Risk Assessment & Strategy Prioritisation Flashcards
What is risk assessment in public health intervention?
The first step in intervention, evaluating risks tied to inaction and strategy implementation, while balancing context, sustainability, and decision-making.
How does risk assessment inform strategy selection?
By weighing risks vs. benefits, considering issue prevalence, strength of evidence, potential impact, effectiveness of action, and assessing both adverse and positive health effects.
What factors should be considered in risk assessment?
Likelihood of health risk/benefit.
Groups most at risk or benefiting most.
Severity of impacts.
Prevention potential and intervention success rate.
Strength of supporting evidence.
Diverse stakeholder perspectives.
Similar risks from other sources.
Distribution of risk vs. population risks.
Non-health impacts (social, cultural).
Why is stakeholder involvement crucial in risk assessment?
Stakeholders provide input, highlight diverse concerns, ensure ongoing engagement, and contribute even when decisions must be made with incomplete risk information.
What are the types of risk and benefit?
Expressed: Consistently linked to a health issue, measurable.
Potential: Sporadic or unreported issues, estimated prevalence.
Perceived: Strong public demand for action despite limited scientific evidence.
What are the key methods for strategy prioritisation?
Priority Rating Process: Compares strategies based on size, seriousness, effectiveness, and feasibility.
Strategy Feasibility Testing: Engages stakeholders and applies criteria-based ratings.
ANGELO Process: Systematically evaluates behaviours, knowledge/skills, and environments.
ACE (Assessing Cost Effectiveness) Process: Evaluates cost-effectiveness of obesity interventions.
How does the ANGELO process prioritise interventions?
Behaviours (Task 1): Identifies key behaviours via problem analysis and determinant research; scores and ranks behaviours (1-5 scale).
Knowledge/Skills (Task 2): Evaluates misconceptions and knowledge gaps linked to behaviours, applying similar scoring.
Environmental (Task 3): Categorises micro (local) and macro (sectoral) environments into physical, economic, political, and socio-cultural types, scoring and ranking barriers, facilitators, and gaps.
How does the ACE process assess cost-effectiveness in obesity interventions?
Calculation (Phase 1): Determines efficiency via incremental cost-effectiveness ratio (cost per DALY saved).
Evaluation (Phase 2): Applies criteria including evidence strength, equity, feasibility, stakeholder acceptance, sustainability, and side effects using a classification system.
Why is transparent prioritisation important in strategy selection?
Ensures criteria are endorsed by the project team or management committee.
Allows public and decision-maker input, ensuring objectivity.
Encourages collaborative decision-making, supported by tools like Assessment Protocol for Excellence in Public Health, ANGELO framework, and ACE process.
