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 meeting in Lusaka on health and wellbeing of urban youth, June 2018

TARSC as cluster lead of the “Equity Watch” work in EQUINET has been exploring urban health in east and southern African (ESA) countries, gathering diverse forms of evidence from literature review, analysis of quantitative data, internet searches on practices and a participatory validation amongst different social groups of youth. Lusaka District Health Authority (LDHO) has a history of over a decade of using participatory reflection and action (PRA) approaches to strengthen health literacy. In 2018, TARSC and LDHO hosted a meeting to explore the views of youth in the city on their health and wellbeing to better integrate this group within the health literacy programme, involving also selected Harare youth who had participated in a similar programme with TARSC and the CFHD in Harare.  The two day participatory meeting heard from different groups of Lusaka urban youth their perceptions and experiences on urban health and wellbeing; facilitated exchanges between Lusaka and Harare youth on urban health and wellbeing; identified the implications for urban health literacy and urban primary health care, and shared this with relevant authorities in Lusaka. The report of the meeting and other documents on the urban health work are available online.

EQUINET Desk review on “A critical assessment of different health financing options in east and southern African countries”

Call closed

This critical assessment of different health financing options in east and southern African countries is being commissioned by the Regional Network for Equity in Health in East and Southern Africa (EQUINET) through and in collaboration with key regional partners. It aims to inform policy makers on the positive and negative implications and issues to consider in applying the different domestic public health financing options current being explored, advocated and implemented in east and southern Africa -  including mandatory national health insurance; social health insurance, community based health insurance, voluntary insurance, earmarked taxes, wealth taxes, other direct/ indirect taxes and other sources. 

The paper will identify from online sources the different domestic public health financing options currently being explored, advocated and implemented in east and southern African countries, including in relation to financing policies for equitable universal health systems and for universal health coverage. 

Thereafter, using available grey and published literature from experience in other countries within and beyond the region; and drawing on experiences of advanced implementers of these different health financing options in and beyond the region, the paper will review the implications of each health financing option in terms of:   its stability relative to macroeconomic contexts;  its fiscal implications; the levels and potential share of revenue for universal public sector led health systems and UHC;  its progressiveness; its implications for pooling, income and risk cross subsidies and equity and potential to enable equitable allocation based on need; its efficiency and ease of their collection methods; its potential for and drivers of cost escalation; and its political and social acceptability. 

Noting that there is no one-size fits all policy on health financing and that specific country contexts affect decisions on health financing, the paper will provide, for each financing option, information on the contexts or conditions that are relevant to its application and as relevant to the specific features above. For each of the financing options the paper will raise the administrative implications and the immediate/short term and longer-term issues to be addressed in their implementation in east and southern African countries if they are to support equitable progression towards universal health coverage and health system strengthening.  

The paper will be produced as an EQUINET discussion paper and will be used to prepare a policy brief. It may be used thereafter as source material by the author for journal publication.  It will be drafted, reviewed and final version produced between end September 2018 and beginning March 2019. EQUINET will organise internal and external review and will organise for and support the author to present the paper at a relevant policy forum within the region, including to hear feedback and follow up issues. 


Latest Equinet Publications

EQUINET Discussion paper 103: The engagement of east and southern African countries on the WHO Code of Practice on the International Recruitment of Health Personnel and its implementation’
Dambisya YM; N Malema; C Dulo; S Matinhure; P Kadama (2014 June)
Themes:
Equitable health services, Human resources for health, Governance and participation in health
Country
East and southern Africa region
Discussion paper 101: Health centre committees as a vehicle for social participation in health systems in east and southern Africa
Loewenson R; Machingura F; Kaim B; Training and Research Support Centre (TARSC); Rusike I (CWGH) (2014 May)
Themes:
Equitable health services, Governance and participation in health
Country
East and southern Africa region
Strengthening health centre committees as a vehicle for social participation in health in east and southern Africa: Regional Meeting Report, Harare, Zimbabwe 30 January - 1 February 2014
EQUINET; TARSC; CWGH; Medico Int (2014 March)
Themes:
Equitable health services, Governance and participation in health
Country
East and southern Africa region
Training Workshop on Participatory methods for a people centred health system, 7-10 October 2013
Training and Research Support Centre; COPASAH; EQUINET (2013 December)
Themes:
Equitable health services, Governance and participation in health
Country
East and southern Africa region
Building empowered communities for health:_A film on health literacy and participatory approaches to health in Zambia
TARSC, Lusaka District Health Management Team, Ministry of Health Zambia September 2013 (2013 October)
Themes:
Equitable health services, Governance and participation in health
Country
Zambia
URL:
Discussion paper 100: Laws on management of public and private funds for health in Zimbabwe
Bhala B (2013 October)
Themes:
Values, policies and rights, Resource allocation and health financing
Country
Zimbabwe
EQUINET Policy Brief 35: Legislation on the for-profit private health sector in East and Southern Africa
Doherty J (2013 October)
Themes:
Equitable health services, Public-private mix, Resource allocation and health financing, Governance and participation in health
Country
East and southern Africa region
EQUINET Discussion Paper 99: Legislation on the for-profit private health sector in east and southern Africa
Doherty J (2013 August)
Themes:
Resource allocation and health financing
Country
East and southern Africa region
EQUINET Participatory Methods toolkit: Organising People’s Power for Health
Loewenson R, Kaim B, Chikomo F (TARSC), Mbuyita S, Makemba A (IFAKARA) (2006 February)
Themes:
Equity in health, Equitable health services, Governance and participation in health, Monitoring equity and research to policy
Country
Zimbabwe
Discussion paper 98: Annotated literature review: African actors, global health governance and performance-based funding
Brown GW; Barnes A; Harman S; Gruia M; Papamichail A (2013 June)
Themes:
Resource allocation and health financing, Governance and participation in health
Country
International

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