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King County Equity Impact Review Tool


King County's "Equity Impact Review Tool" is a tool and process that local jurisdictions can use to "identify, evaluate, and communicate the potential impact of - both positive and negative - of a policy or program on equity".

While it does not provide specific information about health in all policies (HiAP), the tool offers three stages to systematically gather information to inform planning and decision-making about public policies and programs which impact equity. The stages are: 1) What is the impact of the proposal on determinants of equity 2) Assessment: Who is affected? 3)Impact review: Opportunities for action.

Like health impact assessment, this tool can be applied to examine the impact of policies on the health and vitality of a community.

Primary Toolkit:

Environmental Health in All Policies (HiAP)

Keyword Area:

Environmental Health, Health Equity, Policies, Social Justice, Vulnerable Populations


Institutional Author:

Seattle & King LHD




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.