informants described by sector, geographical level or size of activity, competence. Sector Private company • Infrastructure, mobility, territory planning • Consulting, design & construction services • Integrated enterprise • Consulting and services
Geographical level/ size of activity National, more than 30 professionals Global, more than 6,500 employees worldwide Global, more than 16000 employees in Italy National, 80 professionals
Research • University department of National/regional, 102 academics Clinical Sciences and Community Health • Research institution not National, 550 employees for profit Counselling • Advicer • Advicer
Public body • Regional government
Local, architect Local, environmental scientist
Local, public officer
Competences Skills related to infrastructural areas, architectural, civil and environmental Specialist areas of earth, environment and energy Working in the energy field Management systems, ISO certifications, safety plans at work, environmental analysis and risk assessment Skills in medical-care field, in the biologicalbiotechnology and translational, and that of the community medicine and public health Research in the field of pharmacology for treating disease prevention Urban design, landscape architecture, spatial planning and environmental protection Environmental consulting for private companies and public administrations, environmental management of GIS IA service and environmental sustainability promotion
Fig.S1. The total citations score is represented for each factor (No.: 1-28 as in legend) 28 27
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40
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35
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25 20
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overall citations
14
Fig. S2. The algebraic sum of citations is represented for each factor (No.: 1-28 as in legend) 28 27
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35
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30
26
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20 24
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15 10
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facilitators
barriers
Legend: 1. Legislative/administrative framework; 2. Political will/supportive systems; 3. Knowledge and capacity/training/HIA experts; 4. Intersectoral involvement/coordination environment&health; 5. Technical guide/framework/best practice; 6. Case studies/awareness and advocacy activities; 7. Reference agency/champion/supporting structure; 8. Sustainable funding/funding body; 9. Operational tools; 10. Broad determinants of health approach; 11. Clarity on HIA utility/utilization; 12. Partnership with/engagement of stakeholders; 13. Definition of responsibility/role of actors; 14. Intersectoral working attitude; 15. Use of contractors/highly skilled resources; 16. Flexibility; 17. Data availability; 18. Influential status of health authorities; 19.
Institutional culture, social values, political context, business sector influence; 20. Cross-country support/international developments; 21. Network of health professionals/academia; 22. Bottom-up approach/diffusion strategy/HIA evaluation; 23. Adequate HIA support unit/resources; 24. Dissemination of new methodology and use of local language; 25. Quality assessment and standardization; 26. Mechanisms for public participation; 27. Translation of structural capacity from national to local level; 28. Cost effectiveness criteria.
