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

Report of the session at Forum 2012 on “Bringing evidence on equity to health policy in Africa: Experiences of the Equity Watch”
EQUINET, ECSA HC, IDRC (2012 May)
Themes:
Equity in health
Country
East and southern Africa region
Review of the Equity Watch work in East and Southern Africa: Regional review and skills workshop, April 26-28
EQUINET: May 2012 (2012 May)
Themes:
Equity in health
Country
East and southern Africa region
Discussion paper 90: Dimensions of gender equity in health in East and Southern Africa
MacPherson E; Richards E; Namakhoma I; Theobald S (2012 April)
Themes:
Equity in health, Values, policies and rights
Country
East and southern Africa region
Stakeholders meeting on the Zimbabwe Equity Watch Harare, February 23rd 2012
Ministry of Health and Child Welfare, Training and Research Support Centre, EQUINET (2012 March)
Themes:
Equity in health, Health equity in economic and trade policies, Equitable health services, Governance and participation in health, Monitoring equity and research to policy
Country
Zimbabwe
Discussion paper 89: Private sector involvement in health services in East and Southern Africa
Foster N (2012 March)
Themes:
Resource allocation and health financing
Country
Zimbabwe
EQUITY WATCH: Assessing progress towards equity in health, Kenya, 2011
KEMRI-Wellcome Trust Research Programme; Mustang Management Consultants; Ministry of Public Health and Sanitation, Training and Research Support Centre (2012 January)
Themes:
Equity in health, Monitoring equity and research to policy
Country
Kenya
EQUINET Policy brief 28: Implementing the WHO Global code of Practice on the International Recruitment of health Personnel in Africa
SEATINI; ACHEST; TARSC (2011 December)
Themes:
Values, policies and rights, Human resources for health
Country
East and southern Africa region
EQUITY WATCH: Assessing progress towards equity in health, Uganda, 2011
Zikusooka CM; Loewenson R; Tumwine M; Mulumba M (2011 November)
Themes:
Equity in health, Values, policies and rights, Health equity in economic and trade policies, Equitable health services, Resource allocation and health financing, Monitoring equity and research to policy
Country
Uganda
EQUINET Discussion Paper 88: Research to Support Strategic leadership in Global Health Diplomacy in east, central and southern Africa
Loewenson R; Machemedze R; Manyau E (2011 December)
Themes:
 
Country
Equity Watch: assessing progress towards equity in health in Zimbabwe
Training and Research Support Centre; Ministry of Health and Child Welfare (2011 October)
Themes:
Equity in health, Values, policies and rights, Equitable health services, Resource allocation and health financing, Monitoring equity and research to policy
Country
Zimbabwe

Pages