Guidelines for the Health Impact Assessment of Development Projects

Institutional Document | November 1992

Physical and mental well-being of people is the ultimate rationale of efforts to foster economic development and to ensure that the process avoids or minimizes negative impacts on the physical environment, and through it, on people.

The guidelines presented in this document use the terms Initial Health Examination (IHE) and Health Impact Assessment (HIA) to mirror the existing terms Initial Environmental Examination (IEE) and Environmental Impact Assessment (EIA). Health impact assessments determine, in broad terms, whether a significant health risk can be attributed to a project. By contrast, health risk assessment presupposes that an adverse effect exists and seeks to quantify it.

The principal audience for these guidelines are non-specialist ADB staff, consultants in sectors outside the health sector and ADB developing member country officials.


  • Foreword
  • Acknowledgements
  • Executive Summary and Key to the Guidelines
  • Abbreviations
  • Introduction
  • Types of Health Hazard
  • Health Hazard Identification
  • Initial Health Examination
  • Health Impact Assessment
  • Appendixes

Additional Details

  • Health

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