Equinet Africa

EQUINET, the Regional Network on Equity in Health in East and Southern Africa, is a network of professionals, civil society members, policy makers, state officials and others within the region who have come together as an equity catalyst, to promote and realise shared values of equity and social justice in health.

EQUINET gathers people to overcome isolation, give voice and promote networking using bottom-up approaches built on shared values. We have come together in a spirit of self determination and collective self reliance working through existing government, civil society, research and other mechanisms and institutions in East and Southern Africa.

EQUINET is building a forum for dialogue, learning, sharing of information and experience and critical analysis. We do this to build knowledge and perspectives, shape effective strategies, strengthen our voice nationally, regionally and globally and to buiild strategic alliances to influence policy, politics and practice towards health equity and social justice.

EQUINET's work covers a wide range of areas identified as priorities for health equity, within the political economy of health, health services and inputs to health, covered in the theme areas shown on this site. EQUINET is governed by a steering committee with representatives from institutions in the region, has five cluster leads that co-ordinate major areas of work and has a secretariat at the Training and Research Support Centre Zimbabwe.



EQUINET Regional review meeting on health centre committees as a vehicle for social participation June 2017

In Community Working Group on Health in partnership with Training and Research Support Centre, University of Cape Town  School of Public Health, and the Lusaka District Health Management Team under the auspices of EQUINET held a regional review meeting on Health Centre Committees as a vehicle for social participation in health systems in East and Southern Africa on 20-22 June in Harare. The meeting was held as part of a programme to exchange experiences and information on the laws, roles, capacities, training and monitoring systems that are being applied to HCCs in the ESA region. The meeting discussed experiences with laws, policies, guidelines and constitutions on HCCs; shared experiences in using photo voice to enhance the role of HCCs; discussed current training materials and programmes for HCCs in the region and the strengthening of internal capacities of institutions working with HCCs through information exchange and skills inputs. The report will be made available on the EQUINET website.

Call for country participatory action research facilitators as participants in a programme to develop online PAR 

In 2017 EQUINET (through TARSC working with Maldaba a web design company) is developing a web platform for participatory action research (PAR) that would allow us to connect across countries on areas of local community level work and action on areas of health, health determinants  and health systems that have wider regional and global relevance or relate to global policies being applied across our countries. In doing this we are building a new tool that will allow  us to share, discuss,  analyse and design actions across countries in the same way we have done so using PAR at local level, that we can use in future for many purposes. TARSC has opened a call for people with experience of PAR working in east and southern Africa who may be interested in being involved in this process.  We will be taking forward the web platform for PAR between July 2017 and December 2019 working with eight sites and health workers and community memvers in a primary care facility in the site. We will be exploring how disease programme or funding targets  such as for performance based financing are affecting health workers professionals roles and team work; health workers relationships with communities  and the ability to deliver comprehensive primary health care. 

 We invite people to apply to join the programme as country PAR facilitators. To participate in this programme we invite people who work in an organisation/ programme in a country in an east and southern African country;  

have had some exposure to PAR approaches; have access to internet; have ongoing work or interaction with at least one primary care  centre and with the health workers and community members in it, such as through health centre committees, health literacy or other programmes; have primary care level services that are implementing some form of target driven funding or service delivery, such as in performance based financing or specific disease programmes, and are available for the  activities, in the time frames and for the duration noted in the process above.

If you are interested please email EQUINET using the feedback form on the website at http://www.equinetafrica.org/content/equinet-feedback-form by July 7th 2017 with your name, organisation, country and email address for communication, and:

  1.  A list of any prior training received on PAR, with the course, institution providing the course and year.
  2.  A list of any PAR work you have implemented, with a line for each on what it was about and the year.
  3.  Confirmation that you have direct access to internet and what it costs you for a one hour session (if provided institutionally through your organisation please indicate this).
  4.  The name, location and urban/ rural location of a primary care  centre that you regularly interact with, including with the health workers and community members,  and  whether the health workers and / or community members at this centre have access to the internet (not essential but useful).
  5.  The form of target driven funding or service delivery being implemented at the primary care service, (ie performance based financing or specific disease programmes specify  for what).
  6. Confirmation that you are available for the  activities, in the time frames and for the duration noted in the process above.

 We will provide feedback to applicantsd who provide the full information above by last week of July. 

Research on essential health benefits in east and southern Africa

The essential health benefit (EHB) (sometimes termed core health services/ package) is a policy intervention used in the public sector to define and cost a platform of health services, to align disease specific programmes and take proven interventions to national scale. Seven east and southern African (ESA) countries -ie Swaziland, Malawi, Tanzania, Zambia, Uganda, Kenya and Zimbabwe - have introduced or updated EHBs in the 2000s. In 2016-7 EQUINEt is implementing through Ifakara Health Institute in co-operation with Training and Research Support Centre and selected countries a research programme to understand the role, facilitators and barriers to nation-wide application of the EHB in the resourcing, organisation and accountability on integrated services. The research is being implemented in Swaziland, Tanzania, Uganda and Zambia and aims to draw cross country learning with policy actors for input to national planning and regional policy dialogue through the ECSA Health Community on the motivations for and methods used in developing and costing EHBs, and the manner in which EHBs have been disseminated and used for pooling and allocating resources and commodities;  for integration of programmes; co-ordination of providers; and for monitoring and accountability on services. Please email the secretariat for further information. 


Latest Equinet Publications

EQUINET Discussion paper 107: Literature Review: Essential health benefits in east and southern Africa
Todd G; Mamdani M; Loewenson R (2016 May)
Themes:
Equitable health services, Resource allocation and health financing
Country
East and southern Africa region
EQUINET Policy brief 40: Implementing the International Health Regulations in east and southern Africa: Progress, opportunities and challenges
SEATINI; TARSC (2016 May)
Themes:
Values, policies and rights, Governance and participation in health
Country
East and southern Africa region
EQUINET PRA paper: Reflections on actions and learning from participatory work on health in Cassa Banana, Zimbabwe.
Kaim B (2016 April)
Themes:
Poverty and health, Equitable health services, Governance and participation in health
Country
Zimbabwe
Discussion paper 106: Responding to inequalities in health in urban areas: A review and annotated bibliography
Loewenson R; Masotya M (2015 December)
Themes:
Equity in health, Health equity in economic and trade policies, Poverty and health, Equitable health services, Governance and participation in health, Monitoring equity and research to policy
Country
East and southern Africa region
African responses to the 2014/5 Ebola Virus Disease Epidemic
Loewenson R; Papamichail A; Ayagah I (2015 October)
Themes:
Equitable health services
Country
Africa
Guidance on using needs-based formulae and gap analysis in the equitable allocation of health care resources in East and Southern Africa
McIntyre D; Anselmi L (2015 October)
Themes:
Resource allocation and health financing
Country
East and southern Africa region
Contributions of global health diplomacy to equitable health systems in east and southern Africa
EQUINET (2015 July)
Themes:
Equity in health, Values, policies and rights, Health equity in economic and trade policies, Equitable health services, Human resources for health, Resource allocation and health financing, Governance and participation in health
Country
East and southern Africa region
Case Study Brief: Health centre committees ensuring services respond to the needs of people living with HIV in Malawi
REACH Trust; TARSC; EQUINET (2015 March)
Themes:
Equitable health services, Governance and participation in health
Country
Malawi
Case Study Brief: Health centre committee involvement in local government planning for health in Zambia
LDHMT; TARSC; EQUINET (2015 April)
Themes:
Governance and participation in health
Country
Zambia
Contributions of global health diplomacy to equitable health systems in east and southern Africa, Report of a Regional Research Workshop, 13-14 March 2015, Johannesburg South Africa
EQUINET; TARSC; CPTL (2015 April)
Themes:
Values, policies and rights, Health equity in economic and trade policies, Human resources for health, Governance and participation in health
Country
East and southern Africa region

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