31 May 2012

Community Responses to New Energy Sources: role of IA: Presentation 3

HIA of fuel ethanol project in Sierra Leone

Used the standard HIA methodology

Undertook a baseline survey which used a range of indicators:

  • Household and community level
  • Personal status, structural and health system indicators
  • Involved questionnaire survey, clinical field work, water quality analysis, soil analysis for parasites
 

Prevalence of malaria parasitaemia

  • 45% morbidity in the country
  • The only community that had low prevalence because they had mosquito bednets
Anaemia prevalence was low

 

Nutritional indicators

  • Some local people were lending land to the project so wante dot check the baseline for wasting, stunting and underweight.
  • Significant stunting.
 

HIV prevalence

  • Prevalence in the area was low at 1-2%
  • But in Freetown and other major urban areas the prevalence was near to 30%
  • Questioned community knowledge about HIV infection routes - only just under 4% had adequate knowledge
 

Analysis of impacts

  • Significance of malaria likely to be moderate but if mitigation measures implemented then could be positive/beneficial.
  • ...
Community health management plan

  • Management was based on level of impact and who would manage it and developed monitoring indicators to measure process and outcome.
  • Should do repeated health indicator surveys at sentinel sites
  • Record available routine health data
  • Structural indicators - general infrastructure, primary health unit, drinking water points
  • Process indicators - availability and u of condoms, availability and use of bednets,
  • Outcome indicators - ...
This particular ESHIA was considered outstanding in comparison to 19 other ESHIAs.