Therefore, complex E&H issues are better described in DPSEEA than in MEME [8].
The IEHIA framework (Additional file 4) developed by the INTARESE project [31], was developed as a means of assessing health-related problems derived from the impact of policies related to E&H, and other interventions that affect the environment, taking into account the complexities, interdependencies, and uncertainties of the real world [8,31].
The IEHIA is a four-stage process, comprising: (1) Issue framing – defines the problem/purpose for assessment.