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Stakeholder participation is an important component of the HIA process. This report primarily targets HIA practitioners who are working to improve stakeholder participation and leadership in the practice of HIA. It may also appeal to community groups and stakeholders who want to more effectively participate in, lead, or influence an HIA. This guide distills stakeholder participation techniques, case studies, and guiding principles from various fields of expertise, including HIA, environmental and social impact assessment, land use and transportation planning, community-based participatory research, and public health. This guide also provides resources and examples and demonstrates how to effectively and meaningfully involve diverse stakeholders at every stage of an HIA. In the following pages, practitioners will find 1) a description of stakeholder groups, 2) opportunities for participation at each step of an HIA, 3) a list of factors that influence participation, and 4) case studies that incorporate community participation in recent HIAs.