Work

Capturing the wider impacts and associated social value of sustainable investment in public health

Year: 2025

Type: article

Abstract: Background Measuring the broader health impacts and social value of public health initiatives is crucial for demonstrating value and securing sustainable funding. This research investigates the use of Health Impact Assessment (HIA) and Social Return on Investment (SROI) as tools to highlight the potential social, economic, and health outcomes of public health investments. The study focuses on integrating these tools to create more comprehensive evaluations and support policy decisions that foster a Well-being Economy. Methods The research employed a mixed-methods approach, including systematic scoping reviews of peer-reviewed and grey literature to assess the application of HIA and SROI in public health. In-depth case studies, expert interviews, and a national survey of Public Health Institutes (PHIs) provided additional insights. The study also explored the practical integration of HIA and SROI, including a case study of a self-administered service for Sexually Transmitted Infections. Findings The findings reveal that while HIA and SROI are typically used independently, their combined use can offer a more holistic view. However, challenges remain in standardising methodologies, particularly in stakeholder engagement and outcome valuation. The research identified key barriers, such as limited resources and a lack of expertise in PHIs, hindering the full potential of these frameworks. A case study demonstrated the practical application of both frameworks. Conclusions This research promotes the value of integrating HIA and SROI and emphasises the importance of fostering greater awareness and understanding of these frameworks. The research provides practical recommendations for advancing the use of HIA and SROI, including policy levers, workforce development, and standardised practices. The findings advocate for a Well-being Economy, where the value of public health is recognised beyond financial returns, fostering long-term investment. Key messages • Using both Health Impact Assessment and Social Return on Investment provides a comprehensive evaluation of public health initiatives, capturing both health outcomes and broader social value. • To capture the wider impacts and social value of investment in public health, greater awareness, standardised practices, and policy levers are essential for securing long-term investment.

Source: European Journal of Public Health

DOI: 10.1093/eurpub/ckaf161.1077

Authors: K Ashton, T Clemens, M Dyakova, L Green

Institutions: Maastricht University, Public Health Wales, Care and Public Health Research Institute

Language: English

Topic: Health Systems, Economic Evaluations, Quality of Life

Subfield: Economics and Econometrics

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,181