Health impact assessment and health equity in sub-Saharan Africa : a scoping review
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4511547
Author(s) Leuenberger, A.; Farnham, A.; Azevedo, S.; Cossa, H.; Dietler, D.; Nimako, B.; Adongo, P. B.; Merten, S.; Utzinger, J.; Winkler, M. S.
Author(s) at UniBasel Leuenberger, Andrea
Farnham, Andrea
Azevedo, Sophie
Cossa, Herminio Fernando Humberto
Dietler, Dominik
Nimako, Belinda
Merten, Sonja
Utzinger, Jürg
Winkler, Mirko
Year 2019
Title Health impact assessment and health equity in sub-Saharan Africa : a scoping review
Journal Environmental impact assessment review
Volume 79
Pages / Article-Number 106288
Abstract Background:Naturalresourceextractionprojectscanhavepositivebutalsonegativeeffectsonthehealthofaffectedcommunities, governed by demographic, economic, environmental, physical and social changes. Negative effectsoftenprevailandthesemightwidenexistinghealthinequities.Healthimpactassessment(HIA)isadecision-supporttool that aims at maximizing benefits and minimizing negative impacts on people's health. A core value of HIA isequity; yet, little is known about health equity in the frame of HIA, particularly in sub-Saharan Africa.Methodology:Weconducteda scopingreview todetermine whetherand towhat extent HIAin sub-Saharan Africaaddresses health equity. We included peer-reviewed publications and guidelines pertaining to HIA, environmentalimpact assessment (EIA) and social impact assessment (SIA). Health equity was investigated by identifying (i) howhealth considerations were addressed and (ii) whether health was stratified by subgroups of the community.Results:Out of 1′640 raw hits, we identified 62 articles (16 HIA, 36 EIA, one SIA and nine integrated assess-ments),32ofwhichspecificallyaddressedhealth.While20articlesfocusedonaspecifichealthtopic,12articlesusedamorecomprehensiveapproachtoaddresshealth.In15articlestherewerespecificsubgroupanalyses(e.g.mothers, children or marginalized groups) as a measure of health equity. Another 12 papers referred to thecommunity in a more general way (e.g. affected). Without exception, health was an integral part of the nineincluded guidelines. HIA guidelines addressed health systematically through environmental health areas, riskassessment matrix or key performance indicators.Conclusions:We found evidence that previously conducted HIA in sub-Saharan Africa and current guidelinesaddresshealthequity.However,thereisaneedtostratifycommunitysubgroupsmoresystematicallyinordertodeterminehealthdifferentialsbetter.FutureHIAshouldconsidercommunityheterogeneityinanefforttoreducehealth inequities by "leaving no one behind", as suggested by the Sustainable Development Goals
Publisher Elsevier
ISSN/ISBN 0195-9255
Full Text on edoc Available
Digital Object Identifier DOI 10.1016/j.eiar.2019.106288

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