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To:    [log in to unmask]
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Subject:    Re: How to evaluate whether interventions reduce inequalities?
       (Equity Focused HIA)

Dear Anne-Marie,

Following on from Alex's suggestion please find more information on Equity
Focused Health Impact Assessment (EFHIA) at:

http://tinyurl.com/ykjlz9

Health impact assessment is widely regarded as having greatest usefulness
when used in advance of a policy, program or project being implemented.
Though it can be used retrospectively, ex ante HIA is preferable because it
allows the maximum practical opportunity to influence decision-making and
subsequent health impacts.

As such I'm not sure if EFHIA will be exactly what you're loooking for.
I'm
sure there are other people on this list who are well placed to advise you
on other methods that have been developed with retrospective/ex post
evaluation of effects on health inequalities specifically in mind.

Regards,

Ben
--
Alex Scott-Samuel wrote:
Health impact assessment is a very effective way of doing this. Have a look
at the Merseyside Guidelines and also the EPHIA methodology on our web site
- www.ihia.org.uk

Do also try googling Equity Focused Health Impact Assessment - this is an
excellent Australian methodology

Best wishes, Alex
--
Anne-Marie Bagnall wrote:

Does anyone have any thoughts about how to evaluate whether an intervention
reduces inequalities in health?

It seems to me that we can evaluate whether an intervention is effective,
and we can go some way towards evaluating the reach of an intervention i.e.
whether it is used by certain disadvantaged groups, but can we actually
assess reliably whether an intervention is likely to reduce or even
increase
health inequalities? Because health inequalities seem to be increasing so
it
would be useful for decision makers to have some idea, not only about
whether something is effective, but also whether it is in fact likely to
increase this gap?

I’m sorry if this is a silly question or too simplistic. I’ve been puzzling
over it for a while and thought it was time to ask the experts.

Many thanks in advance,
Anne-Marie
----
Ben Harris-Roxas
Health Inequalities, Health Impact Assessment and Healthy Public Policy
Program (CHETRE)
http://www.hiaconnect.edu.au

UNSW Research Centre for Primary Health Care & Equity
School of Public Health and Community Medicine
University of New South Wales
CRICOS Code 00098G

Contact Details
Phone (Main Office - Liverpool) +61 2 9828 6230 | Phone (UNSW Office) +61 2
9385 0118 | Fax +61 2 9828 6232 | Email [log in to unmask] | Skype
ben_harris-roxas

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