Abstract
There is little existing debate about what constitutes either a good quality health impact assessment (IA) or a good quality integration of health with environmental and social assessment (EIA, SIA). A critical appraisal process is required to assure the quality of each. The appraisal considers procedural and methodological components. It includes a comparison of the completed report with the terms of reference on which it is based. It examines the competence and experience of the assessment team, the role of the steering committee and local community, the determinants of health, and the way in which integration is achieved. There are both parallel and sequential components to integration because the outputs of EIA and SIA are often inputs to HIA. A case study from Sakhalin Energy Investment Company concludes that integration added value and that there were additional opportunities for community involvement and integrated mitigation.
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