Healthy Neighborhoods for a Healthy Detroit:

Health Impact Assessment

Chris Coombe & Donele WilkinsMay 21, 2013

Proposal to be addressed

Framework Zones

Detroit Future City: City Systems

City Services

Infrastructure

Public lighting, waste, roads

Energy, water, sewage

Blight removal

SOURCE: Detroit Future City MOSES HARRIS/DETROIT FREE PRESS

 

Health Impact Assessment: D-HIA

1. Identify the health implications of proposed plan, project or program before it’s adopted.

2. Recommend strategies to maximize positive and minimize negative effects on health.

3. Strengthen relationships and capacity of different sectors to consider health and equity in planning decisions.

HIA Methodology: Key stagesStage QuestionsScreening Do we undertake an HIA on this proposal?

ScopingWhat are the boundaries for the study? What management arrangements do we need?

Appraisal andRecommendations

What are the impacts on health? How do we address them through this proposal?

Supporting decision-makers

How do we present the results so that they are useful and usable?

Monitoring and evaluation

Did the process go well? Was the HIA effective? What were the health outcomes of proposal implementation?

Impacts of City Systems on Health Determinants

Neighborhood Stability

Neighborhood Safety

Environmental Conditions

Relocation – for those who leave and the places they move to

Appraisal: Current Conditions of Residential Neighborhoods

Demographics   High Vacancy Moderate

VacancyLow Vacancy

Population 88,911 300,884 317,070 % Detroit population

13% 42% 45%

Mean household income

$27,922 $35, 632 $45, 358

Neighborhood Characteristics Percent of city’s total land area

21% 39% 41%

% housing vacancy (ave.)

30% 26% 17%

% residential parcels vacant

58% 22% 7%

% residential parcels publicly owned, vacant

39% 15% 3%

HEALTHYHealthy Neighborhoods For A Healthy Detroit: Health Impact Assessment  

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