4286.0: Tuesday, October 23, 2001: 4:30 PM-6:00 PM

Oral Session

Equity Gauges: Active Monitoring of Health Inequities at the Country Level

The growing interest in identifying ‘gaps’ or ‘inequities’ in health status between population groups must complemented by concrete action to monitor and redress inequities in health. The ‘Equity Gauge,’ based upon an initiative in South Africa is an example of an active approach to monitoring equity in health and health care through partnerships of key stakeholders. An Equity Gauge relies upon three structural pillars for success in drawing attention to and reducing inequities: measurement, advocacy/action and community participation. This session will trace the development of the Global Equity Gauge Alliance—an emerging network of equity gauges in 11 countries each adapting the basic structural pillars of the equity gauge concept to local context (Bangladesh, Chile, China, Cuba, Ecuador, Kenya, South Africa, Thailand, Uganda, Zambia, Zimbabwe). These new Equity Gauges address monitoring in a number of innovative ways—several are urban gauges, concentrating on widening inequities in growing cities, others focus on resource allocation formulas and ways to make them more transparent and some put a particularly high premium on community voice in identifying the key health indicators for monitoring health disparities. The session will present the progress made and challenges faced by this emerging network committed to ongoing monitoring of health gaps. The session will be based upon the following fundamental issues: Why monitor health inequities? How can this be done in low resource countries? What are the central challenges faced in developing and Equity Gauge? How are some of the new ‘Equity Gauges’ addressing these challenges?
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: 1. Identify the rationale for active health equity monitoring. 2. Summarize the challenges faced in developing an Equity Gauge 3. Articulate the progress made thus far in developing Equity Gauges in several countries around the world.
Organizer(s):Timothy G. Evans, MD, PhD
4:30 PMAn urban equity gauge: Nairobi
Pierre Ngom
4:42 PMOverview of the Equity Gauges
Timothy G. Evans, MD, PhD, Siriwan Graisurapong
4:54 PMThe Thai equity gauge
Siriwan Graisurapong
5:06 PMThe Three Pillars Of An Equity Gauge
David McCoy, BM, DA, MPhi
Sponsor:International Health
Cosponsors:Social Work; Socialist Caucus; Women's Caucus
CE Credits:CME, Health Education (CHES), Nursing, Pharmacy, Social Work

The 129th Annual Meeting of APHA