A study published by Oxford University Press looks at whether existing health impact assessment (HIA) methods are adequate for the task of global health equity assessments
A recent survey has examined if current health impact assessment (HIA) methods could be used to tackle global health equity. The poll shows that HIA do not address the issue of equity adequately. Existing HIAs will therefore require new, more sensitive tools measurements.
The study looks at whether health equity impact assessments can be used to measure economic agreements, market regulation, and public policies.
The results has proven that in current HIAs, equity is not addressed adequately for the following reasons: inadequate guidance, absence of definitions, poor data and evidence, perceived lack of methods and tools and practitioner unwillingness or inability to address values like fairness and social justice. In general, current methods are not feasible to find roots and causes of inequity.
However, current methodology does not have to be completely replaced - it needs to be improved in order to cover global equity issues. New, more sensitive and participatory tools will be required to address macroeconomic policies, historical roots of inequities and upstream causes like power imbalances.
Health equity impact assessment (Abstract)
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