2aa2059260cb460786334c8e2325e8c2 intjouenv_a2019v16p2018.pdf 3f787e2260d01d726ad0541e1634b217fe2bca99 intjouenv_a2019v16p2018.pdf bd92e588962974edc054dab5b6907d129f3ef42b7c61b56e417c703001f8c46a intjouenv_a2019v16p2018.pdf Title: Systematic Literature Review of Health Impact Assessments in Low and Middle-Income Countries Subject: 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. Keywords: health impact assessment (HIA); systematic review; process evaluation; low and middle-income country Author: Meelan Thondoo, David Rojas-Rueda, Joyeeta Gupta, Daniel H. de Vries and Mark J. 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げづびふぬぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮ㄩ‾㸊⡜㌷㙜㌷㝜〰えぉぁぜ〴ぜ〰ぇづのづひちぬぜ〴ぜ〰ぃとちひちっぴづひどびぴどっびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㈩‾㸊⡜㌷㙜㌷㝜〰ぇづはでひちばとどっぜ〴ぜ〰いどびぴひどぢふぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰ぁててどぬどちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰げづびふぬぴびぜ〴ぜ〰てひはねぜ〴ぜ〰ぴとづぜ〴ぜ〰ぐひはっづびびぜ〴ぜ〰ぅぶちぬふちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸱ Children: Item: Title: えぉぁぜ〴ぜ〰ぇづのづひちぬぜ〴ぜ〰ぃとちひちっぴづひどびぴどっびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㈩‾㸊⡜㌷㙜㌷㝜〰ぇづはでひちばとどっぜ〴ぜ〰いどびぴひどぢふぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰ぁててどぬどちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰げづびふぬぴびぜ〴ぜ〰てひはねぜ〴ぜ〰ぴとづぜ〴ぜ〰ぐひはっづびびぜ〴ぜ〰ぅぶちぬふちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸱ Item: Title: ぇづはでひちばとどっぜ〴ぜ〰いどびぴひどぢふぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰ぁててどぬどちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰げづびふぬぴびぜ〴ぜ〰てひはねぜ〴ぜ〰ぴとづぜ〴ぜ〰ぐひはっづびびぜ〴ぜ〰ぅぶちぬふちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸱ Item: Title: げづびふぬぴびぜ〴ぜ〰てひはねぜ〴ぜ〰ぴとづぜ〴ぜ〰ぐひはっづびびぜ〴ぜ〰ぅぶちぬふちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸱ Children: Item: Title: ぁっっづびびぜ〴ぜ〰ぴはぜ〴ぜ〰あちびづぬどのづぜ〴ぜ〰がはっちぬぜ〴ぜ〰いちぴちぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸲ Item: Title: げづばはひぴどのでぜ〴ぜ〰げづびはふひっづびぜ〴ぜ〰さびづつぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸳ Item: Title: あちびづつぜ〴ぜ〰はのぜ〴ぜ〰ぐちひぴどっどばちぴはひべぜ〴ぜ〰ぁばばひはちっとづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸴ Item: Title: ぃはのびどつづひづつぜ〴ぜ〰きふぬぴどばぬづぜ〴ぜ〰くふぴっはねづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸳⸳⸵ 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