Health Equity Impact Assessment

The Health Equity Impact Assessment (HEIA) is a decision support tool which walks users through the steps of identifying how a program, policy or similar initiative will impact population groups in different ways. HEIA surfaces unintended potential impacts. The end goal is to maximize positive impacts and reduce negative impacts that could potentially widen health disparities between population groups—in short, more equitable delivery of the program, service, policy etc. Effective use of HEIA is dependent on good evidence. 

Please refer to the following documents to complete the HEIA:


  • Immigrant Populations Supplement: The Immigrant Populations Supplement outlines special considerations for immigrant populations when applying the HEIA tool. This supplement assists users in identifying relevant immigrant populations and collaborating with immigrant communities to improve policy and program development.
  • Public Health Unit (PHU) Supplement for PHUs: The PHU Supplement outlines special considerations for the public health sector in applying HEIA, including how the HEIA tool can assist PHUs in meeting Ontario Public Health Standards requirements.
  • French Language Services (FLS) Supplement for LHINs and the Ministry of Health and Long-Term Care: The FLS Supplement is targeted to ministry and LHIN staff, who have distinct responsibilities under the French Language Services Act, 1986 (FLSA). The FLS Supplement clarifies and supports integration of FLS considerations.
  • Health Equity Impact Assessment (HEIA) Community of Interest[DJ1] : Learn about how HEIA is being implemented across Ontario and share your experience with others interested in equity-focused planning. Participate in webinars and events, learn about new resources, ask questions, and sign up for the newsletter to stay up-to-date with HEIA 
  • Health Equity Impact Assessment (HEIA) Resources[DJ1] : A HEIA analysis is only as robust as the quality of evidence used within it. For best results, a broad spectrum of reliable evidence should be used. This site includes sources of evidence on health equity issues and on underrepresented populations.