title: An intersectionality-based policy analysis framework: critical reflections on a methodology for advancing equity.
abstract: BACKGROUND
  In the field of health, numerous frameworks have emerged that advance understandings of the differential impacts of health policies to produce inclusive and socially just health outcomes. In this paper, we present the development of an important contribution to these efforts - an Intersectionality-Based Policy Analysis (IBPA) Framework.
  
  
  METHODS
  Developed over the course of two years in consultation with key stakeholders and drawing on best and promising practices of other equity-informed approaches, this participatory and iterative IBPA Framework provides guidance and direction for researchers, civil society, public health professionals and policy actors seeking to address the challenges of health inequities across diverse populations. Importantly, we present the application of the IBPA Framework in seven priority health-related policy case studies.
  
  
  RESULTS
  The analysis of each case study is focused on explaining how IBPA: 1) provides an innovative structure for critical policy analysis; 2) captures the different dimensions of policy contexts including history, politics, everyday lived experiences, diverse knowledges and intersecting social locations; and 3) generates transformative insights, knowledge, policy solutions and actions that cannot be gleaned from other equity-focused policy frameworks.
  
  
  CONCLUSIONS
  The aim of this paper is to inspire a range of policy actors to recognize the potential of IBPA to foreground the complex contexts of health and social problems, and ultimately to transform how policy analysis is undertaken.
authors.affiliation: School of Public Policy, Simon Fraser University, Vancouver, British Columbia (BC), Canada. oah@sfu.ca.
authors.forename: Olena
authors.initials: O
authors.lastname: Hankivsky
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK. daniel.grace@utoronto.ca.|Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. daniel.grace@utoronto.ca.
authors.forename: Daniel
authors.initials: D
authors.lastname: Grace
authors.affiliation: Institute for Intersectionality Research & Policy, Vancouver, BC, Canada. gemma.hunting@gmail.com.
authors.forename: Gemma
authors.initials: G
authors.lastname: Hunting
authors.affiliation: Geography, Simon Fraser University, Vancouver, BC, Canada. mgiesbre@sfu.ca.
authors.forename: Melissa
authors.initials: M
authors.lastname: Giesbrecht
authors.affiliation: Interdisciplinary Studies Graduate Program, University of British Columbia (UBC), Vancouver, BC, Canada. alycia.fridkin@alumni.ubc.ca.
authors.forename: Alycia
authors.initials: A
authors.lastname: Fridkin
authors.affiliation: Institute for Gender, Race, Sexuality and Social Justice, UBC, Vancouver, BC, Canada. sarahrudrum@gmail.com.
authors.forename: Sarah
authors.initials: S
authors.lastname: Rudrum
authors.affiliation: Faculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada. olivier@cbrc.net.
authors.forename: Olivier
authors.initials: O
authors.lastname: Ferlatte
authors.affiliation: School of Social Work, UBC, Vancouver, BC, Canada. Natalie.clark@ubc.ca.|School of Public Policy, Simon Fraser University, Vancouver, BC, Canada. Natalie.clark@ubc.ca.
authors.forename: Natalie
authors.initials: N
authors.lastname: Clark
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods / Q000592:standards; D002170:Canada; D063647:Fetal Alcohol Spectrum Disorders / Q000453:epidemiology / Q000517:prevention & control; D015658:HIV Infections / Q000517:prevention & control; D006291:Health Policy; D006303:Health Services, Indigenous / Q000458:organization & administration / Q000592:standards; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000458:organization & administration; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration / Q000592:standards; D017146:Models, Organizational; D019982:Organizational Case Studies / Q000379:methods; D010166:Palliative Care / Q000458:organization & administration / Q000592:standards; D011050:Policy Making