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Background For connecting health-related “scientific knowledge” and “policy-making” with each other, there is a range of approaches, including health reporting, health needs / impact / technology / systems performance assessment as well as evaluative activities. The improved understanding of their communalities and differences provides opportunities for mutual learning and synergetic practice. Goal and method The goal is to strengthen the coverage of health within EIAs. We apply the “Family of health assessments” approach, as worked out by the EUPHA “health assessments” working group (EJPH 2017, pp.609-16), for connecting EIA to other approaches used to support decision-making. Results Applying this “family” approach leads to various insights, including the following: (i) Existing local health (or environmental) reports provide baseline information, as required in impact assessments. (ii) An existing Health Needs Assessment (HNA) can point to vulnerable populations, Health Systems Performance Assessment (HSPA) to specific weaknesses of local health care, potentially relevant for expected impacts. (iii) Where other impact assessments beyond EIA, e.g. Social Impact Assessment (SIA), are conducted, assessors need to be aware of potential overlap or even contradictions which could irritate decision-makers and the public. (iv) Ex-post evaluations of similar projects can inform prospective EIA. (v) The competencies required for assessing human health in EIA overlap with those required for other types of health assessments, e.g., health reporting or evaluation. Therefore, teaching modules might jointly be developed. Lessons The “family” perspective helps to make best use of existing (local) knowledge (which is often embedded in diverse forms of health assessments); and to assure consistent practice across assessments. The inter-relationship of health assessments is a reason to reconsider training courses and to develop more integrated approaches.

Health in Environmental Impact Assessment (EIA): Gaining strength from the ‘Family of health assessments’ approach