Table 1.

Attributes of the frameworks.

Framework attributesa	Framework
	PSR	DSR	DPSIR	BoD	MEA	Causal web	DPS EEA	MEME	EPHI	HIA	IEHIA
Designed for indicators	Yes	Yes	Yes	No	No	No	Yes	Yes	Yes	No	Yes
Includes environment & health components	No	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Utilizes causal chain approach	Yes	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Describes distal causal factors in detail	No	No	Yes	No	No	No	Yes	No	No	Yes	Yes
Explicitly includes exposure route	No	No	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes
Explicitly includes actions/interventions	Yes	Yes	Yes	No	Yes	No	Yes	Yes	Yes	Yes	Yes
Explicitly includes multiple entry points for actions/interventions	No	No	Yes	No	Yes	No	Yes	Yes	Yes	No	No
Can be adapted to measure & monitor the impacts of climate change on human health	No	No	No	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes

Abbreviations: PSR Pressure-State-Response; DSR Driving force-State-Response; DPSIR Driving force-Pressure-State-Impact-Response; BoD Burden of Disease; MEA Millennium Ecosystem Assessment; DPSEEA Driving force-Pressure-State-Exposure-Effect-Action; MEME Multiple Exposure-Multiple Effect; EPHI Environmental Public Health Indicators; HIA Health Impact Assessment; IEHIA Integrated Environmental Health Impact Assessment.

^aRefers to historically used and potential attributes of a framework.