دورية أكاديمية
A realist impact evaluation of a tool to strengthen equity in local government policy-making.
| العنوان: | A realist impact evaluation of a tool to strengthen equity in local government policy-making. |
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| المؤلفون: | Schultz S; Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, VIC, Australia. sally.schultz@deakin.edu.au., Beissmann F; City of Greater Bendigo, Galkangu Bendigo, VIC, 189-229 Lyttleton Terrace, Australia., Zorbas C; Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, VIC, Australia., Yoong S; Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, VIC, Australia., Peeters A; Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, VIC, Australia., Backholer K; Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, VIC, Australia. |
| المصدر: | International journal for equity in health [Int J Equity Health] 2024 Sep 10; Vol. 23 (1), pp. 179. Date of Electronic Publication: 2024 Sep 10. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2002- |
| مواضيع طبية MeSH: | Local Government* , Health Equity* , Policy Making* , Health Policy*, Humans ; Victoria ; Surveys and Questionnaires ; Health Impact Assessment/methods |
| مستخلص: | Background: Local governments have a critical role to play in addressing health inequities. Health equity impact assessments are recommended to help governments apply an equity lens to the development and implementation of policies and programs. Despite evidence of equity-positive benefits of such tools, adoption remains limited, prompting calls for evaluations to assess their impact and identify factors that will promote uptake across various contexts. Methods: We conducted a mixed method study to evaluate the impact of an equity impact assessment (EIA) tool and process on policies and organisational capacity in a local government in Victoria, Australia, and identify factors that influenced this impact. We analysed 33 documents related to 18 EIAs, and conducted surveys (n = 40) and in-depth interviews (n = 17) with staff involved in EIAs. Results: Almost all (17 of 18) EIAs resulted in equity-positive changes to policies and programs, most frequently addressing individual-level factors, such as making community communications and consultations more accessible to under-represented or under-served groups. Structural-level recommendations from one EIA, such as increasing diversity in decision-making panels, were found to impact both the current policy and a broad range of future, related projects and services. Improvements in equity-centric organisational culture and capacity (including staff awareness, skills and confidence) and increased engagement with under-represented communities were also reported. Factors perceived to influence the impact of EIA's related to organisational commitment and capacity to prioritise equity, process-level factors related to the type and timing of EIAs, and extent of implementation support. Conclusion: Our study supports wider uptake of health equity impact assessments in local government policies and programs. Legislation, leadership and resources from upper-tiers of government can help increase the adoption of equity tools to reduce disparities in population health. (© 2024. The Author(s).) |
| التعليقات: | Erratum in: Int J Equity Health. 2024 Sep 26;23(1):191. doi: 10.1186/s12939-024-02277-2. (PMID: 39327556) |
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| فهرسة مساهمة: | Keywords: Health equity impact assessment; Health equity tool; Intersectionality; Local government |
| تواريخ الأحداث: | Date Created: 20240909 Date Completed: 20240910 Latest Revision: 20240926 |
| رمز التحديث: | 20240927 |
| مُعرف محوري في PubMed: | PMC11385146 |
| DOI: | 10.1186/s12939-024-02266-5 |
| PMID: | 39252013 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1475-9276 |
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| DOI: | 10.1186/s12939-024-02266-5 |