IMPACT-International Health Impact Assessment Consortium, Division of Public Health, University of Liverpool, United Kingdom.
Int J Health Serv. 2010;40(2):339-45. doi: 10.2190/HS.40.2.o.
Health impact assessment (HIA) is both an effective tool for promoting healthy public policies and one that has the potential to help hold accountable for their actions those who create unhealthy public policies. This article identifies some of the issues that arise in considering the application of HIA to the operation of the International Monetary Fund (IMF), especially in the context of sub-Saharan Africa. The authors do this in the belief that the IMF's lending conditionalities and macroeconomic policies constitute an important social determinant of health. The recent report of the Commission on Social Determinants of Health has created helpful and timely policy space for the development of a health equity- and human rights-oriented accountability framework for the IMF.
健康影响评估（HIA）既是促进公共卫生政策的有效工具，也有可能帮助追究那些制定不健康公共政策的人的责任。本文探讨了将 HIA 应用于国际货币基金组织（IMF）运作时所涉及的一些问题，尤其是在撒哈拉以南非洲地区的情况。作者认为，IMF 的贷款条件和宏观经济政策是健康的一个重要社会决定因素。最近发布的《社会决定因素健康委员会报告》为制定一个以健康公平和人权为导向的、针对 IMF 的问责框架创造了有益的、及时的政策空间。
