Upload
jessie-collins
View
212
Download
0
Embed Size (px)
Citation preview
NRPB© Working in partnership with the Health Protection Agency
Dynamics of stakeholder involvement in the development of a handbook on practical radiation protection for areas contaminated for prolonged periods
Anne Nisbet
Julie Mercer, Céline Bataille, Pascal Crouaïl, Irene Fiedler
NRPB© Working in partnership with the Health Protection Agency
Presentation Outline Background
The SAGE handbook
Why stakeholder engagement
Who are the stakeholders
The stakeholder consultation process
Feedback on the handbook
Evaluation of consultation process
Conclusions
NRPB© Working in partnership with the Health Protection Agency
Background
Former Soviet Union
ETHOS project
Inclusive radiation monitoring
Need for strategies & guidance
NRPB© Working in partnership with the Health Protection Agency
The SAGE handbook
The householder
The health professional
The measurement professional
The stakeholder advisory board
Radioactivity
Exposure routes
Radiation monitoring
Practical tools
Points of entry Technical sheets
NRPB© Working in partnership with the Health Protection Agency
Why stakeholder engagement?
Top down approaches can lead to loss of social trust
Innovative approaches involving stakeholders at national & local levels
UK Recovery Handbook
Rehabilitation in Stolyn district Belarus
NRPB© Working in partnership with the Health Protection Agency
Who are the stakeholders?
GOsRadiological protection
Health protection
Environmental protection
Medical doctors
Social services
Food control
NGOsTeachers
Consumer association
Monitoring laboratory
Farmers Union
Public pressure group
Public health group
Academics – experts in risk communication
Help for Gomel
Fireman
NRPB© Working in partnership with the Health Protection Agency
The stakeholder panels
NRPB© Working in partnership with the Health Protection Agency
Public pressure group
Public health group
Experts in risk communication
Health protection unit
Head teacher
The stakeholder panels
NRPB© Working in partnership with the Health Protection Agency
Stakeholder consultation process
Five meetings
Practical sessions
Presentations
Discussions & iterative feedback
NRPB© Working in partnership with the Health Protection Agency
Three meetings
Presentations
Discussions & iterative feedback
Stakeholder consultation process
NRPB© Working in partnership with the Health Protection Agency
Three meetings
Presentations
Four/five satellite panels
Discussions & iterative feedback
Stakeholder consultation process
NRPB© Working in partnership with the Health Protection Agency
‘The Questionnaire’ Format
structure, language, clarity, level of technical detail
General applicability of the handbook philosophy, fit with current systems, other contaminants
Practicability and appropriateness of information/ guidance provided
target audience, relevance, availability of equipment & training
Adapting the handbook irrelevant sections, missing topics
Stakeholder consultation process
NRPB© Working in partnership with the Health Protection Agency
Stakeholder feedback on the handbook
1 Format, structure and content
Common language
Easily understood ‘front end’ & technical sheets at the back
Information & illustrations for Western Europe
Additional sections - reference situations, stochastic risks
Glossary
NRPB© Working in partnership with the Health Protection Agency
Stakeholder feedback on the handbook
2 Concern over the role of doctors
Doctors would be overstretched
Extend role to all ‘health professionals’ (public health physicians, staff of hospitals, nurses, pharmacists, psychologists, school doctors and company doctors)
Emphasise need for education & training
NRPB© Working in partnership with the Health Protection Agency
Stakeholder feedback on the handbook
3 Concern over measurements Ambient dose rates, measurements in
food & whole body
How much to involve the people? Need for calibrated equipment, collection
& preparation of samples, training
Results should always discussed with experts
Importance of measurements from different sources (plurality)
Openness/availability of individual data
NRPB© Working in partnership with the Health Protection Agency
Final reflections on the handbook
Two years was insufficient to develop the handbook
Provides first principles of how to live in …
Generic, based on a ‘virtual’ territory
Biased to rural environments
Needs to be adapted to specific countries, territories and environments
Belarussian panel welcomed work of Western European panels re format & content & were keen to adapt to Belarussian context
NRPB© Working in partnership with the Health Protection Agency
Final reflections on the handbook
Useful reference tool – concepts generally applicable to other contaminants
Requires ‘political will’ and funding
Western European panels agreed to produce leaflets for members of the public
Requirement for other types of handbooks, strategies & guidance for management of early & late phases & these must be consistent with the principles set out for long-term rehabilitation
NRPB© Working in partnership with the Health Protection Agency
Evaluation of consultation process
1st time for this type of consultation on rehabilitation
Successfully engaged all of the key stakeholders
Establishment of satellite panels efficient mechanism
Mix of practical sessions, presentations & discussion maintain interest
Stakeholders felt empowered
NRPB© Working in partnership with the Health Protection Agency
Evaluation of consultation process
Stakeholders have had a significant influence on scope, format &
content of handbook
Process raised profile of rehabilitation issues
Authorities starting to understand issues
Some making plans for tackling deficiencies in national
infrastructure
NRPB© Working in partnership with the Health Protection Agency
Conclusions
Good example of participative inclusive governance
Dynamics of process – significant & positive influence on handbook
development
Good representation of GO and NGOs
Health professionals play key role
Need for training and investment essential
NRPB© Working in partnership with the Health Protection Agency
Acknowledgements
The contribution made by members of all the stakeholder panels
Financial support from the European Commission Fifth Framework Programme (Nuclear Fission, Radiation Protection) under Contract No: FIS5-2002-00040.