Table 2.
Barriers | Lessons Learned |
---|---|
Time | HAs may take longer than anticipated, especially when integrated with other assessments. |
Competing priorities | While the HI A may be a priority for those working on it, other partners may have compet- ing priorities that take precedence. Find opportunities to work with partners to move the project forward. |
Securing easements | Building long distance trails can necessitate easement acquisition to access private lands. The legal process can take time and cause delays in the overall planning process. |
Staff turnover | Turnover at partner agencies and organizations can set efforts back. It may be important to engage with multiple persons at multiple levels of an organization to maintain project continuity over time. |
Historical use of land | Identify how land has been used in the past and include those who have historically used the land when possible. |
Opposition | It may be important to identify and prepare for opposition to HIA findings. Traditional land or trail users may not support new, broader uses with greater health impact. |
Facilitators | Lessons Learned |
Relationship building | Building and fostering strong relationships with decision-makers takes time but may be crucial to HIA success. |
Local champion | Identifying and working with a local champion who is respected in the community can enhance credibility and garner support. |
Community involvement | Having the active involvement of community members in the HIA process may promote health equity and be essential to success. |
Mapping | Geographic Information System mapping can provide essential information for the identi- fication of the populations affected by the policy, program or plan under HIA assessment. |
Leveraging resources | Leveraging resources from other programs can provide essential data, personnel or other resources that can move the HIA forward. |