Our results suggest that between-country variations in inequalities in current mortality can partly be understood from variations in inequalities in smoking, excessive alcohol consumption, and poverty. Also, countries with higher national income, higher quality of government, higher social transfers, higher health care expenditure and more self-expression values have smaller inequalities in mortality.
— Recent paper by Mackenbach and colleagues www.sciencedirect.com/science/article/pii/S1353829216304543
A useful and, more importantly, comprehensible guide to aligning types evaluation activities with the anticipated mechanisms of policy influence:
- evidence and advice
- public campaigns and advocacy
- lobbying and negotiation.
There’s also some recognition of the messiness of attribution in the context of policy change, and that even policy actors themselves rarely fully appreciate the forces that determine and shape policy implementation.
This schema is worth revisiting in the context of the typology of HIA, i.e. mandated, decision support, advocacy, and community empowerment, because it may provide an alternate lens for understanding why HIAs gain traction or not.