Climate action – encompassing both mitigation (reducing greenhouse gas emissions) and adaptation (adjusting to the effects of climate change) – can generate substantial health benefits. However, these benefits are rarely captured systematically in economic evaluations of climate policies. A key reason is that health economics and climate/environmental economics have developed different frameworks for measuring and valuing health. Health economists typically use quality- or disability-adjusted life years (QALYs or DALYs) alongside cost-effectiveness thresholds, whilst environmental and transport economists use willingness-to-pay approaches expressed as a value per statistical life (VSL). Without coherent guidance on how to navigate these differences, analysts face fragmented, discipline-specific approaches that make it difficult to compare options or aggregate evidence.
The ECO-CHICA project used a multi-method consensus development process to produce guidance on valuing and reporting the health impacts of climate actions. We conducted targeted scoping reviews and five focused “deep dive” reviews in priority methodological areas; mapped and engaged diverse stakeholders across health, environmental, climate, and transport economics; and ran a three-round modified Delphi process with a panel of practising economists. Of 84 participants invited to form the Delphi panel, 46 completed all qualifying rounds. Findings were refined through a multi-stakeholder consensus workshop. The process yielded 11 guidance statements across two domains: the measurement and valuation of health impacts (Statements 1F–5), and related methods for economic evaluation (Statements 6F–11). Two foundational statements (1F and 6F) establish overarching principles for each domain. The guidance covers mortality and morbidity valuation, the role of the social cost of carbon, discounting, equity, uncertainty, and environmental spillovers.
ECO-CHICA provides the first consensus-based methodological framework for valuing the health impacts of climate actions. It is aimed at analysts, commissioners, and policymakers working at the intersection of health and climate – whether in health systems, government agencies, transport planning, or finance ministries. Rather than mandating a single approach, the guidance acknowledges the legitimacy of different valuation traditions and provides a structured framework for making and documenting those choices. Analysts are encouraged to engage with the foundational statements first and to report transparently about the methodological choices they make.