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

Meeting Report: Regional Meeting of Parliamentary Committees on Health in Eastern and Southern Africa: Munyonyo, Kampala, Uganda, September 21 2009
PPD ARO; EQUINET; APHRC; SEAPACOH (2009 September)
Themes:
Governance and participation in health
Country
Uganda
Conference report: Third EQUINET Regional Conference on Equity in Health in East and Southern Africa Conference Report: 'Reclaiming the Resources for Health Building Universal People Centred Health Systems in East and Southern Africa
Regional Network for Equity in Health in East and Southern Africa (EQUINET) (2009 December)
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, Equity and HIV/AIDS, Governance and participation in health, Monitoring equity and research to policy
Country
East and southern Africa region
Public healthcare financing
SABC Channel Africa; EQUINET; Workers World Media Productions (2009 October)
Themes:
Resource allocation and health financing
Country
East and southern Africa region
Regional Workshop Report: Fair financing for health: mobilising domestic resources and managing commercialisation of health systems
Health Economics Unit University of Cape Town; HealthNet Consult; EQUINET (2009 September)
Themes:
Resource allocation and health financing
Country
East and southern Africa region
Health policy analysis: Regional skills workshop report
University of Cape Town; Centre for Health Policy; EQUINET (2009 September)
Themes:
Monitoring equity and research to policy
Country
East and southern Africa region
Writing skills for peer reviewed journals: Regional skills workshop report
Training and Research Support Centre, EQUINET (2009 September)
Themes:
Monitoring equity and research to policy
Country
East and southern Africa region
Commitments from the 2009 Regional Meeting of Parliamentary Committees on Health in Eastern and Southern Africa
Southern and East African Parliamentary Alliance of Committees on Health; Partners in Population and Development Africa Regional Office; Regional Network on Equity in Health in East and Southern Africa; African Population and Health Research Centre; (2009 September)
Themes:
Equity in health, Values, policies and rights, Equitable health services, Resource allocation and health financing, Equity and HIV/AIDS, Governance and participation in health
Country
East and southern Africa region
Resolutions for Action: The Third EQUINET Regional Conference on Equity in Health in East and Southern Africa
EQUINET (2009 September)
Themes:
Equity in health, Values, policies and rights, Health equity in economic and trade policies, Equitable health services, Human resources for health, Public-private mix, Resource allocation and health financing, Equity and HIV/AIDS, Governance and participation in health, Monitoring equity and research to policy
Country
East and southern Africa region
Discussion paper 78: Policies and incentives for health worker retention in east and southern Africa: Learning from country research
Iipinge, S; Dambisya, YM; Loewenson, R; Chimbari, M; Ndetei, D; Munga, M; Sibandze, S; Lugina H (2009 October)
Themes:
Human resources for health
Country
East and southern Africa region
Discussion paper 79: Capital flows in the health care sector in Zimbabwe: Trends and implications for the health system
Munyuki, E; Jasi, S (2009 August)
Themes:
Health equity in economic and trade policies, Equitable health services, Public-private mix
Country
Zimbabwe

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