What is Global Health Equity? A Proposed Definition

August, Ella; Tadesse, Lia; OʼNeill, Marie S.; Eisenberg, Joseph N.S.; Wong, Rex; Kolars, Joseph C.; Bekele, Abebe

doi:10.5334/aogh.3754

Cited by 19 publications

(15 citation statements)

References 20 publications

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“…As demonstrated, it is crucial that all partners are brought to the table from the beginning for meaningful and equitable partnership [ 39 ]. Global health equity has been recently defined as “mutually beneficial and power-balanced partnerships and processes leading to equitable human and environmental health products on a global scale” [ 40 ]. Power structures, and potential barriers to true partnerships need to be recognised and addressed [ 12 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

With equity in mind: Evaluating an interactive hybrid global surgery course for cross-site interdisciplinary learners

Alayande

Hughes

Fitzgerald

et al. 2023

PLOS Glob Public Health

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There is limited understanding of the role of transcultural, cross-site educational partnerships for global surgery training between high- and low- or middle-income country (LMIC) institutions. We describe the development, delivery, and appraisal of a hybrid, synchronous, semester-long Global Surgical Care course by global health collaborators from widely different contexts, and evaluate the equity of the collaboration. The course was collaboratively modified by surgical educators and public health professionals with emphasis on collaboration ethics. Faculty from high-income and LMICs were paired to deliver lectures. To collaborate internationally, students and faculty participated either onsite or online. Perceptions and knowledge gained were quantitatively evaluated through participant and faculty cross-sectional surveys, using Likert scales, prioritization rankings, and free text responses analysed qualitatively. Equity was assessed using the Fair Trade Learning rubric and additional probes. Thirty-five learners from six institutions participated. Teams produced mock National, Surgical, Obstetric, and Anaesthesia Plans (NSOAPs) for selected LMICs, and reported a 9% to 65% increase in self-reported global health competencies following the course. Online learners had favourable perceptions of learning, but experienced connectivity challenges. Barriers to effective group work included time differences and logistics of communication for dispersed team members. Individuals taking the course for academic credit scored significantly higher than other learners in peer assessments of participation (8.56±1.53 versus 5.03±3.14; p<0.001). Using the Fair Trade Rubric, 60% of equity indicators were ideal, and no respondents perceived neo-colonialism in the partnership. Blended, synchronous, interdisciplinary global surgery courses based on “North-South” partnerships with a focus on equity in design and delivery are feasible but require careful and deliberate planning to minimize epistemic injustice. Such programs should address surgical systems strengthening, and not create dependency. Equity in such engagements should be evaluated and monitored in an ongoing fashion to stimulate discussion and continuous improvement.

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Section: Discussionmentioning

confidence: 99%

With equity in mind: Evaluating an interactive hybrid global surgery course for cross-site interdisciplinary learners

Alayande

Hughes

Fitzgerald

et al. 2023

PLOS Glob Public Health

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“…We reviewed the Global Compact on Safe and Orderly Migration, 8 the WHO Code, 4 and conducted a non-systematic literature search in Google Scholar using the key words 'health equity' and 'governance'. [9][10][11][12][13][14][15][16] We synthesised information from sections that described strategies and interactions for promoting health equity within and between countries. Since the migration of SHWs is linked to health systems, we used the findings from our literature review to adapt an existing definition of health system governance.…”

Section: Defining Shw Migration Governancementioning

confidence: 99%

“…On their own, they were willing to support health system strengthening in their countries of origin. (3,7,9) T A B L E 5 (Continued)…”

Section: Governance Domain Quantitative Findingsmentioning

confidence: 99%

“…We reviewed the Global Compact on Safe and Orderly Migration, 8 the WHO Code, 4 and conducted a non‐systematic literature search in Google Scholar using the key words ‘health equity’ and ‘governance’ 9–16 . We synthesised information from sections that described strategies and interactions for promoting health equity within and between countries.…”

Section: Theoretical Framing For This Studymentioning

confidence: 99%

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Promoting equitable health workforce distribution through improved migration governance: A mixed methods study of African health professionals' perceptions in Australia

Yakubu,

Campain,

Abimbola

et al. 2023

Health Planning & Management

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BackgroundThis study examined skilled health worker (SHW) migration governance in African countries and Australia, with an emphasis on areas of influence for achieving an equitable global health workforce distribution.MethodsWe used a mixed‐methods research design with African SHW migrants in Australia. An institutional and rights‐based framing of governance guided thematic analysis of the interviews, which was mapped to survey findings from a Bayesian Exploratory Factor Analysis.ResultsThe findings imply that Australian state actors enforce laws that attract SHW migrants and promote safe clinical practice, but do not adequately address their integration concerns or role in health system strengthening. Non‐state actors in Australia make donations to African health institutions but rarely promote health workforce equity. African state actors respond to increased SHW migration trends by increasing health worker training and limiting migration, but they lack a comprehensive governance framework for involving citizens and engaging foreign governments. There is limited evidence of a shared community definition of SHW migration governance in many African countries.ConclusionWhen stakeholders in both sending and receiving countries recognise the indivisibility of the rights at stake (for example, SHW rights as migrants and the right to health), support for an equity‐focused SHW migration governance system may increase. Promoting these rights can result in policies that enhance health system strengthening in destination and source countries. Similarly, growing adoption of these rights in sending countries should help inspire a coordinated plan for strengthening health system and SHW migration governance.

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“…Global health equity refers to partnerships and processes that lead to equitable human and environmental outcomes (August et al., 2022). Maldistribution of the healthcare workforce in terms of geography, infrastructure, and resources contributes to inadequate access to care, which in turn compounds health inequities (Edmonson et al., 2017).…”

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confidence: 99%

A glimmer of hope: My reflections on global health efforts in Haiti

Charles

2022

Public Health Nursing

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Many factors impact access to care and global health equity, which can be transformed by nursing. When healthcare infrastructure is suboptimal, nursing's role expands exponentially. In this reflection, I share my experiences accessing healthcare as a child in a low-resource community and highlight nursing activities to improve global health equity. Nurses can facilitate change by becoming active in communities, humanitarian organizations, policymaking, and advocacy.

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What is Global Health Equity? A Proposed Definition

Cited by 19 publications

References 20 publications

With equity in mind: Evaluating an interactive hybrid global surgery course for cross-site interdisciplinary learners

With equity in mind: Evaluating an interactive hybrid global surgery course for cross-site interdisciplinary learners

Promoting equitable health workforce distribution through improved migration governance: A mixed methods study of African health professionals' perceptions in Australia

A glimmer of hope: My reflections on global health efforts in Haiti

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