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How to conduct an HEIA

How to conduct an HEIA. Module C. Getting started…. HEIA is typically conducted by the planning, policy or program team or staff person ( not an external/third-party )

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How to conduct an HEIA

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  1. How to conduct an HEIA Module C

  2. Getting started… • HEIA is typically conducted by the planning, policy or program team or staff person (not an external/third-party) • HEIA should be conducted as early as possible in all planning or policy development to enable adjustments to the initiative before opportunities for change become more limited. • It should be a living document, with health equity impacts identified as the design of the initiative evolves. • HEIA can also be introduced retrospectively as a valuable evaluation tool to examine whether individual initiatives are capitalizing on available opportunities to improve equity or whether they may potentially result in widening health disparities. 2014-08-25 2

  3. Where does HEIA fit?

  4. Describe the initiative or decision that the HEIA is being applied to: 4

  5. Step 1. ScopingConsider and identify affected populations (including intersecting populations and relevant SDoH)

  6. Step 2. Impact AssessmentIdentify and record the potential unintended (negative/positive) impacts of the planned policy, program, decision

  7. Impact Assessment Rationale • The application of HIA is based on the recognition that health is determined by actions within a broad range of policy areas, including education, housing, employment etc. The objective of HIA is therefore to examine variations in these health determinants as consequences of proposed policy or practical initiatives, and thereby consider the impact on health. HIA is an important tool in tackling health inequalities given its capacity to map and make transparent the effect of an initiative on different social groups. • The purpose of HIA is both to prevent unintended consequences, and also to reinforce positive health outcomes of decisions, made in the spectrum of policy areas.

  8. Step 3. MitigationIdentify and record the best ways to reduce the potential negative impacts and amplify the (unintended) positive impacts

  9. Monitoring “it is important that strategies developed to reduce inequalities are not assumed to be having a positive impact simply because the aim is ‘progressive’ and so rigorous evaluation of promising interventions are important.” Source: Arblaster, et al (1995). Review of the research on the effectiveness of health service interventions to reduce variations in health

  10. Step 4. MonitoringArticulate how success could be measured for each mitigation strategy you have identified.

  11. Step 5. DisseminationIdentify and record how results and recommendations for addressing equity will be shared.

  12. Case Study Group Work

  13. Placeholder for screen shot of Page 1 of case study (description of the initiative)

  14. Final Discussion

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