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Kalel ZS, Gulis G, Aringazina AM. Implementation of Health Impact Assessment in the Healthcare System of the Republic of Kazakhstan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2335. [PMID: 36767699 PMCID: PMC9915209 DOI: 10.3390/ijerph20032335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/25/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
The Health Impact Assessment (hereinafter referred to as HIA) is an effective method for predicting potential health impacts from decisions. Little is known about the implementation of the HIA in the Republic of Kazakhstan (further, RK). In addition, the Russian language literature has not yet been reviewed in terms of HIA-related knowledge. By conducting a literature review of enabling factors, including Russian language literature, on the implementation of the HIA and studying governance systems in RK, we aim to suggest an implementation process to implement the HIA in RK. After careful analysis of the governance system, we suggest set up of a HIA support unit under the National Scientific Center for Health Development and discuss the possible benefits. The proposed center should guide the implementation of the HIA in RK.
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Affiliation(s)
- Zhan S. Kalel
- Caspian International School of Medicine, Caspian University, 521 Seifullin Street, Almaty 050000, Kazakhstan
| | - Gabriel Gulis
- Unit for Health Promotion Research, University of Southern Denmark, Degnevej 14, Esbjerg 6700, Denmark
- Olomouc University Social Health Institute OUSHI, Palacky University Olomouc, Katerinska 653/17, 77900 Olomouc, Czech Republic
| | - Altyn M. Aringazina
- Caspian International School of Medicine, Caspian University, 521 Seifullin Street, Almaty 050000, Kazakhstan
- AlmaU School of Health Sciences, Almaty Management University, 227 Rozybakiev Street, 050060 Almaty, Kazakhstan
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Brisbois B, Feagan M, Stime B, Paz IK, Berbés-Blázquez M, Gaibor J, Cole DC, Di Ruggiero E, Hanson L, Janes CR, Plamondon KM, Spiegel JM, Yassi A. Mining, Colonial Legacies, and Neoliberalism: A Political Ecology of Health Knowledge : Minerıa, legados coloniales y neoliberalismo: una ecologıa polıtica del conocimiento en salud. New Solut 2021; 31:48-64. [PMID: 33705238 PMCID: PMC8041446 DOI: 10.1177/10482911211001051] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Scholarship on the health impacts of resource extraction displays prominent gaps and apparent corporate and neocolonial footprints that raise questions about how science is produced. We analyze production of knowledge, on the health impacts of mining, carried out in relation to the Canadian International Resources and Development Institute (CIRDI), a university-based organization with substantial extractive industry involvement and links to Canada’s mining-dominated foreign policy. We use a “political ecology of knowledge” framework to situate CIRDI in the context of neoliberal capitalism, neocolonial sustainable development discourses, and mining industry corporate social responsibility techniques. We then document the interactions of specific health disciplinary conventions and knowledges within CIRDI-related research and advocacy efforts involving a major Canadian global health organization. This analysis illustrates both accommodation and resistance to large-scale political economic structures and the need to directly confront the global North governments and sectors pushing extractive-led neoliberal development globally. Resumen La investigación sobre los impactos en la salud de la extracción de recursos naturales delata brechas importantes y huellas corporativas y neocoloniales, que plantean dudas acerca de cómo se produce la ciencia. Analizamos la producción de conocimiento sobre los impactos en la salud de la minería en relación con el Instituto Canadiense de Desarrollo y Recursos Internacionales (CIRDI, siglas en inglés), una organización universitaria que cuenta con participación sustancial de la industria extractiva y tiene vínculos con la política exterior de Canadá, la cual es dominada por intereses mineros. Utilizamos un marco de "ecología política del conocimiento" para situar a CIRDI en el contexto del capitalismo neoliberal, los discursos neocoloniales de desarrollo sostenible y las técnicas de responsabilidad social corporativa de la industria minera. Luego, documentamos las interacciones entre los conocimientos y convenciones disciplinarias de salud dentro de los esfuerzos de investigación y promoción relacionados con CIRDI que involucran a una importante organización canadiense de salud global. Este análisis muestra tanto la complacencia como la resistencia a las estructuras políticas económicas a gran escala, y la necesidad de confrontar directamente a los gobiernos y sectores del Norte global que manejan el desarrollo neoliberal impulsado por la extracción a nivel mundial.
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Affiliation(s)
- Ben Brisbois
- University of Northern British Columbia, Prince George, BC, Canada
| | | | - Bjorn Stime
- University of British Columbia, Vancouver, BC, Canada
| | - Isaac K Paz
- Universidad Andina Simon Bolivar, Sucre, Chuquisaca, Bolivia
| | | | | | | | | | - Lori Hanson
- University of Saskatchewan, Saskatoon, SK, Canada
| | | | | | | | - Annalee Yassi
- University of British Columbia, Vancouver, BC, Canada
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