8.9 Conclusion

Evaluations and reflections on effect analysis (and impact evaluations) have greatly changed in the last 25 years. New approaches are becoming mainstream, which allows evaluators to choose from a diversity of evaluation approaches. Nevertheless, planetary health dimensions are not systematically integrated, which is understandable but no longer acceptable. Existing methodologies and knowledge allow for the planetary health dimensions to be integrated in all studies. This new practice would increase awareness of global and local impacts. It would influence recommendations based on human and environmental impacts and encourage the implementation of mitigation measures to avoid negative intervention impacts.