Advancing Efforts to Achieve Health Equity
Equity Metrics for Health Impact Assessment Practice
Bibliographic Data
Equity is a core value of Health Impact Assessment (HIA). Many compelling moral, economic, and health arguments exist for prioritizing and incorporating equity considerations in HIA practice. Decision-makers, stakeholders, and HIA practitioners see the value of HIAs in uncovering the impacts of policy and planning decisions on various population subgroups, developing and prioritizing specific actions that promote or protect health equity, and using the process to empower marginalized communities. There have been several HIA frameworks developed to guide the inclusion of equity considerations. However, the field lacks clear indicators for measuring whether an HIA advanced equity. This article describes the development of a set of equity metrics that aim to guide and evaluate progress toward equity in HIA practice. These metrics also intend to further push the field to deepen its practice and commitment to equity in each phase of an HIA. Over the course of a year, the Society of Practitioners of Health Impact Assessment (SOPHIA) Equity Working Group took part in a consensus process to develop these process and outcome metrics. The metrics were piloted, reviewed, and refined based on feedback from reviewers. The Equity Metrics are comprised of 23 measures of equity organized into four outcomes: (1) the HIA process and products focused on equity; (2) the HIA process built the capacity and ability of communities facing health inequities to engage in future HIAs and in decision-making more generally; (3) the HIA resulted in a shift in power benefiting communities facing inequities; and (4) the HIA contributed to changes that reduced health inequities and inequities in the social and environmental determinants of health. The metrics are comprised of a measurement scale, examples of high scoring activities, potential data sources, and example interview questions to gather data and guide evaluators on scoring each metric
Business · Economics · Equity (law · Health care · Health equity · Health impact assessment · Political science · Public economics · Public health · Public relations · Environmental and Social Impact Assessments · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Public Health Policies and Education
Ground Truths
Exploring methods to assess environmental health inequalities in health impact assessments of local interventions
Exploring Extension Agent Capacity and Readiness to Adopt Policy, Systems and Environmental Change Approaches
Health Impact and Social Value of Interventions, Services, and Policies
Evaluating Racial/Ethnic Equity in Planning-Related U.S. Health Impact Assessments Involving Parks and Greenspaces
Gendered health impacts of industrial gold mining in northwestern Tanzania
Health Equity Impact Assessment (Heia) reporting tool
Global priorities in HIA research
Health impact assessment in two planning projects in England
Avenues of Influence
Health impact assessment and health equity in sub-Saharan Africa
Advancing the practice of health impact assessment in Canada
Incorporating community perspectives in health impact assessment
Health Equity and the Fallacy of Treating Causes of Population Health as if They Sum to 100
| Unique citing works | 14 |
|---|---|
| Citations per year | 1.27 |
| Citation span | 2015 - 2025 (11) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 14 |