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Accomplishments: Health Impact Assessment (HIA)

The Healthy Community Design Initiative (HCDI)

  • Provided funding from 2006 to 2016 to build capacity for HIA at state and local health departments, which resulted in the completion of 125 HIAs—approximately 1/4 of all HIAs completed in the U.S. to date. Specifically, HCDI
    • Established HIA programs in nine states and localities through two consecutive cooperative agreements in 2011–2014 and 2014–2016. These funded programs have completed 90 HIAs, provided HIA training to over 500 health and planning professionals, and developed local- and state-level HIA resources and tools. Learn more about the nine funded HIA programs and read their HIA stories from the field.
    • Supported 13 HIAs through cooperative agreements with the National Association of County and City Health Officials (NACCHO).
    • Supported 22 HIAs through cooperative agreements with the Association of State and Territorial Health Officials (ASTHO).
  • Developed a free, online HIA training course with the American Planning Association and NACCHO. Since the course launched in 2008, an estimated 8,000 professionals from planning, public health, and related fields from around the world have taken the training.
  • Partnered with CDC’s National Environmental Public Health Tracking Network to provide data and resources for HIA.
  • Developed HIA Toolkits for Transportation and Parks and Trails.
  • Published a peer-reviewed study of 27 HIAs completed in the United States from 1999 to 2007.
  • Partnered with the Health Impact Project and other organizations involved with HIA to bring public health expertise to HIA tracking, tool development, and evaluation of HIA impacts.
  • Led the HIA component of the HHS/HUD Livable Homes and Communities Collaboration.
  • Sponsored the Institute of Medicine report Improving Health in the United States: The Role of Health Impact Assessment.
  • Participated in the development of the North American Standards for HIA.

For more information about health impact assessment, visit

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