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 workshop on health literacy for the mining and extractive sector, March 2019

Most countries in east and southern Africa have rich deposits of a range of mineral reserves that are highly sought after in global trade. Extractive industries (EIs), largely multinationals from all regions of the world, extract these minerals, oil and gas from the earth through mining, dredging and quarrying. Countries in our region thus face a challenge to make and implement policy choices that link these natural resources to improved social and economic development, and to ensure that extraction processes do not harm health or environments.  TARSC as cluster lead of the “Equity Watch” work in EQUINET has been exploring with trade union partners in SATUCC and other regional organisations how health can be better protected in the mining sector in east and southern African (ESA) countries, . We are holding an EQUINET regional meeting on 28 and 29 March 2019 in Harare to discuss health literacy outreach on Mining and health, to go through the use of the health literacy module on Mining and health developed in 2018, and share other materials that we have for use in ongoing programmes on mining and health. The health literacy module is available on this website. If you are interested in this workshop please contact us at admin [at] equinetafrica.org (subject: MINING%20AND%20HEALTH%20WORKSHOP) (EQUINET secretariat )

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

Policy paper 3: A review of experience concerning household ability to cope with the resource demands of ill health and health care utilisation
Goudge, J; Govender, V; Centre for Health Policy, University of Witwatersrand; Health Economics Unit; University of Cape Town (2000 June)
Poverty and health
South Africa
Policy paper 2: Equity in health in Southern Africa: Overview and issues from an annotated bibliography
EQUINET Steering Committee (1998 May)
Equity in health
Southern Africa Regional
Policy paper 1: Can research fill the equity gap in Southern Africa?
Loewenson, R (1999 September)
Equity in health, Monitoring equity and research to policy
Southern Africa Regional
Policy paper 7: Equity in health in Southern Africa: Turning values into practice
EQUINET Steering Committee (2000 September)
Values, policies and rights
Southern Africa Regional
Policy paper 8: An examination of public sector subsidies to the private health sector: A Zimbabwe case study
Mudyarabikwa, O; University of Zimbabwe Medical School (2000 September)
Resource allocation and health financing