Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis

Background: Health impact assessment (HIA) is a tool used to assess the potential health impacts of proposed projects, programs, and policies. The extent of the use of HIAs conducted on health sector proposals, and what they focus on, is currently largely undocumented. This paper reviews HIAs conduc...

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Autores principales:	Nelius Wanjiku Wanjohi, Reema Harrison, Ben Harris-Roxas
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	health impact assessment health care health services planning Medicine R
Acceso en línea:	https://doaj.org/article/b29e72eaeb164e2eb95ce310b811cb54
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spelling	oai:doaj.org-article:b29e72eaeb164e2eb95ce310b811cb542021-11-11T16:35:39ZHealth Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis10.3390/ijerph1821114661660-46011661-7827https://doaj.org/article/b29e72eaeb164e2eb95ce310b811cb542021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11466https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Health impact assessment (HIA) is a tool used to assess the potential health impacts of proposed projects, programs, and policies. The extent of the use of HIAs conducted on health sector proposals, and what they focus on, is currently largely undocumented. This paper reviews HIAs conducted on health sector proposals, their characteristics and describes the settings in which they were conducted. Methods: A systematic review was conducted, including peer-reviewed journals and grey literature utilizing keywords, synonyms, and subject headings relevant to HIA and the health sector. Eligibility criteria were independently applied to the identified works and data appraisal conducted using the Critical Appraisal Skills Programme qualitative checklist tool. Results: 19 HIAs were identified and included in the review, including 13 rapid, three intermediate, and two comprehensive HIAs. The HIAs use was evident across a range of health service contexts, though all but one had been conducted in developed countries. Conclusion: The use of HIAs in the health sector is limited. There were various benefits attributed to the HIAs analysed including and not limited to the allocation of resources, reducing inequalities, and identification of possible negative consequences of a project. There is an opportunity to improve the use and reporting of HIAs across health settings internationally to enhance the consideration of broader determinants of health, influence decision making, and use of evidence in health sector planning for the future.Nelius Wanjiku WanjohiReema HarrisonBen Harris-RoxasMDPI AGarticlehealth impact assessmenthealth carehealth servicesplanningMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11466, p 11466 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health impact assessment health care health services planning Medicine R
spellingShingle	health impact assessment health care health services planning Medicine R Nelius Wanjiku Wanjohi Reema Harrison Ben Harris-Roxas Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
description	Background: Health impact assessment (HIA) is a tool used to assess the potential health impacts of proposed projects, programs, and policies. The extent of the use of HIAs conducted on health sector proposals, and what they focus on, is currently largely undocumented. This paper reviews HIAs conducted on health sector proposals, their characteristics and describes the settings in which they were conducted. Methods: A systematic review was conducted, including peer-reviewed journals and grey literature utilizing keywords, synonyms, and subject headings relevant to HIA and the health sector. Eligibility criteria were independently applied to the identified works and data appraisal conducted using the Critical Appraisal Skills Programme qualitative checklist tool. Results: 19 HIAs were identified and included in the review, including 13 rapid, three intermediate, and two comprehensive HIAs. The HIAs use was evident across a range of health service contexts, though all but one had been conducted in developed countries. Conclusion: The use of HIAs in the health sector is limited. There were various benefits attributed to the HIAs analysed including and not limited to the allocation of resources, reducing inequalities, and identification of possible negative consequences of a project. There is an opportunity to improve the use and reporting of HIAs across health settings internationally to enhance the consideration of broader determinants of health, influence decision making, and use of evidence in health sector planning for the future.
format	article
author	Nelius Wanjiku Wanjohi Reema Harrison Ben Harris-Roxas
author_facet	Nelius Wanjiku Wanjohi Reema Harrison Ben Harris-Roxas
author_sort	Nelius Wanjiku Wanjohi
title	Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
title_short	Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
title_full	Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
title_fullStr	Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
title_full_unstemmed	Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
title_sort	health impact assessments of health sector proposals: an audit and narrative synthesis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b29e72eaeb164e2eb95ce310b811cb54
work_keys_str_mv	AT neliuswanjikuwanjohi healthimpactassessmentsofhealthsectorproposalsanauditandnarrativesynthesis AT reemaharrison healthimpactassessmentsofhealthsectorproposalsanauditandnarrativesynthesis AT benharrisroxas healthimpactassessmentsofhealthsectorproposalsanauditandnarrativesynthesis
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Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis

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