Health impact assessment in multinationals: A case study of the Royal Dutch/Shell Group

Health impact assessment is part of the risk management process of multinational corporations/companies. Sexually transmitted infections, including HIV/AIDS, and the "paradox of plenty" are used as examples of the challenges they face. The "business case" for impact assessment is explained. The policies, procedures, standards, and activities used by Shell to manage such risks are described. An approach to capacity building and competency development is presented that applies to both company staff and external contractors.