Beyond Direct Impact: Evidence Synthesis Towards a Better Understanding of Effectiveness of Environmental Health Interventions

Systematic reviews are a cornerstone of evidence-based public health and there is much discussion about how this method could be improved upon for the benefit of decision-making from a systems approach. This paper, published in the International Journal of Hygiene and Environmental Health, sets forth five layers of influence to serve as a framework for the analysis of environmental health interventions and a better understanding of why interventions work or fail in different circumstances.

Beyond Direct Impact: Evidence Synthesis Towards a Better Understanding of Effectiveness of Environmental Health Interventions. E. A. Rehfuess, J. Bartram. 2013. International Journal of Hygiene and Environmental Health 217:2-3, pp. 155–159. doi.org/10.1016/j.ijheh.2013.07.011.