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Equity Theory01:26

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Updated: May 13, 2026

Oral Health Assessment by Lay Personnel for Older Adults
08:47

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Health equity impact assessment.

Susan L Povall1, Fiona A Haigh2, Debbie Abrahams1

  • 1Department of Public Health and Policy, University of Liverpool, Liverpool, UK.

Health Promotion International
|March 2, 2013
PubMed
Summary

Existing health impact assessment (HIA) methods inadequately address global health equity. New tools are needed to tackle root causes of inequity, not just immediate factors.

Keywords:
health impact assessmentinequalitiesinternational healthmethodology

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Last Updated: May 13, 2026

Oral Health Assessment by Lay Personnel for Older Adults
08:47

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Area of Science:

  • Global Health
  • Health Policy
  • Social Determinants of Health

Background:

  • The World Health Organization advocates for health equity impact assessments (HEIAs) in policy and economic agreements.
  • Existing health impact assessment (HIA) methodologies may not be sufficient for assessing global health equity.
  • Addressing social determinants of health is crucial for achieving health equity.

Purpose of the Study:

  • To evaluate the adequacy of current health impact assessment (HIA) methods for global health equity assessments.
  • To identify limitations in existing HIA frameworks regarding the assessment of health equity.
  • To explore the need for enhanced HIA methodologies to address global health inequities.

Main Methods:

  • A mixed-methods approach was employed, including a scoping literature review.
  • In-depth interviews were conducted with health equity and HIA experts.
  • An international stakeholder workshop was utilized to gather diverse perspectives.

Main Results:

  • Current HIA methods inadequately address health equity due to insufficient guidance, definitions, data, and tools.
  • Practitioners face challenges in incorporating values like fairness and social justice into HIAs.
  • Existing methods focus on downstream factors, failing to address the root causes of inequity.

Conclusions:

  • Current HIA methods are insufficient for comprehensive global health equity assessment.
  • Extending HIAs requires new tools for analyzing macroeconomic policies, historical inequities, and upstream causes.
  • Enhanced, participatory methods are necessary, but a completely new methodology is not required.