Equity in STDs
Goals & Purpose
Incorporate the objective of reducing health inequity gaps into Health Technology Assessment activities.
- Measure the importance of the nodes of the Network claim to attribute to the evaluation of equity. Evaluate the degree of incorporation of the equity dimension in the reports made on the modes of income of the Network.
- Analyze which instruments the Network nodes use to assess the impact on equity in health technology assessment.
- Raise awareness of the importance of the equity dimension in the assessment of health technologies among decision-makers, health teams, and the media.
- Communication, patient citizens and NGOs Train different actors on equity in health technology assessment.
- Agree on the incorporation of the evaluation of the equity dimension in all health technology assessment reports carried out by the nodes of the network.
- Propose the use of a single instrument agreed upon by all sides of the Network to be used in health technology assessment reports.
- Share experiences in evaluations of the equity division in the evaluation of health detention of other networks and actors external to RedEtsa.
Members of the group
- Santiago Hasdeu – Argentine Public Network for Health Technology Assessment-RedArets (Argentina)
- Jorgelina Alvarez – Argentine Public Network for Health Technology Assessment-RedArets (Argentina)
- Laura Lamfre – Argentine Public Network for Health Technology Assessment-RedArets (Argentina)
- Nora Reyes – National Institute of Health-INS, (Peru)
- Anabel Beliera – Argentine Public Network for Health Technology Assessment-RedArets (Argentina)
- Andrea Alcaraz – Institute of Clinical and Health Effectiveness-IECS (Argentina)
- Fernando Javier Argento – Institute of Clinical and Health Effectiveness-IECS (Argentina)
Results - Job made by the group
Since its creation, the HTA Equity interest group has developed research, awareness-raising, training and coordination activities with other relevant actors on the topic of equity and equity in health technologies.
Awareness and training: Webinars and workshops have been held on the topic. At the next in-person meeting in the Dominican Republic in November 2024, members of the equity group together with Dr. Janet Hatcher Roberts from the University of Ottawa WHO Collaborating Centre for Knowledge Translation will conduct a practical workshop on equity in HTA.
Investigation: A survey on equity in HTA was conducted and sent in English and Spanish to all RedETSA members. It was answered by 39 individuals working in 34 institutions in 14 member countries of RedETSA, commenting on the importance they attach to the topic, their perceived need for training, the degree and type of approach they have to the domain of equity in their HTA reports, and they were able to offer examples of their reports. An article on the results of this survey is in the editing stage for publication, as well as a scoping review on the approach to equity in the field of HTA.
Joint: Members of the equity group participate in other equity-related networks, such as participation in the TIPSESA Network (Intersectoral Work and Social Participation Network for Equity coordinated by PAHO), and participation in HTAi interest groups related to equity in STDs, Public Health and Prevention and Health Promotion and STDs, all of which address the issue of equity in STDs. In addition to activities on behalf of the RedETSA Equity group, its members conduct research, training and awareness-raising on the subject from the institutions to which they belong.
Links of interest
The following methodologies developed in the Americas region were identified:
Sen, A., Anand, S., & Peter, F. (2004).
Why health equity?
Göran Dahlgren, Margaret Whitehead
The Dahlgren-Whitehead model of health determinants: 30 years on and still chasing rainbows, Public Health, Volume 199, 2021, Pages 20-24, ISSN 0033-3506,
Reducing health inequalities through general practice. The Lancet Public Health, Volume 8, Issue 6, 2023, Pages e463-e472, ISSN 2468-2667.
Whitehead, MARGARET, Dahlgren, G. Ö. RAN, & Wilson, L. (2002).
Building a policy response to health inequity: a global perspective. Challenging Health Inequity, 335-51.
Health technology assessment, cost analysis and impact on equity. Argentine Journal of Public Health, 11(42), 40–47
Evidence from the National Survey of Risk Factors. Research Notebooks. Economics Series, (8), 68-68.
Pan American Journal of Public Health, 8(5), 359-362.
Starfield, B. (2011). The hidden inequity in health care.
International journal for equity in health, 10, 1-3.
Atuesta, B., Mancero, X., & Tromben, V. (2018).
Tools for the analysis of inequalities and the redistributive effect of public policies.
Green, D. (2008). Equality, inequality and equity: where do these fit in the poverty agenda.
London: Oxfam International.
Rev Panam Public Health. 2023 Apr 25;47:e42.
A rapid review and checklist of promising practices. Government of Canada.
Inequalities in life expectancy in six large Latin American cities from the SALURBAL study: an ecological analysis. The lancet planetary health, 3(12), e503-e510.
Becerra, Lucas, and Guillermos Santos. 2015. “Health policies, drug market and public production.”
Socio-technical trajectory of the Buenos Aires Sheltered Workshops.» in Technological policies and political technologies. Dynamics of inclusion, development and innovation in Latin America, edited by H. Thomas, MB Albornoz, and F. Picabea. Bernal: FLACSO and UNQ.
Social technology: a strategy for development. Rio Janeiro: Fund. Banco do Brasil 65-81.