The Equity Tool for Valuing Global Health Partnerships

Larson, Charles P.; Plamondon, Katrina; Dubent, Leslie; Bicaba, Frank; Bicaba, Abel; Minh, T.; Nguyen, An; Girard, Jacques; Ramdé, Jean; Gyorkos, Theresa W.

doi:10.9745/ghsp-d-21-00316

Cited by 15 publications

(14 citation statements)

References 45 publications

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“…While not explicitly raised by the FGD participants, much of the discussion was based on the role of international NGOs and Australian based organisation on supporting health security the Pacific. A colonial history in the Region means that systems of dominance and power are deeply ingrained into the systems within which we work today, and, realistically, any effort for collaboration needs to take measures to counter the impact of such systems [47,48]. For example, one barrier to establishing effective working partnerships between Australia and countries in the Region is that such partnerships can create power differentials that mirror colonial relationships.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, a comprehensive and pragmatic Equity Focused Tool for Valuing Global Health Partnerships was published and holds potential for supporting open dialogue in these partnerships. The tool is structured as a simple traffic light rating across key criteria in four domains (Governance & Process; Procedures & Operations; Progress & Impacts; and Power & Inclusion) and is designed to prompt reflective dialogue among all parties within the partnership [48].…”

Section: Discussionmentioning

confidence: 99%

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Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening

Rendell

Sheel

2022

PLOS Glob Public Health

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The COVID-19 pandemic has reiterated the interdependence of health security and health systems, and the need for resilient health systems to prevent large-scale impacts of infectious disease outbreaks and other acute public health events. Three years into the COVID-19 pandemic has led to discussions on how to “build back better”, making it important to identify lessons to strengthen health systems and prevent future shocks from health security threats. Limited data exist on effective implementable initiatives, especially for the Pacific region. We explored the perceptions of a selection of experts with field experience in the Pacific region to identify and prioritise areas for future health system investments that strengthen health security. We conducted a qualitative cross-sectional study, collecting data using four focus group discussions. We analysed the data using a content analysis of notes recorded from each of the sessions. There were 24 participants, representing 15 research and academic institutions, nongovernment agencies, UN agencies and government as well as independent consultants. All were health sector stakeholders with field experience in the Pacific region and expertise in either health systems or health security. The analysis revealed four areas to prioritise future efforts, namely workforce development, risk communication, public health surveillance and laboratory capacity. A fifth theme, localisation, was identified as a cross cutting theme that should be applied to implementation of other identified priority areas. These findings provide a starting point to apply in practice this relatively new concept, of targeted health systems strengthening for health security development, in the Pacific. Evaluation of these initiatives will strengthen knowledge on the value of integrating these two concepts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening

Rendell

Sheel

2022

PLOS Glob Public Health

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“…, 2012 ) in understanding and operationalizing concepts of equity, human rights, gender equality and such similar concepts that are critical to embedding equity in research. We have included a large number of references for this domain ( Global Affairs Canada, 2015 ; Castillo and Harris, 2021 ; Porroche-Escudero and Popay, 2021 ; Larson et al , 2022 ) as we have found that it is the starting point for a broader equity-orientation process that researchers, teams and institutions may wish to pursue. A number of self-reflection tools and examples of application listed in Table 1 for this domain are intended to guide reflection on equity orientation and integration in research and research partnerships and place particular emphasis on capacity needs.…”

Section: The Eight Domains Of 8quitymentioning

confidence: 99%

“…, 2021 ; Porroche-Escudero et al. , 2021 ; Pratt, 2021a ; Larson et al , 2022 ; Public Health Agency of Canada, 2022 ). Specific ethical considerations exist for guiding the conduct of health systems and policy research and biomedical research such as ‘equity-relevant trials’ ( Mbuagbaw et al.…”

Section: Introductionmentioning

confidence: 99%

How to do (or not to do)…how to embed equity in the conduct of health research: lessons from piloting the 8Quity tool

Kakoti

Nambiar

Bestman

et al. 2023

Health Policy and Planning

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Global health research reflects and can either perpetuate or challenge the complex power hierarchies and inequities that characterize our systems for health and the societies in which they are situated. The imperative to embed equity in health research aligns with broader efforts globally to promote equitable partnerships among researchers, and between researchers and the communities potentially impacted by their research, or with whom knowledge is co-produced. We describe lessons learnt from piloting a heuristic and diagnostic tool for researchers to assess integration of equity considerations into their research practices. The ‘8Quity’ tool comprises eight domains of equity we developed which roughly correspond to the typical stages in the research process—from team formation to capacity-strengthening, research ethics and governance to relationships with research partners, participants, and stakeholders beyond the project period. Resources that detail how this may be done on a practical level are also shared, corresponding to each of the eight domains. We acknowledge that tools like 8Quity may be helpful, even necessary, but are insufficient for the broader societal change required to ensure equity in the research enterprise. However, by firmly setting intentions and accountabilities within our research practices, we can (as researchers) play a role, however modest, in turning the tide of the injustices that leave some communities behind.

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“…In addition, it is critical to ensure the collection of gender-differentiated and equity data within global health research processes, programmatic implementation, and partnerships such as grantee selection, team and partnership structure (i.e., division of labour and decisionmaking) [52]. There has been a proliferation of proposed gender equality tools [64], equity principles and tools for partnerships [65,66] and empowerment-related indicators [67,68], including the Canadian-developed GENDER Index [69], but data collection methods and conceptual shortfalls have substantially limited their use. Collecting and reporting of data on equal partnerships is one way to monitor SDG progress [70], and these data should be publicly reported for accountability purposes and ongoing learning.…”

Section: Collect and Report On Gendered Data In Canadian Global Healt...mentioning

confidence: 99%

Prioritizing gender equity and intersectionality in Canadian global health institutions and partnerships

Carducci

Keats

Amri

et al. 2022

PLOS Glob Public Health

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Despite governmental efforts to close the gender gap and global calls including Sustainable Development Goal 5 to promote gender equality, the sobering reality is that gender inequities continue to persist in Canadian global health institutions. Moreover, from health to the economy, security to social protection, COVID-19 has exposed and heightened pre-existing inequities, with women, especially marginalized women, being disproportionately impacted. Women, particularly women who face bias along multiple identity dimensions, continue to be at risk of being excluded or delegitimized as participants in the global health workforce and continue to face barriers in career advancement to leadership, management and governance positions in Canada. These inequities have downstream effects on the policies and programmes, including global health efforts intended to support equitable partnerships with colleagues in low- and middle- income countries. We review current institutional gender inequities in Canadian global health research, policy and practice and by extension, our global partnerships. Informed by this review, we offer four priority actions for institutional leaders and managers to gender-transform Canadian global health institutions to accompany both the immediate response and longer-term recovery efforts of COVID-19. In particular, we call for the need for tracking indicators of gender parity within and across our institutions and in global health research (e.g., representation and participation, pay, promotions, training opportunities, unpaid care work), accountability and progressive action.

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The Equity Tool for Valuing Global Health Partnerships

Cited by 15 publications

References 45 publications

Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening

Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening

How to do (or not to do)…how to embed equity in the conduct of health research: lessons from piloting the 8Quity tool

Prioritizing gender equity and intersectionality in Canadian global health institutions and partnerships

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