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Yashadhana A, Jaques K, Chaudhuri A, Pry J, Harris P. Intersectoral Partnerships Between Local Governments and Health Organisations in High-Income Contexts: A Scoping Review. Int J Health Policy Manag 2024; 13:7841. [PMID: 38618835 PMCID: PMC11016275 DOI: 10.34172/ijhpm.2024.7841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 01/31/2024] [Indexed: 04/16/2024] Open
Abstract
BACKGROUND Local governments are the closest level of government to the communities they serve. Traditionally providing roads, rates and garbage services, they are also responsible for policy and regulation, particularly land use planning and community facilities and services that have direct and indirect impacts on (equitable) health and well-being. Partnerships between health agencies and local government are therefore an attractive proposition to progress actions that positively impact community health and well-being. Yet, the factors underpinning these partnerships across different contexts are underdeveloped, as mechanisms to improve population health and well-being. METHODS A scoping review was conducted to gain insight into the concepts, theories, sources, and knowledge gaps that shape partnerships between health and local governments. The search strategy followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and was informed by a critical realist approach that identifies necessary, contingent and contextual factors in the literature. MEDLINE, Scopus, Web of Science, and ProQuest Central databases were searched for studies published between January 2005 and July 2021. RESULTS The search yielded 3472 studies, after deleting duplicates and initial title and abstract screening, 188 papers underwent full text review. Twenty-nine papers were included in the review. Key themes shaping partnerships included funding and resources; partnership qualities; governance and policy; and evaluation and measures of success. The functional, organisational and individual aspects of these themes are explored and presented in a framework. CONCLUSION Given that local government are the closest level of government to community, this paper provides a sophisticated roadmap that can underpin partnerships between local government and health agencies aiming to influence population health outcomes. By identifying key themes across contexts, we provide a framework that may assist in designing and evaluating evidence-informed health and local government partnerships.
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Affiliation(s)
- Aryati Yashadhana
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, Australia
- School of Population Health, University of New South Wales, Sydney, NSW, Australia
- School of Social Sciences, University of New South Wales, Sydney, NSW, Australia
| | - Karla Jaques
- Ingham Institute, Liverpool, NSW, Australia
- Centre for Health Equity Training, Research and Evaluation, University of New South Wales, Sydney, NSW, Australia
- South Western Sydney Local Health District, Ingham Institute, Liverpool, NSW, Australia
| | - Aulina Chaudhuri
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, Australia
| | - Jennie Pry
- Liverpool Hospital, Liverpool, NSW, Australia
- Healthy Places, Population Health, South Western Sydney Local Health District, Liverpool, NSW, Australia
| | - Patrick Harris
- Ingham Institute, Liverpool, NSW, Australia
- Centre for Health Equity Training, Research and Evaluation, University of New South Wales, Sydney, NSW, Australia
- South Western Sydney Local Health District, Ingham Institute, Liverpool, NSW, Australia
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Olyaeemanesh A, Takian A, Mostafavi H, Mobinizadeh M, Bakhtiari A, Yaftian F, Vosoogh-Moghaddam A, Mohamadi E. Health Equity Impact Assessment (HEIA) reporting tool: developing a checklist for policymakers. Int J Equity Health 2023; 22:241. [PMID: 37980523 PMCID: PMC10657117 DOI: 10.1186/s12939-023-02031-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 10/03/2023] [Indexed: 11/20/2023] Open
Abstract
INTRODUCTION Health Equity Impact Assessment (HEIA) is a decision support tool that shows users how a new program, policy, or innovation affects health equity in different population groups. Various HEIA reporting and dissemination tools are available, nevertheless, a practical standard tool to present the results of HEIA in an appropriate period to policymakers is lacking. This work reports the development of a tool (a checklist) for HEIA reporting at the decision-making level, aiming to promote the application of HEIA evidence for improving health equity. METHODS This is a mixed-method study that was carried out over four stages in 2022-2023: 1) identifying HEIA models, checklists, and reporting instruments; 2) development of the initial HEIA reporting checklist; 3) checklist validation; and 4) piloting the checklist. We also analyzed the Face, CVR, and CVI validity of the tool. RESULTS We developed the initial checklist through analysis of 53 included studies and the opinions of experts. The final checklist comprised five sections: policy introduction (eight subsections), managing the HEIA of policy (seven subsections), scope of the affected population (three subsections), HEIA results (seven subsections), and recommendations (three subsections). CONCLUSION Needs assessment, monitoring during implementation, health impact assessment, and other tools such as monitoring outcome reports, appraisals, and checklists are all methods for assessing health equity impact. Other equity-focused indicators, such as the equity lens and equity appraisal, may have slightly different goals than the HEIA. Similarly, the formats for presenting and publishing HEIA reports might vary, depending on the target population and the importance of the report.
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Affiliation(s)
- Alireza Olyaeemanesh
- Health Equity Research Center (HERC), TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
- National Institute for Health Research, TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
| | - Amirhossein Takian
- Health Equity Research Center (HERC), TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
- Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran
- Department of Health Management, Policy, and Economics, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Hakimeh Mostafavi
- Health Equity Research Center (HERC), TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
| | - Mohammadreza Mobinizadeh
- National Institute for Health Research, TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
| | - Ahad Bakhtiari
- Health Equity Research Center (HERC), TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
| | - Fateme Yaftian
- Health Equity Research Center (HERC), TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
| | - Abbass Vosoogh-Moghaddam
- Governance and Health Training and Research Department, National Institute for Health Research, TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
- Secretariat for Health and Food Security, TehranUniversity of Medical Sciences (TUMS), Tehran, Iran
| | - Efat Mohamadi
- Health Equity Research Center (HERC), TehranUniversity of Medical Sciences (TUMS), Tehran, Iran.
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Kalel ZS, Gulis G, Aringazina AM. Implementation of Health Impact Assessment in the Healthcare System of the Republic of Kazakhstan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2335. [PMID: 36767699 PMCID: PMC9915209 DOI: 10.3390/ijerph20032335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/25/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
The Health Impact Assessment (hereinafter referred to as HIA) is an effective method for predicting potential health impacts from decisions. Little is known about the implementation of the HIA in the Republic of Kazakhstan (further, RK). In addition, the Russian language literature has not yet been reviewed in terms of HIA-related knowledge. By conducting a literature review of enabling factors, including Russian language literature, on the implementation of the HIA and studying governance systems in RK, we aim to suggest an implementation process to implement the HIA in RK. After careful analysis of the governance system, we suggest set up of a HIA support unit under the National Scientific Center for Health Development and discuss the possible benefits. The proposed center should guide the implementation of the HIA in RK.
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Affiliation(s)
- Zhan S. Kalel
- Caspian International School of Medicine, Caspian University, 521 Seifullin Street, Almaty 050000, Kazakhstan
| | - Gabriel Gulis
- Unit for Health Promotion Research, University of Southern Denmark, Degnevej 14, Esbjerg 6700, Denmark
- Olomouc University Social Health Institute OUSHI, Palacky University Olomouc, Katerinska 653/17, 77900 Olomouc, Czech Republic
| | - Altyn M. Aringazina
- Caspian International School of Medicine, Caspian University, 521 Seifullin Street, Almaty 050000, Kazakhstan
- AlmaU School of Health Sciences, Almaty Management University, 227 Rozybakiev Street, 050060 Almaty, Kazakhstan
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Yang Y, Tang J, Li Z, Wen J. How effective is the health promotion policy in Sichuan, China: based on the PMC-Index model and field evaluation. BMC Public Health 2022; 22:2391. [PMID: 36539758 PMCID: PMC9764584 DOI: 10.1186/s12889-022-14860-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 12/13/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Many countries around the world highlight the health in all policies (HiAP). However, most of the related research focused on the influential factors and implementation strategies, with less concern on the evaluation of HiAP. In response to HiAP's call, the Chinese government has proposed health promotion policies (HPPs) in counties or districts, the evaluation of HPPs in sample counties or districts of Sichuan province in China is an essential basis for optimizing policy content, improving policy implementation, and ensuring health promotion's continuous and efficient operation. METHODS This paper established an evaluation system for HPPs based on the PMC-Index model and then quantitatively analyzed 37 representative HPPs from the pilot areas in Sichuan province. In addition, a team of experts conducted a field assessment. RESULTS The results showed that the average PMC index of 37 HPPs was 7.091, and correlation analysis showed that there was a significant correlation between the PMC index and expert score. CONCLUSIONS This study indicates that the overall consistency of HPPs was good and proves a connection between the formulation and implementation of HPPs.
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Affiliation(s)
- Yanlin Yang
- grid.412901.f0000 0004 1770 1022Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, 610041 China
| | - Jing Tang
- grid.412901.f0000 0004 1770 1022Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, 610041 China
| | - Zhixin Li
- grid.419221.d0000 0004 7648 0872Sichuan Center for Disease Control and Prevention, Chengdu, 610041 China
| | - Jin Wen
- grid.412901.f0000 0004 1770 1022Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, 610041 China
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Rococo É, Rivadeneyra-Sicilia A, Rosario BD, Jabot F. La participation citoyenne dans les évaluations d’impact sur la santé en France. SANTE PUBLIQUE 2021; Vol. 33:27-35. [PMID: 34372637 DOI: 10.3917/spub.211.0027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVE Citizen participation is one of the core values of Health Impact Assessment (HIA). Nevertheless, there is a gap between the ideal described in HIA foundational texts and its current practice as reported in the international literature. In the light of HIA recent development in France, this article provides some insights to better understand this concept and the challenges associated to its actual implementation in France. METHODS This exploratory study is based on semi-structured interviews, on-site observations and document analysis of a panel of 11 HIAs carried out in 8 French regions between 2011-2018. Citizen participation is analyzed according to 5 dimensions: stakeholders’ perceptions and expectations, scope of participation, scale, methods of engagement, constraints. RESULTS As reported in other studies published abroad, the concept of citizen participation remains unclear in France. Despite some progress observed in more recent HIAs, its actual implementation remains incomplete due to political, financial and human constraints and to competition with other existing mechanisms for public participation at a local level. CONCLUSION While accumulated experience may contribute to effectively integrate citizen participation in HIA, this study shows that in order to better bond this practice to health promotion values, it is important to clearly define the objectives of such participation, to sensitize city counselors in advance, to strengthen HIA practitioners’ capacities, and to rely on participation specialists.
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Jabot F, Massot C. Similitudes et différences entre l’évaluation d’impact sur la santé et l’évaluation de politiques publiques. SANTE PUBLIQUE 2021; Vol. 33:47-56. [PMID: 34372639 DOI: 10.3917/spub.211.0047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
INTRODUCTION Health impact assessment (HIA) is rapidly growing in France. It shows similarities with other approaches, such as the evaluation of public policies (EPP), with which it can sometimes be mistaken for.Purpose of research: The aims of this article are to identify the similarities and differences between HIA and EPP and to assess the extent to which HPA skills are transferable to HIA. RESULTS The two approaches share common features: they are both based on principles and values that structure practice; they produce a judgement at the end of an argumentation process; they follow the same thinking process and use similar tools. However, HIA has specific features that justify the strengthening of skills, particularly in relation to its participatory dimension. CONCLUSIONS The two approaches have more similarities than differences due to their evaluative nature. The competences acquired in PPE are transferable to HIA and the evaluator at the crossroads of the two exercises can revisit and enrich his practice in PPE.
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Jabot F. L’évaluation d’impact sur la santé pour scruter et sculpter les politiques. SANTE PUBLIQUE 2021; Vol. 33:7-16. [PMID: 34372643 DOI: 10.3917/spub.211.0007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Health impact assessment (HIA) is a prospective approach that consists of identifying the potential consequences, both negative and positive, of an intervention on the health of populations with the aim of improving it. Identified as a specific practice in 1999, it rapidly gained in popularity and was progressively deployed on all continents with variations in terms of implementation strategies, area of application, scales of implementation, modes of governance, institutions and actors involved. It is currently booming in France and Quebec, where it is generating real expectations with regard to the issues of health inequalities, democracy and the coordination of sectoral policies. This article, based on our research, provides a brief portrait of HIA in France and introduces questions on the strengths, limitations and added-value of the approach. This special issue sheds light on the practice through applications in different fields and contexts, emphasizes the methodological, political and social issues related to the process as well as the challenges to be met in order to strengthen the potential of HIA to improve decision-making and develop policies and projects that promote health.
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Clavier C. Leçons des évaluations d’impact sur la santé pour élaborer des politiques favorables à la santé. SANTE PUBLIQUE 2021; Vol. 33:5-6. [PMID: 34372640 DOI: 10.3917/spub.211.0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Cave B, Pyper R, Fischer-Bonde B, Humboldt-Dachroeden S, Martin-Olmedo P. Lessons from an International Initiative to Set and Share Good Practice on Human Health in Environmental Impact Assessment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041392. [PMID: 33546244 PMCID: PMC7913344 DOI: 10.3390/ijerph18041392] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 01/27/2021] [Accepted: 01/30/2021] [Indexed: 12/20/2022]
Abstract
Environmental Impact Assessment (EIA) is applied to infrastructure and other large projects. The European Union EIA Directive (2011/92/EU as amended by 2014/52/EU) requires EIAs to consider the effects that a project might have on human health. The International Association for Impact Assessment and the European Public Health Association prepared a reference paper on public health in EIA to enable the health sector to contribute to this international requirement. We present lessons from this joint action. We review literature on policy analysis, impact assessment and Health Impact Assessment (HIA). We use findings from this review and from the consultation on the reference paper to consider how population and human health should be defined; how the health sector can participate in the EIA process; the relationship between EIA and HIA; what counts as evidence; when an effect should be considered ‘likely’ and ‘significant’; how changes in health should be reported; the risks from a business-as-usual coverage of human health in EIA; and finally competencies for conducting an assessment of human health. This article is relevant for health authorities seeking to ensure that infrastructure, and other aspects of development, are not deleterious to, but indeed improve, human health.
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Affiliation(s)
- Ben Cave
- BCA Insight Ireland Ltd., D02FY24 Dublin, Ireland; (R.P.); (B.F.-B.)
- International Association for Impact Assessment (IAIA), Fargo, ND 58103-3705, USA;
- European Public Health Association (EUPHA), Post Box 1568, 3500 BN Utrecht, The Netherlands;
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW 2052, Australia
- Correspondence:
| | - Ryngan Pyper
- BCA Insight Ireland Ltd., D02FY24 Dublin, Ireland; (R.P.); (B.F.-B.)
- International Association for Impact Assessment (IAIA), Fargo, ND 58103-3705, USA;
| | - Birgitte Fischer-Bonde
- BCA Insight Ireland Ltd., D02FY24 Dublin, Ireland; (R.P.); (B.F.-B.)
- International Association for Impact Assessment (IAIA), Fargo, ND 58103-3705, USA;
- Fischer-Bonde Consulting, 1727 Copenhagen, Denmark
| | - Sarah Humboldt-Dachroeden
- International Association for Impact Assessment (IAIA), Fargo, ND 58103-3705, USA;
- Department of Social Science and Business, Roskilde University, 4000 Roskilde, Denmark
| | - Piedad Martin-Olmedo
- European Public Health Association (EUPHA), Post Box 1568, 3500 BN Utrecht, The Netherlands;
- Escuela Andaluza de Salud Publica, 18011 Granada, Spain
- Instituto de Investigacion Biosanitaria de Granada (Ibs. GRANADA), 18016 Granada, Spain
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