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Promoting Equity through the Practice of Health Impact Assessment


This report serves as a primer to demonstrate: 1) how HIA practitioners and equity advocates can ensure that the practice of HIA maintains a strong focus on promoting equity; and 2) how HIA can be used as a tool to support equitable decision-making processes and outcomes. It describes the centrality of equity in HIA implementation in order to advance just and fair outcomes, and presents a set of principles for guidance in HIA practice. The primer also provides specific strategies for implementing each principle, identifies key challenges to this work, provides case studies, as well as suggestions for overcoming challenges. 

Primary Toolkit:

Healthy Community Design Toolkit

Secondary Toolkits:

Health Equity and Social Justice Toolkit

Keyword Area:

Health Equity, Health Impact Assessment (HIA), Planning, Policies


Institutional Author:

PolicyLink, Adler School of Professional Psychology, Human Impact Partners, and SF DPH




The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.