Health Impact Assessment for Healthy Places: A Guide for Planning and Public Health Module 6: Evaluation Goal: The goal of this module is to understand the value and process of conducting three different types of evaluation: process, impact, and outcome.

Define the three types of HIA evaluations Describe the benefits of each type of evaluation Describe the problems associated with conducting these evaluations Module 6: Objectives

Process Impact Outcome Three Types of HIA Evaluation

How was the HIA undertaken with regard to time, place and population? What resources were used? At what cost? How were recommendations formulated and prioritized? Process Evaluation Questions

Other Process Evaluation Questions How and when were the recommendations delivered to decision makers? What did those involved in the HIA think of the process? Ideas for improvement?

Did the HIA provide useful information to the policy-making process? Was the HIA able to support meaningful public participation? Did the HIA lead to changes to the design of the project or policy? Impact Evaluation Questions

Did the HIA lead to unexpected changes on the policy or project? Has the HIA led to new partnerships, coalitions, or efforts to influence public policy on the basis of health? Has the HIA changed the way institutions frame and address health issues? Other Impact Evaluation Questions

Evaluates the long term health impacts of a project or policy. Similar to a pre and post evaluation/research design where you would determine if your projected health outcomes were correct. Outcome Evaluation

Improve the HIA process Modify future procedures or models Assess the accuracy of predictions made during appraisal Mitigate unintended negative consequences Support future HIAs Benefits of HIA Evaluation

Providing the leadership to ensure that evaluation takes place Defining the beginning and end of the HIA Managing stakeholders who may reflect a variety of objectives and interests Allocating time and resources for the evaluation Challenges of HIA Evaluation

Candace Rutt, Ph.D. Senior Research Fellow, DNPAO Centers for Disease Control and Prevention (770)