Background: During implementation of a community development project involving a severely disadvantaged Roma community, the community was threatened with eviction. Two scenarios, eviction with placement on the waiting list for social housing versus a replacement housing development, were identified and specified. A health impact assessment (HIA) was carried out to inform subsequent negotiations.
Aims: To assess the health effects of eviction in comparison with that of a housing project for a Roma community; to make recommendations on short-term and long-term benefits of the two scenarios in order to inform the local government; and to develop a demonstration HIA that can act as a model for other disadvantaged Roma populations.
Method: A prospective assessment, based on a broad model of health, was carried out to assess health effects of a housing project compared with eviction. By design, it ensured full involvement of members of the community, local decision makers and relevant stakeholders.
Results and conclusion: This HIA identified numerous positive and some probable negative health effects of a housing project. Despite the uncertainty around some of its predicted effects, the overall health benefit of a housing project clearly outweighed that of eviction. Although the immediate financial advantages of eviction for the municipal government are clear, this example provides further evidence to support the adoption of a statutory requirement to assess both economic and health outcomes. It also provides an example that other Roma communities can emulate.
- health effect assessment
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Funding: This work was supported by ETT 445/2003 of the Ministry of Health, Social and Family Affairs; 3017/13/2003-0017 NÜF of the Ministry of Health and NKFP-1B/0013/2002 of the Ministry of Education of Hungary. These funding agencies had no role in the study design, data collection, analysis, or interpretation and writing of the paper.
Competing interests: None.
Further research has been submitted for publication: Kósa K, Daragó L, Fülöp I, et al. Research on Roma people living in colonies: the difficulty of being reliable.
- Beck Depression Scale
- European Union
- health impact assessment
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