Current Issue

EQUINET NEWSLETTER 240 : 01 January 2025

1. Editorial

Freedom from hunger and violence, and safe, healthy lives is a fair demand for 2025.
EQUINET Newsletter editor


Did we make progress towards equity in 2024? Global inequities in power, wealth and human security persisted. War, occupation and abuse of human rights became the most common feature of daily news. Climate emergencies seemed to intensify. Women, children and already vulnerable and excluded people bore the brunt of these trends, and of the deficit between articulated commitments, conventions and constitutions, and the realities of daily life.

Yet 2024 has also seen inspiring and creative forms of solidarity and innovation, and a flourishing of new ideas and practices. At different levels, sustained resistance to accepting a normalisation of injustice has confronted despondency. We have shared, celebrated and learned from successes at local, national, regional and global level where they have happened.

Moving towards inequity or justice in 2025 is entirely within human choice. So in this abbreviated newsletter as 2025 starts we express thanks for the work done in 2024 and wish all advancing equity and wellbeing in 2025 the strength, confidence and opportunity to raise and realise a fair demand for safe, healthy lives, and freedom from hunger and violence.

2. Latest Equinet Updates

A call for applicants for the 2025 online capacity building course on health impact assessment
EQUINET: TARSC; TalkAB[M]R; SATUCC; in association with ECSA HC, C Dora; NIGH

Call for applicants for the 2025 online training in Health Impact Assessment closing 5pm February 4 2025. EQUINET is through TARSC and in association with regional (SATUCC, Talk AB[M]R) ECSA Health Community and international partners (Nossal Institute of Global Health, C Dora) convening online training and mentored case work to build HIA capacities in ESA countries. The course will provide materials and interactive presentations on the policy and legal basis of HIA, the steps, methods, evidence, analysis in and reporting of an HIA, and the monitoring of recommendations. Trainees will plan and implement a mentored case study HIA in teams over the course period. The capacity building will be implemented in ten online (zoom) training sessions in four course blocks, staggered at intervals between April 28 and July 31 2025. After two or three online course sessions of 2 hours each in a block, there will be a month before the next block to give time for 2 online tutorials with mentors to guide teams to work at self-arranged times on the HIA steps covered in the training for their own case studies. There will be four course blocks in the period. Participants satisfactorily completing the course will receive a certificate of completion. This document outlines the information for applicants for the course.

Brief on climate, land rights and agroecological links to pandemics in East and Southern Africa
EQUINET, SEATINI, TARSC: December 2024

Climate justice and equity, is an urgent issue for communities, countries, and the region, and intersects with, impacts on and is intensified by other areas of inequality that the Regional Network for Equity in Health in east and southern Africa (EQUINET) is focused on. Given this, EQUINET is sharing knowledge, experiences and learning on health equity impacts of climate in webinars on various areas of health equity. The sixth webinar and this brief from it focuses on the interplay between land rights, climate agro-ecology, and pandemic risks. The webinar interrogated these relationships at the local, national and global levels and suggested actions to be taken to mitigate the impacts particularly on these drivers of health and well-being of people and natural resources.

EQUINET Discussion paper 133: Synthesis report: EQUINET online dialogues and reviews on Climate justice and health equity in east and southern Africa
EQUINET SC, TARSC: September 2024

EQUINET identifies health equity as being affected by conditions and actions across multiple thematic areas. It sought to understand the intersect between climate change and health equity through the outcomes of five webinars and two rapid reviews and an online review meeting organised to explore these intersects. The webinars and briefs focused on selected thematic areas EQUINET has identified as central to health equity in the region, including health rights, food systems, urban health, extractives and health, trade and health, primary health care and tax justice. This synthesis report presents a thematic analysis of the briefs from the webinars and rapid reviews (separately available on the EQUINET website), and from an online review meeting on the findings. It outlines how climate change is intersecting with the various dimensions of health equity, including social inequalities and vulnerabilities in health, and the approaches underway or proposed to address these impacts and to promote health equity in the face of climate change, including for future work in EQUINET. It is shared as an interim product that we will update following EQUINET’s ongoing work in 2025.

Scaling up promising practice to promote healthy urban people and ecosystems in east and southern Africa
EQUINET Urban health communmity of practice: September 2024

There are many examples of healthy, equitable, climate-adapted urban food and waste management practices underway in the east and southern Africa region. These practices integrate waste management, clean energy and green urban ecosystems. They demonstrate multi-sector, multi-actor collaborative planning, informed by disaggregated evidence of different forms, building coalitions that share goals, ideas and ownership, and bring diverse resources and skills to processes. They show how a holistic, circular economy links the 3Rs (reduce, recycle, reuse) to reclaim vacant land with waste dumps for gardens that enable urban agriculture; that use bio-waste for energy and that develop and use local technology innovations. These initiatives integrate equity, incomes and food security to bring sustainable benefit and improved health and nutrition for often marginalised groups. They integrate health and climate justice in reduced air and water pollution, reduce emissions from waste burning, reduce flooding from clogged drains, enrich soil through organic fertilisers, and climate proof infrastructures. In iterative steps, they assess, review and improve practice, and in so doing strengthen social respect for healthy ecosystems as a source of economic and social benefit and reduced ill health. An EQUINET community of practice on urban health proposed 10 areas of action for scaling up such practices. The recommendations to build, enable and amplify such practice are shown in the brief. In each there are examples of promising practice, guidance, methods, tools and experience to share, with hyperlinks to read further information on each example. Information is also given on where to submit your own examples, as the brief will be updated over time.

3. Values, Policies and Rights

World Health Organization at the International Court of Justice on the Intersection of Climate Change & Global Health
Patnaik P: Geneva health files, Newsletter 242, December 2024

The World Health Organisation participated in the recent hearings on the climate crisis at the International Court of Justice earlier this month. This issue of Geneva health files presents WHO’s statements at the hearing.

4. Human Resources

Identity Crisis Among Clinical Officers at Malawi’s Public Hospitals Amidst the Implementation of Functional Reviews
Chinguwo, P: Journal of Health and Human Services Administration, 0(0). https://doi.org/10.1177/10793739241300506

In Malawi’s healthcare system, a significant doctor shortage compels clinical officers who are mid-level health professionals, to shoulder responsibilities traditionally reserved for medical doctors. This study delves into the unintended consequences of functional reviews within Malawi’s health sector. The research, employing a qualitative case-study approach across five public hospitals, investigated how the functional reviews triggered an identity crisis among clinical officers. The findings revealed that the implemented changes caused an identity crisis among clinical officers. This identity crisis, demonstrably exacerbated occupational stress among clinical officers. To address this unforeseen consequence and safeguard the well-being of clinical officers in particular and healthcare workers in general, this paper proposes the incorporation of psychosocial risk assessments before implementing functional reviews in the health sector. This proactive approach can help identify potential threats to social identity and mitigate the risk of increased stress among healthcare workers. Ultimately, this research contributes to the growing body of knowledge that underscores the intricate link between social identity and the impact of large-scale workplace changes within the healthcare system.

5. Governance and participation in health

Litigating Reproductive Justice: Experiences and Perspectives from Malawi
Afya na Haki: Uganda, December 2024

Dr. Kangaude, a prominent figure in Malawi's reproductive health landscape, shares insights on the strategies Civil Society Organisations (CSOs) are employing to advance reproductive justice in Malawi. He emphasizes the critical role of advocacy in raising awareness, influencing policy, and challenging discriminatory laws. Collaboration between African countries, he argues, is essential to share experiences, strengthen regional networks, and amplify collective voices. Dr. Kangaude also discusses the numerous challenges CSOs face and the Nyale Institute's implementation of innovative strategies to overcome these obstacles. The episode also highlights the success stories and impactful cases championed by Nyale Institute, demonstrating the power of strategic interventions and unwavering commitment to reproductive justice in Africa.

6. Jobs and Announcements

European University Institute call for applicants for Policy Leaders Fellowship
Call closes 24 January 2025

The Policy Leader Fellowship (PLF) at the EUI's Florence School of Transnational Governance (Florence STG), part of the European University Institute (EUI), is a residential programme designed for professionals who aspire to make a meaningful impact in the world of policymaking. With participants hailing from diverse backgrounds such as politics, civil service, media, and non-governmental organisations, the fellowship offers a unique platform for collaboration, innovation, and lasting change.The fellows spend five to ten months at the school’s headquarters in Florence, Italy developing policy recommendations and practical solutions for the most pressing cross-border policy issues. The fellowships are fully-funded for the duration of the stay.

EQUINET News

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