Skip to main content

Table 2 Equity issues in the implementation research proposals

From: Conceptual framework of equity-focused implementation research for health programs (EquIR)

Country

 

IR theme

Equity consideration

Disadvantaged Population

Argentina

Before

“Health policies implementation unit for the imprisoned population in Buenos Aires.”

To evaluate the possibility to implement focused strategies for disadvantaged populations inside the prisons.

Authors identified transgender individuals as more disadvantaged population inside prisons and developed a focused strategy for them. However, it was not explicit in the initial proposal

After

“Barriers and facilitators of a tuberculosis prevention and control implementation program in imprisoned population, in Buenos Aires”

Bolivia

Before

To identify barriers to “Nutritional Chispitas” in children 6 to 23 months old attending a primary healthcare center in the Andean Health Network

Children that do not attend these programs present greater social disadvantages

Children 6 to 23 months old of the Andean Health Network including those who go and who do not go to the primary healthcare centers and receive care under “Mi Salud” Program

After

To identify barriers and facilitators to “Nutritional Chispitas” in children 6 to 23 months old attending primary healthcare centers, and by Mi Salud Program

Brazil

Before

Psychosocial Attention Network Qualification Program (RAPS)

There is no mention of a socio-economic disadvantaged population with higher risks of mental illness

It was not included in the final version of the proposal. It was suggested to consider a population with mental illness, specifically those with a higher grade of social disadvantage. It was suggested to include them in the analysis.

After

Implementation research of strategies to strengthen leadership to guarantee the rights in the CAPS of São Bernardo do Campo / SP.

Chile

Before

Policy on interchangeability of medications in Chile

It was suggested to the authors to evaluate the impact on out-of-pocket payments related to medicines

The authors focused the project on the private market. However, it won’t be possible to know the impact on different income quintiles of the population, because this information is not available in the database.

After

Medication interchangeability policy implementation of medicaments in Chile

Colombia

Before

“Por ti Mujer” Program for early detection and treatment of women with cervical anomalies.

The program could implement strategies of vertical equity to improve the adherence of the more disadvantaged population.

A disadvantaged population is not identified in the final version. However, it was suggested to the authors to analyze the population from the perspective of ethnicity and a socio-economic variable.

After

“Por ti Mujer” Program

Perú

Before

Inter-programmatic articulation of tuberculosis and mental health for the National Tuberculosis Prevention and Control health strategy

Adherence to TB treatments of patients with mental disorders is a problem. However, it was suggested to consider also TB patients with mental disorders that are not near healthcare centers, and can be further disadvantaged.

The initial proposal and researchers were changed. Callao is a Peruvian region with a high social disadvantage in many aspects -economic, access to healthcare, standard of living, population density, sanitation, etc. A multi-sectoral approach was suggested considering these social determinants of health.

After

Implementation factors and treatment adherence of the Tuberculosis Prevention and Control National health strategy at Callao - Perú

Dominican Republic

Before

Family planning program

The perspective of gender equity is included from the beginning. It was suggested to consider male adolescents that do not have access to the family planning program, given that they are usually in a more disadvantaged condition than those who really do.

The socio-economic perspective is not identified in this new version. However, it was suggested to include it in the analysis.

After

Gender and contraception in the Dominican Republic: a look at men

  1. Source: Authors