The Regional Network on Equity in Health in east and southern Africa (EQUINET) 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. This brief outlines EQUINET's mission, organisation, areas of work and resources.
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Briefing leaflet on EQUINET. Le Réseau Régional sur l’Equité en matière de santé en Afrique orientale et australe (EQUINET) est un réseau de professionnels, membres de la société civile, décideurs, employés gouvernementaux et autres personnalités de la région qui se sont réunis pour mettre en oeuvre une politique en matière d’équité, ce afi n de promouvoir et défi nir des valeurs communes en matière d’équité et de justice sociale au niveau de la santé.
Since 2003, EQUINET and HST have implemented a longer term programme of work that has carried out a wider review of the literature on the distribution and migration of health personnel in the region and a regional research programme aimed at building analytic capacity, evidence and policy engagement around the issue. EQUINET and HST collaborated with a consortium of institutions in southern Africa and internationally, known as the Human Resources for Health (HRH) Network, in order to link this southern African programme of work with wider international work on the equitable distribution of health personnel in southern Africa. In January 2004 a call for research proposals was made within a framework set out from the literature and policy review. The proposals were reviewed and a number of these selected for participation in a regional meeting. Between 15 and 17 April 2004, the Health Systems Trust and EQUINET organised the regional meeting in Johannesburg, South Africa, bringing together researchers and stakeholders from southern and western African, Canada, the UK, USA and Australia.
Since 2003, EQUINET and the Health Systems Trust (HST) have implemented a longer term programme of work that has carried out a wider review of the literature on the distribution and migration of health personnel in the region and a regional research programme aimed at building analytic capacity, evidence and policy engagement around the issue.
The EQUINET regional meeting on Human Resources for Health August 19-20 2005 in Johannesburg South Africa discussed and debated Human Resources for Health (HRH) research and policy with a view to improving the equitable distribution of HRH within southern Africa. By the end of the deliberations, the delegates from government, non government, health worker, national, regional and international level at the meeting highlighted key areas of shared perspective on HRH.
An Equity Watch is a means of monitoring progress on health equity by gathering, organizing, analysing, reporting and reviewing evidence on equity in health. Equity Watch work is being implemented in countries in East and Southern Africa in line with national and regional policy commitments. This report presents the Equity Watch in Mozambique. It explores the dimensions of inequality that need to be addressed for the improvements in economic performance to translate into the eradication of poverty and sustained and widest improvements in human development. It focuses on the social determinants of health and the features of the health system that have been shown to make a difference in reducing social inequalities, including in health, and asks the question: what progress are we making? The report examines the positive results achieved so far in health equity in Mozambique, the current levels and the prevailing constraints, in the context of the overall national response to equity. It presents recommendations based on an analysis of information available.
An Equity Watch is a means of monitoring progress on health equity by gathering, organising, analysing, reporting and reviewing evidence on equity in health. Equity Watch work is being implemented in countries in eastern and southern Africa in line with national and regional policy commitments. In February 2010 the Regional Health Ministers' Conference of the ECSA Health Community resolved that countries should 'report on evidence on health equity and progress in addressing inequalities in health'. This report provides an array of evidence on the responsiveness of Tanzania’s health system in promoting and attaining equity in health and health care, using the Equity Watch framework. The report introduces the context and the evidence within four major areas: equity in health, household access to the resources for health, equitable health systems and global justice. It shows past levels (1980–2005), current levels (most current data publicly available) and comments on the level of progress towards health equity.
An Equity Watch is a means of monitoring progress on health equity by gathering, organizing, analysing, reporting and reviewing evidence on equity in health. The aim is to assess the status and trends in a range of priority areas of health equity and to check progress on measures that promote health equity against commitments and goals. This first scoping report in Zambia introduces the context and the evidence within four major areas: equity in health, household access to the resources for health, equitable health systems and global justice. It shows past levels (1980–2005), current levels (most current data publicly available) and comments on the level of progress towards health equity. The report describes the recovery in health indicators after 2000, given the harsh decline in health and health care from the period of structural adjustment reforms and the AIDS epidemic in 1980-2000. It also indicates that aggregate improvements do not tell the whole story. Inequality in wealth in Zambia remains high and is reflected in rural–urban, wealth, gender and regional differentials in health and in the social determinants of health. Within the health sector steps underway to organize and distribute funds, heath workers and medicines towards primary and district level services are identified AS fundamental to overcome inequalities, but limited by the limited improvement in per capita domestic public sector funding and the increasing reliance on external funding in the heath sector. The report shows that measures such as closing rural–urban inequalities in primary health care, reducing cost barriers by removing user fees or stimulating female uptake of schooling have contributed to overcoming inherited and unfair opportunities for health.
This report updates the 2008 Zimbabwe Equity Watch report using a framework developed by EQUINET in cooperation with the eastern, central and southern African health community and in consultation with WHO and UNICEF. The report introduces the context and the evidence within four major areas: equity in health, household access to the resources for health, equitable health systems and global justice. It shows past levels (1980–2005), current levels (most current data publicly available) and comments on the level of progress towards health equity. The 2011 Equity Watch indicates that improvements have been made in priority areas identified in the 2008 Equity Watch report, such as in primary education, in supplies of medicines and staff to primary care and district levels, in immunisation coverage, in access to antiretrovirals, and in recognition and support of community capacities for health. Nevertheless, the report shows that poverty and inequality in wealth remain high. Economic inequality affects access to key inputs to health, like improved incomes or safe water and the uptake of health services.
This report assesses progress towards achieving equity in health in Zimbabwe, drawing on available indicators and peer review from stakeholders. Available evidence suggests a range of gaps to be addressed, including need and coverage in access to anti-retroviral treatment; to safe water and sanitation; and in food security; the gap between “free care” policies and the real formal charges and informal costs for health services that undermine use in poor households; between need and supply in drugs and skilled staff at the primary care level of the health system; between commitments and spending by the international community and government in the health budget, with rising demand on households to meet the gap; between the expectations and real working conditions and incomes of health workers; and between the social capacities for promoting health within communities, and the legal and institutional recognition and support of these capacities. Many inputs to health, including primary education, now need to be revitalised as a means to building the universal, comprehensive systems that address these gaps. The report outlines priorities based on the findings.
