Mitigating the unintended consequences of health-care initiatives
2025

Understanding Unintended Consequences of Health Initiatives

publication Evidence: moderate

Author Information

Author(s): Gary Humphreys, Kathryn Oliver, Prashant Yadav, Adnan Qadir Khan, Glenda Gray

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

What are the main reasons for the occurrence of unintended adverse consequences (UAC) in health initiatives?

Conclusion

Health-care initiatives can have unintended negative effects due to poor design, lack of clarity, and misinterpretation of evidence.

Supporting Evidence

  • Unintended adverse consequences (UAC) can arise from health initiatives due to poor design and lack of clarity.
  • One-size-fits-all solutions often ignore local contexts, leading to mismatches in health supply.
  • Pilot programs are essential for evaluating the feasibility and effectiveness of health interventions.

Takeaway

Sometimes, when people try to help with health programs, they accidentally cause problems instead. It's important to think carefully about how these programs work.

Methodology

The study involved organizing a workshop with policy-makers and researchers to discuss UAC and develop the CONSEQUENT framework.

Potential Biases

There may be biases due to narrow academic focus and funding linked to specific targets.

Limitations

The complexity of public health initiatives makes it challenging to predict all outcomes.

Participant Demographics

The study involved policy-makers and researchers from the United Kingdom.

Digital Object Identifier (DOI)

10.2471/BLT.25.020125

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