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

Policy Brief 26: Expansion of the private for-profit health sector in East and Southern Africa
Doherty J (2011 November)
Themes:
Health equity in economic and trade policies, Public-private mix, Resource allocation and health financing
Country
East and southern Africa region
Policy Brief 27: Constitutional provisions for the right to health in east and southern Africa
Mulumba M; Kabanda D; Nassuna V; Loewenson R (2011 November)
Themes:
Equity in health, Values, policies and rights, Governance and participation in health
Country
East and southern Africa region
Raising The Profile Of Participatory Action Research At The 2010 Global Symposium On Health Systems Research; MEDICC Review 13(3): 35-38
Loewenson R; Flores W; Shukla A; Kagis M; Baba A; Ashraf R; Mbwili-Muleya C; Kakde D (2011 July)
Themes:
Governance and participation in health, Monitoring equity and research to policy
Country
East and southern Africa region
Equity Watch: Assessing Progress towards Equity in Health in Zambia
University of Zambia Department of Economics; Ministry of Health Zambia; TARSC (2011 August)
Themes:
Equity in health, Monitoring equity and research to policy
Country
Zambia
EQUINET Discussion Paper 87: Expansion of the private health sector in east and southern Africa
Doherty, J (2011 August)
Themes:
Resource allocation and health financing
Country
East and southern Africa region
Policy Brief 25: Pandemic Influenza Preparedness: sharing of influenza viruses and access to vaccines and other benefits
SEATINI; TARSC (2011 August)
Themes:
Health equity in economic and trade policies
Country
East and southern Africa region
Policy Brief 24: Preventing substandard, falsified medicines and protecting access to generic medicines in Africa
SEATINI; TARSC (2011 August)
Themes:
Health equity in economic and trade policies
Country
East and southern Africa region
Experiences of participatory action research in building people centred health systems and approaches to universal coverage: Report of the Sessions at the Global Symposium on Health Systems Research, Montreux, Switzerland
Loewenson R; Flores W; Shukla A; Kagis M; Baba A; Ryklief A; Mbwili-Muleya C; Kakde D (2011 March)
Themes:
Governance and participation in health, Monitoring equity and research to policy
Country
Strengthening Health Worker-Community Interactions through Health Literacy and Participatory approaches , Zambia Training workshop report,
Training and Research Support Centre; Lusaka District Health Management Team (2011 May)
Themes:
Equitable health services, Human resources for health, Governance and participation in health
Country
Zambia
Strengthening Health Worker-Community Interactions through Health Literacy and Participatory approaches , Uganda Training workshop report
TARSC; HEPS Uganda (2011 May)
Themes:
Equitable health services, Human resources for health, Governance and participation in health
Country
Uganda

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