Rapid health impact appraisal of eviction versus a housing project in a colony-dwelling Roma community.
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.


OBJECTIVE
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.


METHODS
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.


CONCLUSIONS
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.
Kósa
Karolina
K
Faculty of Public Health, Medical and Health Science Centre, University of Debrecen, H-4028 Debrecen, Kassai út 26/b, Hungary. k.kosa@sph.dote.hu
Molnár
Agnes
A
McKee
Martin
M
Adány
Róza
R
D000328:Adult; D002648:Child; D015438:Health Behavior; D006304:Health Status; D006798:Housing; D006801:Humans; D006814:Hungary; D011446:Prospective Studies; D006178:Romani People / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014504:Urban Health / Q000706:statistics & numerical data; D014506:Urban Renewal; D035862:Vulnerable Populations / Q000706:statistics & numerical data*