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Table 4 Description of the draft tool and rationale for each section

From: Assessing the health workforce implications of health policy and programming: how a review of grey literature informed the development of a new impact assessment tool

Section of the tool

Technique(s) used

Rationale for inclusion


Explanatory text

To explain when, how, why and by whom an assessment should be carried out, and what should happen to the results. To emphasise the multi-sectoral nature of the process and the need for an evidence-based approach to the process.

A1: Details of the initiative being addressed

Open questions

To emphasise the importance of alignment with the relevant strategies and policies.

A2: Contributors to the assessment

Open questions

To help ensure transparency and accountability.

A3: Objectives of the initiative

Open questions with prompts

To help ensure the assessment focuses on these objectives.

A4: Extent to which implementation is dependent on the health workforce


To ensure that HRH implications are considered as well as HRH impacts.

A5: Anticipated health workforce impacts


To prompt the user to try to anticipate all types of direct and indirect, positive and negative, intended and unintended HRH impacts.

B1: Understanding the initiative’s dependency on the health workforce

Checklist + open questions

To encourage consideration of processes, assumptions and causal links as well as outcomes and impacts. To encourage consideration of different options to address the anticipated impacts and implications.

B2: Understanding the initiative’s impact on the health workforce

Checklist + open questions

B3: Equity analysis

Checklist + open questions

To ensure consideration of how impacts might be different for different groups.

B4: Stakeholder analysis

Checklist + open questions

To assist the organisation to build in appropriate HRH stakeholder engagement activities to the initiative.

B5: Legal and political considerations

Open questions with prompts

To ensure that legal and political considerations are not overlooked.

B6: Next steps

Checklist + open questions

To encourage action to be taken to address the issues highlighted by the assessment.

B7: Additional comments

Open question

To allow the inclusion of important issues not covered in the earlier sections. To give space to justify a decision not to take action as a result of the assessment.