| Davenport et al, 2006 (32) |
Role of decision makers
Limited organizational unique HIA conducted by champions external to the decision-making organization -
Not having the support of decision makers
Lack of awareness of health issues by nonhealth-related sectors Lack of knowledge (on behalf of those conducting HIA) of the policy-making environment -
HIA not a statutory or policy requirement
Lack of an established standard method for conducting an HIA Time, resources, and staffing Use of jargon
|
| Wismar et al, 2007 (35) |
HIA timing Quality of communication among stakeholders Quality of HIA predictions Conflicting objectives between health and other sectors in which HIA is done Links among local, national, and international decision making Lack of institutionalization of HIAs Uneven development of HIAs across countries
|
| Rhodus et al, 2013 (34) |
-
Ability to discern impact of HIAs on decision-making processes by Internet searches is limited
Increase adherence to the minimum elements of HIA as defined by Bhatia et al (37) or to National Research Council (3) criteria Expand use of HIA to inform decision making at local, state, and national levels Use consistency in HIA terminology Expand use of existing tools and resources for HIAs Identify and close data gaps
|
| Haigh et al, 2015 (33); Haigh et al, 2013 (36) |
Dealing with problem makers and proposal opponents Responding to unanticipated events such as change in decision maker Identifying effectiveness when goals of HIA were not explicit
|
| Bourcier et al, 2015 (31) |
Underestimation of overall level of effort Engagement of stakeholders and decision makers Pace of decision making and political administration changes Lack of access to relevant data Incorporation of equity and vulnerable populations consistently and meaningfully Follow-up on recommendations
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