The global increase in renewable energy initiatives has been followed by the need to include the social impact of any project as a core element. Significant challenges for renewable energy development include uncertainty in assessing social impacts at local scales, participation and social acceptance. Multi-criteria decision analysis (MCDA) approaches have been widely used in energy planning to address these challenges. This article reviews how social criteria and participation mechanisms have been incorporated into decision-making processes for renewable energy projects. A total of 184 articles were analyzed. A total of 490 indicators that estimated social impacts were identified and organized into nine criteria: employment, social acceptance, social development, health impact, governance, visual impact, knowledge and awareness, cultural value and social justice. Most research included analytical hierarchy process methodologies, and the articles were geographically concentrated in Asia and Europe. Most articles included a participative component (92.3%), and the majority of them were based on expert consultation (75.4%). Of the articles that exclusively considered experts, almost 40% did not provide any description of the expert elicitation process. Results revealed advances in the use of MCDA but highlighted important challenges—related to improving expert consultation methodologies and broadening the participation of stakeholders—when developing renewable energy initiatives and policies.

OBJECTIVE: To measure and explain income-related inequalities in health and health care utilization in the period 2000 - 2009 in Chile, while assessing variations within the country and determinants of inequalities. METHODS: Data from the National Socioeconomic Characterization Survey for 2000, 2003, and 2009 were used to measure inequality in health and health care utilization. Income-related inequality in health care utilization was assessed with standardized concentration indices for the probability and total number of visits to specialized care, generalized care, emergency care, dental care, mental health care, and hospital care. Self-assessed health status and physical limitations were used as proxies for health care need. Standardization was performed with demographic and need variables. The decomposition method was applied to estimate the contribution of each factor used to calculate the concentration index, including ethnicity, employment status, health insurance, and region of residence. RESULTS: In Chile, people in lower-income quintiles report worse health status and more physical limitations than people in higher quintiles. In terms of health service utilization, pro-rich inequities were found for specialized and dental visits with a slight pro-rich utilization for general practitioners and all physician visits. All pro-rich inequities have decreased over time. Emergency room visits and hospitalizations are concentrated among lower-income quintiles and have increased over time. Higher education and private health insurance contribute to a pro-rich inequity in dentist, general practitioner, specialized, and all physician visits. Income contributes to a pro-rich inequity in specialized and dentist visits, whereas urban residence and economic activity contribute to a pro-poor inequity in emergency room visits. CONCLUSIONS: The pattern of health care utilization in Chile is consistent with policies implemented in the country and in the intended direction. The significant income inequality in the use of specialized and dental services, which favor the rich, deserves policy makers' attention and further investigation related to the quality of these services.

Marine ecosystem services are in global decline, which requires new transformational changes in governance to cope with multiple anthropogenic stressors. We perform a systematic literature review of the biodiversity and ecosystem services outcomes of a governance transformation toward comanagement through the allocation of territorial user rights to artisanal fisher associations (TURFs) in Chile. We synthesize the implications of more than 25 years of establishing a TURF policy over ecosystem services. Results show TURFs sustain biodiversity and all typologies of ecosystem services when they are well enforced. Research on provisioning services is most prevalent, however cultural services have been gaining traction with studies assessing the role of leadership, sanctions, and social capital in determining TURF outcomes. The results suggest that TURFs can play an important role in creating social and ecological enabling conditions for local stewardship. While this is encouraging, there is a bias toward positive results and few studies address negative consequences of TURFs aimed at identifying constraints for further development. The review shows that there has been a continuous transition toward interdisciplinary social–ecological research. Research on TURFs faced with drivers of global change and uncertainty are urgently needed, in order to anticipate unintended outcomes and adapt accordingly.