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Systematic Literature Review of Health Impact Assessments in Low and Middle-Income Countries

Author

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  • Meelan Thondoo

    (Barcelona Institute for Global Health (ISGlobal), Centre for Research in Environmental Epidemiology (CREAL), 08003 Barcelona, Spain
    Amsterdam Institute for Social Science Research (AISSR), University of Amsterdam, 1018 WV Amsterdam, The Netherlands
    Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523, USA
    Faculty of Medicine and Health Sciences, University of Barcelona (UB), 08036 Barcelona, Spain)

  • David Rojas-Rueda

    (Barcelona Institute for Global Health (ISGlobal), Centre for Research in Environmental Epidemiology (CREAL), 08003 Barcelona, Spain
    Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523, USA
    Department of Biomedicine, University Pompeu Fabra (UPF), 08005 Barcelona, Spain)

  • Joyeeta Gupta

    (Amsterdam Institute for Social Science Research (AISSR), University of Amsterdam, 1018 WV Amsterdam, The Netherlands)

  • Daniel H. de Vries

    (Amsterdam Institute for Social Science Research (AISSR), University of Amsterdam, 1018 WV Amsterdam, The Netherlands)

  • Mark J. Nieuwenhuijsen

    (Barcelona Institute for Global Health (ISGlobal), Centre for Research in Environmental Epidemiology (CREAL), 08003 Barcelona, Spain
    Department of Biomedicine, University Pompeu Fabra (UPF), 08005 Barcelona, Spain
    Department of Environmental Epidemiology, Municipal Institute of Medical Research (IMIM-Hospital del Mar), 08003 Barcelona, Spain
    Department of Epidemiology and Public Health, CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain)

Abstract
Health Impact Assessments (HIAs) motivate effective measures for safeguarding public health. There is consensus that HIAs in low and middle-income countries (LMICs) are lacking, but no study systematically focuses on those that have been successfully conducted across all regions of the world, nor do they highlight factors that may enable or hinder their implementation. Our objectives are to (1) systematically review, geographically map, and characterize HIA activity in LMICs; and (2) apply a process evaluation method to identify factors which are important to improve HIA implementation in LMICs. A systematic review of peer-reviewed HIAs in 156 LMICs was performed in Scopus, Medline, Web of Science, Sociological abstracts, and LILACs (Latin American and Caribbean Health Sciences) databases. The search used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and covered HIAs across all type of interventions, topics, and health outcomes. HIAs were included if they reported a clear intervention and health outcome to be assessed. No time restriction was applied, and grey literature was not included. The eligible studies were subjected to six process evaluation criteria. The search yielded 3178 hits and 57 studies were retained. HIAs were conducted in 26 out of 156 countries. There was an unequal distribution of HIAs across regions and within LMICs countries. The leading topics of HIA in LMICs were air pollution, development projects, and urban transport planning. Most of the HIAs reported quantitative approaches (72%), focused on air pollution (46%), appraised policies (60%), and were conducted at the city level (36%). The process evaluation showed important variations in the way HIAs have been conducted and low uniformity in the reporting of six criteria. No study reported the time, money, and staff used to perform HIAs. Only 12% of HIAs were based on participatory approaches; 92% of HIAs considered multiple outcomes; and 61% of HIAs provided recommendations and fostered cross-national collaboration. The limited transparency in process, weak participation, and inconsistent delivery of recommendations were potential limitations to HIA implementation in low and middle-income countries. Scaling and improving HIA implementation in low and middle-income countries in the upcoming years will depend on expanding geographically by increasing HIA governance, adapting models and tools in quantitative methods, and adopting better reporting practices.

Suggested Citation

  • Meelan Thondoo & David Rojas-Rueda & Joyeeta Gupta & Daniel H. de Vries & Mark J. Nieuwenhuijsen, 2019. "Systematic Literature Review of Health Impact Assessments in Low and Middle-Income Countries," IJERPH, MDPI, vol. 16(11), pages 1-21, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:11:p:2018-:d:237702
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    References listed on IDEAS

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    Cited by:

    1. Françoise Jabot & Emile Tremblay & Ana Rivadeneyra & Thierno Amadou Diallo & Geneviève Lapointe, 2020. "A Comparative Analysis of Health Impact Assessment Implementation Models in the Regions of Montérégie (Québec, Canada) and Nouvelle-Aquitaine (France)," IJERPH, MDPI, vol. 17(18), pages 1-18, September.
    2. Cristián Castillo-Olea & Begonya García-Zapirain Soto & Christian Carballo Lozano & Clemente Zuñiga, 2019. "Automatic Classification of Sarcopenia Level in Older Adults: A Case Study at Tijuana General Hospital," IJERPH, MDPI, vol. 16(18), pages 1-10, September.
    3. Guilhem Dardier & Derek P. T. H. Christie & Jean Simos & Anne Roué Le Gall & Nicola L. Cantoreggi & Lorris Tabbone & Yoann Mallet & Françoise Jabot, 2023. "Health Impact Assessment to Promote Urban Health: A Trans-Disciplinary Case Study in Strasbourg, France," Sustainability, MDPI, vol. 15(10), pages 1-19, May.
    4. Meelan Thondoo & Daniel H. De Vries & David Rojas-Rueda & Yashila D. Ramkalam & Ersilia Verlinghieri & Joyeeta Gupta & Mark J. Nieuwenhuijsen, 2020. "Framework for Participatory Quantitative Health Impact Assessment in Low- and Middle-Income Countries," IJERPH, MDPI, vol. 17(20), pages 1-20, October.
    5. Débora Cynamon Kligerman & Telma Abdalla de Oliveira Cardoso & Simone Cynamon Cohen & Déborah Chein Bueno de Azevedo & Graziella de Araújo Toledo & Ana Paula Chein Bueno de Azevedo & Susanne M. Charle, 2022. "Methodology for a Comprehensive Health Impact Assessment in Water Supply and Sanitation Programmes for Brazil," IJERPH, MDPI, vol. 19(19), pages 1-26, October.
    6. Isaac Lyatuu & Georg Loss & Andrea Farnham & Goodluck W. Lyatuu & Günther Fink & Mirko S. Winkler, 2021. "Associations between Natural Resource Extraction and Incidence of Acute and Chronic Health Conditions: Evidence from Tanzania," IJERPH, MDPI, vol. 18(11), pages 1-12, June.
    7. Zhan S. Kalel & Gabriel Gulis & Altyn M. Aringazina, 2023. "Implementation of Health Impact Assessment in the Healthcare System of the Republic of Kazakhstan," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    8. Dominik Dietler & Ruth Lewinski & Sophie Azevedo & Rebecca Engebretsen & Fritz Brugger & Jürg Utzinger & Mirko S. Winkler, 2020. "Inclusion of Health in Impact Assessment: A Review of Current Practice in Sub-Saharan Africa," IJERPH, MDPI, vol. 17(11), pages 1-20, June.

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