How does the protection of farmland correlate to the health of a community? Kane County, Illinois is working to find out.
Over the past ten years, their farmland protection program has preserved over 5500 acres of farmland in the county and they are currently considering a new amendment to broaden investments in local food production. New investments would include small farms and organic farmers producing fruits, vegetables and meats, intended to increase availability of fresh produce in schools, farmers markets, corner stores, and other sites in the community.
Enter the Health Impact Project. HIP is a project funded by the Pew Charitable Trust and Robert Wood Johnson Foundation to fund Health Impact Assessments (HIA) that will be used to inform policies at any level of government. Kane County won funding from this project and is expected to produce their HIA next month with measurements from their community. The HIA will assess the ways in which their new amendment could affect the health of local residents through, for example, changes in availability and price of fresh fruits and vegetables, food safety, and economic changes resulting from increased food production in the region.
HIAs are conducted by a panel of stakeholders in the community to ensure that they are engaged in considering health and health disparities with any given policy. The assessment is completed in six steps:
A Health Impact Assessment has six steps:
- Screening: Determines the need and value of a HIA;
- Scoping: Determines which health impacts to evaluate, the methods for analysis, and the work plan for completing the assessment;
- Assessment: Provides: a) profile of existing health conditions, and b) evaluation of health impacts;
- Recommendations: Provides strategies to manage identified adverse health impacts;
- Reporting: Includes development of the HIA report and communication of findings and recommendations; and
- Monitoring: Tracks impacts of the HIA on decision making processes and the decision, as well as impacts of the decision on health determinants.
Kane County hopes to use this assessment to inform the debate surrounding their new amendment, hoping that they will find it could lead to improved health.
The Health Care Council of the Lehigh Valley is doing similar work much closer to home. They created a forum process where they engaged stakeholder organizations from the Valley to discuss their input on community health, and held two series of meetings. In the second set of meetings, they were able to bring back results and analysis from the first round. Participants in the forums were asked what they thought the biggest health concerns in the region were, what would help their community become healthier and what leads to health problems in their area. They were asked follow up questions to these in the second round of meetings.
In these public meetings held last fall, they found that the health care system and services are fragmented, that there is a lack of communication and connection between the community and care providers as well as poverty, lack of jobs and language differences being barriers of access to medical resources. There were also positive findings, the community responded that the local health care providers care about the community and were willing to listen to their needs as well as looking for short and long term solutions to improve community health. Their Community Health Profile breaks down their findings and the particular issues in each city, and can be found here.
Through their website, Envision Lehigh Valley received a total of 1,118 completed surveys as well as feedback from 47 public meetings that were held through the fall. The breakdown of the participants represented an accurate cross section of our regional population on the characteristics of race, age, income and location.
In the 47 focus groups that were held during the public meetings, Lehigh Valley residents appeared to be most interested in discussing economic development, which they saw as a positive thing for the region.
They mentioned large projects currently being undertaken across the Lehigh Valley. Participants discussed projects such as the hockey arena, casino, and ArtsQuest. Projects involving specific companies, including Ocean Spray, and the Lehigh Valley Hospital Expansion, were mentioned as well as more generic business expansions like the Allentown waterfront project, the P&P Mill, and new hotels and retail space in various locations.
Focus group participants were generally dissatisfied with the types of jobs available to Lehigh Valley workers and didn’t believe the job market matched the qualifications most workers have.
The groups also examined other topics; citizens talked 652 times about housing, 549 times about fresh food access, and 378 times about climate and energy.
One of the most interesting findings to come out of the focus group analysis is that the overall interests and topics of discussion varied very little in the different cities, boroughs, and townships where they were held. These commonalities suggest that quality of life factors in the Lehigh Valley are important across the valley, not just in one or two communities.