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Equity-focused health impact assessment: A tool to assist policy makers in addressing health inequalities |
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| Authors: | Sarah Simpson Mary Mahoney Elizabeth Harris Rosemary Aldrich Jenny Stewart-Williams |
| Affiliation: | aCentre for Health Equity Training Research and Evaluation, School of Public Health and Community Medicine, University of NSW, Australia;bHealth Impact Assessment Research Unit, Faculty of Health and Behavioural Sciences, Deakin University, Victoria, Australia;cUniversity of Newcastle, NSW, Australia;dNewcastle Institute of Public Health, University of Newcastle, NSW, Australia |
| Abstract: | In Australasia (Australia and New Zealand) the use of health impact assessment (HIA) as a tool for improved policy development is comparatively new. The public health workforce do not routinely assess the potential health and equity impacts of proposed policies or programs. The Australasian Collaboration for Health Equity Impact Assessment was funded to develop a strategic framework for equity-focused HIA (EFHIA) with the intent of strengthening the ways in which equity is addressed in each step of HIA. The collaboration developed a draft framework for EFHIA that mirrored, but modified the commonly accepted steps of HIA; tested the draft framework in six different health service delivery settings; analysed the feedback about application of the draft EFHIA framework and modified it accordingly. The strategic framework shows promise in providing a systematic process for identifying potential differential health impacts and assessing the extent to which these are avoidable and unfair. This paper presents the EFHIA framework and discusses some of the issues that arose in the case study sites undertaking equity-focused HIA. |
| Keywords: | Health impact assessment Equity |
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