August 20 november 20 first known instance of rapid efhia in bc public health policy formulation mahoney, m. A rapid equity focused health impact assessment of a policy. Section 2 defines equity focused evaluations, explaining what their purpose should be and potential challenges in their promotion and implementation. A rapid equity focused health impact assessment of a. Pdf evaluating the impact of equity focused health. Centre for health equity training, research and evaluation chetre. A policy level retrospective equity focused health impact assessment was applied to the development of the ministry of healths healthy eating healthy action heha strategy. Equityfocused health impact assessment efhia is an evidenceinformed approach to reducing social inequities in health. Aug 23, 2014 the impact and effectiveness of equity focused health impact assessment in health service planning this free ebook looks at the use of equity focused health impact assessment efhia on health service plans. To assess whether the way the hehastrategy was developed had the potential to create, maintain or reduce health inequalities, with particular reference to maori health. This paper looks at the impact of three equity focused health impact assessments efhias of health service plans on subsequent decisionmaking and implementation, and then utilises these findings to. It is one of a number of strategies to ensure health equity is considered in the development of policies, programs and plans 14, 15, 22 32.
The impact and effectiveness of equity focused health. Hips study has had a tremendous impact on the conversation around treatment over incarceration in wisconsin and. In ontario, people with low incomes report their health to be poor or fair at a rate three times that of people with high income. Efhia should be considered a tool for bringing together narratives and numbers. Equityfocused health impact assessment of portuguese. Equity focused planning, assessment, and evaluation.
Despite this there are relatively few examples of examples of completed efhias available. Equity focused health impact assessment efhia can function as a framework and tool that supports users to collate data, information, and evidence related to health equity in order to identify and mitigate the impact of a current or proposed initiative on health inequities. Equity focused health impact assessment walk to school 2016 health equity is the notion that everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential if it can be avoided. The results ofthe case study will assist those within the ministry to implement the healthy eating. Evaluating the impact of equity focused health impact. Overview of equity focused health impact assessment. Equity focused health impact assessment health impact assessment hia is a structured method to assess the potential health impacts of proposed policies and practices. Equity focused health impact assessments efhias, or health equity impact.
Section 2 defines equityfocused evaluations, explaining what their purpose should be and potential challenges in their promotion and implementation. The main purpose of efhia equity focused health impact assessment is to. Equity focused health impact assessment walk to school 2016. Background to the development of the equity focused hia framework the equity focused health impact assessment efhia framework arises out of a two year research project funded for the most part by the australian governments public health education research program pherp. The impact and effectiveness of equity focused health impact assessment in health service planning this free ebook looks at the use of equity focused health impact assessment efhia on health service plans. In 2012, hip partnered with wisdom, a statewide congregationbased network, to assess the public health impacts of increasing funding for wisconsins treatment and diversion programs for nonviolent drug offenders. Action hehastrategy, using the equity focused health impact assessment tool efhia. Equity focused health impact assessment framework 1 1. Equity focused hia uses health impact assessment methodology in a structured way to explore the potential differential impacts of a proposal on the health of specific groups within a population and to assess if these differential impacts are inequitable. Research article open access evaluating the impact of. Health impact assessment hia is commonly defined as a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population. The equity focused health impact assessment efhia framework arises out of a two year research project funded for the most part by the australian governments public health education research program pherp innovations grants round 2 scheme. Equity focused health impact assessment centre for primary.
This was distinct from more comprehensive approaches to hia that the statement recommended be used intersectorally. A rapid equity focused health impact assessment of a policy implementation plan. Research article open access evaluating the impact of equity. Health impact assessment hia is a decisionsupport tool being utilized by epa to promote sustainable and healthy communities. Equity focused health impact assessment what it can do for. As part of that presentation, equityfocused health impact assessment efhia was recommended as one tool to help reduce those inequities. Leading health promotion and subsequently in the who bangkok charter 1 but was operationalised with the development of the equity focused health impact assessment framework in 2004 2, 3. Health equity impact assessment heia1 is a flexible and practical assessment tool that can be used to identify potential health impacts positive or negative of a plan, policy or program on vulnerable or disadvantaged groups within the general population. Despite education efforts in both the clinical and public health settings, practitioners have found implementation and. Pdf equityfocused health impact assessment framework. Thus, heia is not only intended for use by organizations across the ontario health care system, such as the ministry of health and longterm.
Equity focused health impact assessment is a useful tool to make sure that policy development promotes health and equity. Pdf a rapid equity focused health impact assessment of a. Hias help inform decision makers and other stakeholders about the likely health impacts associated with a proposed public decision e. Health impact assessment hia is a combination of procedures, methods. A policy level retrospective equity focused health impact assessment was applied to the development of the ministry of health s healthy eating healthy action heha strategy. The organizational selfassessment selfassessment for addressing health inequities toolkit toolkit provides public health leaders with tools and guidelines that help identify the skills, organizational practices and infrastructure needed to address health equity and provide insights into steps lhds can take to ensure their organization can have an impact on this growing problem. Pdf equity focused health impact assessment a step. The framework represents a moment in time rather than a.
How does efhia improve the consideration of equity in health planning. Efhia focuses on improving the consideration of equity and differential impacts at each step of the hia process. The australasian collaboration for health equity impact assessment acheia tool was used to do this. Although health inequities in tobacco are addressed in explicit activities in the proposal for. Learn everything from definitions and concepts to practical tips on how to use the ministry of health and longterm cares health equity impact assessment tools. Trialling the tool in the health sector was useful to refine the tool.
Equity focused health impact assessment walk to school. Equityfocused health impact assessment framework dro. Equity focused health impact assessment of the quit. Equityfocused health impact assessment efhia can function as a framework and tool that supports users to collate data, information, and evidence related to health equity in order to identify and mitigate the impact of a current or proposed initiative on health inequities. Equity focused health impact assessment walk to school program 2016. Promoting equity through the practice of health impact assessment pdf this report coauthored by policylink and three partner organizations is a tool for advancing health equity in your community through health impact assessment. The health equity assessment toolkit is a software application that facilitates the assessment of withincountry health inequalities. This paper looks at the impact of three equity focused health impact assessments efhias of health service plans on subsequent decisionmaking and implementation, and then utilises these findings to test and. Assessment of the applicability of the tool to the policy development process. Equity focused health impact assessment equity focused health impact assessment efhia is a specific form of hia and has been promoted by public health organisations regionally, nationally and internationally. Equity focused health impact assessment efhia is a specific form of hia and has been promoted by public health organisations regionally, nationally and internationally. Health impact assessment has the potential to address health inequalities and to provide recommendations to reduce these. Background to the development of the equityfocused hia framework the equity focused health impact assessment efhia framework arises out of a two year research project funded for the most part by the australian governments public health education research program pherp innovations grants round 2 scheme.
Wednesday 29 june centre for primary health care and equity. Background to the development of the equityfocused hia framework the equity focused health impact assessment efhia framework arises out of a two year research project funded for the most part by the australian governments public health education research program pherp. The self assessment is intended to serve a lhd in the following ways. Equity focused health impact assessment a community pilot 1. Rapid equity focused health impact assessment efhia to. Equityfocused health impact assessment efhia can function as a framework and tool that supports. The equityfocused health impact assessment utilized for this pilot, follows the same multistep process of hia, but includes an explicit focus on equity. The impact and effectiveness of equity focused health impact assessment in health service planning, ben harrisroxas. Equity focused health impact assessment tools this category of tools are all related to equity focused health impact assessment tools, also referred to as health equity impact assessment heia tools. Heat, builtin database edition, which comes preinstalled with the health equity. Equityfocused health equity impact assessment ef hia heia. Equity focused health impact assessment of the quit victoria.
This project had as its primary objective the development of a framework for. Roxas centre for primary health care and equity, university of new south wales. Equityfocused health equity impact assessment ef hia heia practical tools for building healthy public policy workshop for the vibrant communities symposium april 26, 2012 april macinnes, mhsc, ba hons senior policy advisor, heia project lead. Great news in the latest human impact partners email update. The impact and effectiveness of equity focused health impact. Equityfocused hia uses health impact assessment methodology in a structured way to explore the potential differential impacts of a proposal on the health of specific groups within a population and to assess if these differential impacts are inequitable. The equity focused health impact assessment utilized for this pilot, follows the same multistep process of hia, but includes an explicit focus on equity. Equity focused health impact assessment what it can do. It is one of a number of strategies to ensure health equity is considered in the development of policies, programs and plans 14,15. Equity focussed health impact assessment centre for primary. The public health workforce do not routinely assess the potential health and equity impacts of proposed policies or programs. For this brief, the research team adapted the society of practitioners of health impact assessments equity metrics for health impact assessment and created three categories to measure the extent to which each of the studied hias focused on equity.
Equity focused health impact assessment walk to school program 2016 4 executive summary about the equity focused health impact assessment health equity is the notion that everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential if it can be avoided. Inventory the presence of a set of researchbased organizational and individual traits that support the ability to perform effective health equity focused. These include, for example, the development of equityfocused hia in australia 7,8, the inclusion of equity as an important motivation for stakeholder participation in hia, and a primer entitled promoting equity through the practice of health impact assessment. Health impact assessment hia is defined as a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.
Health impact assessment hia is commonly defined as a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to. Equityfocused health impact assessment a community pilot 1. Health impact assessment has been identified internationally as a mechanism to ensure potential health impacts and health equity impacts of proposals are considered before implementation. Equity focused health impact assessments efhias, or health equity impact assessments, are being. Equityfocused health impact assessment a community pilot. Equity focused health impact assessments efhias, or. Pdf evaluating the impact of equity focused health impact. Research article open access evidence use in equity focused health impact assessment. Thus, heia is not only intended for use by organizations across the ontario health care system, such as.
This report has been undertaken as part of the equity focused health impact assessment efhia project to identify the rationale for developing an equity focused hia framework. An australian case study and impact evaluation ben f harrisroxas, patrick j harris, elizabeth harris, lynn a kemp abstract background. Recognition of the need for a framework for rapidly assessing the health equity impacts of proposed policy and program proposals led to the development of rapid equity focused health impact assessment efhia, see table table1, 1, informed by earlier work undertaken in developing a framework for efhia 46,47. Section 1 defines equity, why equity matters and why equity is so urgent now. Hia enables decision makers to highlight and enhance the positive elements of a proposal, and minimize the aspects that may result in negative health outcomes1. Equity focused health impact assessment efhia is an evidenceinformed approach to reducing social inequities in health. Evaluating the impact of equity focused health impact assessment on health service planning. Health equity impact assessment heia has broad application and is intended for use by organizations and health service providers who have an impact on the health of ontarians.
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. Equityfocused health equity impact assessment ef hia. Evaluating the impact of equity focused health impact assessment. Equityfocused hia uses health impact assessment methodology in a structured way to explore the potential differential impacts of a proposal on the health of. The world health organization recommend the equityfocused health impact assessment hia as a means to assess the impact of social and economic policies on the health of populations, and. Mar 31, 2020 for this brief, the research team adapted the society of practitioners of health impact assessments equity metrics for health impact assessment and created three categories to measure the extent to which each of the studied hias focused on equity. Equity focused health impact assessments efhias, or health equity impact assessments, are being increasingly promoted internationally as a mechanism for enhancing the consideration of health equity in the development of policies, programs and projects. Equity focussed health impact assessment centre for. Serve as the baseline measure of capacity, skills and areas for improvement to support health equity focused activities. Identifies the distribution of health impacts across the population. Stewart williams j, aldrich r, mahoney m, harris e, simpson s. Equityfocused health impact assessment health impact assessment hia is a structured method to assess the potential health impacts of proposed policies and practices. Health equity focused impact assessment is one of the 10 promising practices used to guide local public health practice to reduce social inequities in health.
Our health promotion courses and presentations cover health promotion foundations, health equity and health promotion capacity building. The australasian collaboration for health equity impact assessment was funded to develop a strategic framework for equityfocused hia efhia with the intent of strengthening the ways in which equity is addressed in each. Evidence use in equity focused health impact assessment. Equity focused health impact assessment framework hia connect. The foundation of a healthy community is strongest when built upon a decisionmaking process that balances environmental, social, and economic factors to promote the health and wellbeing of its members. Health promotion online learning public health ontario. How did the sudbury shared space working group use efhia.
Promoting equity through the practice of health impact. Pdf bbackground to the development of the equityfocused hia framework the equity focused health impact assessment efhia. Centre for health equity training, research and evaluation chetre the role of the health system in reducing health inequity. Equityfocused health impact assessment public health sudbury. In this report, we focus on health equity impact assessment tools, including equityfocused health impact assessment efhia,4,6 whanau ora health impact assessment,7 health equity assessment tool heat,8 health equity audit hea,9,10 2health equity impact assessment heia. Promoting equity through the practice of health impact assessment.
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