Routemap for health impact assessment implementation: scoping review using the consolidated framework for...

Area of Science:

• Public Health
• Health Policy
• Implementation Science

Background:

• Health Impact Assessment (HIA) is a valuable tool for evaluating potential health effects of policies and projects.
• Despite growing interest, HIA implementation faces significant challenges in governance and regulatory settings.
• Implementation science offers frameworks to understand and improve the integration of health initiatives.

Purpose of the Study:

• To explore Health Impact Assessment (HIA) through the lens of implementation science.
• To synthesize factors influencing HIA implementation and identify strategies for improvement.
• To assess the utility of the Consolidated Framework for Implementation Research (CFIR) for HIA.

Main Methods:

• A scoping review was conducted to examine HIA implementation.
• The Consolidated Framework for Implementation Research (CFIR) 2.0 was used as a methodological framework.
• Implementation was defined as the process of conducting HIA and its recommendations.

Main Results:

• Early stages of HIA are critical for practical application and successful implementation.
• Strengthening HIA requires broader public health advocacy and addressing methodological challenges.
• The CFIR framework can effectively support HIA planning, practice, and implementation.

Conclusions:

• Addressing implementation barriers is key to advancing HIA's role in decision-making.
• Building HIA capacity and support are essential for its wider adoption and impact.
• The CFIR provides a robust structure for enhancing HIA implementation and effectiveness.