Health impact assessment institutionalisation in France: state of the art, challenges and perspectives

HIA implementation has rapidly grown in France. The question arises as to whether such growth is paving the way towards institutionalisation. An analytical framework was built based on literature, capturing key dimensions characterising practice and Collected data draw upon documented HIAs, evaluation reports, direct observations workshops. France follows a stand-alone procedure holistic model of health. Its largely concerns intermediate HIAs commissioned by municipalities with support regional health authorities. Mainly applied urban planning, are usually conducted private firms, local observatories. Levers institutionalisation include: an enduring tradition intersectoral collaborations for health; growing culture promotion; supportive environmental regulatory requirements; policy frameworks mandates addressing inequalities at municipal level. For be more institutionalised, there need clarify its purpose, continue building capacity, promote impact evaluations evidence HIA’ potential advance HiAP obtain greater commitment from national