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ORIGINAL ARTICLES
Open Access

The Equity Tool for Valuing Global Health Partnerships

Charles P. Larson, Katrina M. Plamondon, Leslie Dubent, Frank Bicaba, Abel Bicaba, Tran Hung Minh, An Nguyen, Jacques E. Girard, Jean Ramdé and Theresa W. Gyorkos
Global Health: Science and Practice April 2022, 10(2):e2100316; https://doi.org/10.9745/GHSP-D-21-00316
Charles P. Larson
aCanadian Association for Global Health (formerly Canadian Coalition for Global Health Research), Ottawa, Canada.
bDepartment of Epidemiology, Biostatistics and Occupational Health, School of Population and Global Health, Faculty of Medicine and Health Sciences, McGill University, Montréal, Canada.
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  • For correspondence: charles.larson@mcgill.ca
Katrina M. Plamondon
aCanadian Association for Global Health (formerly Canadian Coalition for Global Health Research), Ottawa, Canada.
cSchool of Nursing, Faculty of Health and Social Development, University of British Columbia, Okanagan, Canada.
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Leslie Dubent
aCanadian Association for Global Health (formerly Canadian Coalition for Global Health Research), Ottawa, Canada.
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Frank Bicaba
dSociété d'Études et de Recherche en Santé Publique, Ouagadougou, Burkina Faso.
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Abel Bicaba
dSociété d'Études et de Recherche en Santé Publique, Ouagadougou, Burkina Faso.
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Tran Hung Minh
eCenter for Creative Initiatives in Health and Population, Hanoi, Vietnam.
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An Nguyen
fHealthBridge Vietnam, Hanoi, Vietnam.
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Jacques E. Girard
aCanadian Association for Global Health (formerly Canadian Coalition for Global Health Research), Ottawa, Canada.
gDirection en Santé Mondiale, Faculté de Médecine, Université Laval, Québec, Canada.
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Jean Ramdé
aCanadian Association for Global Health (formerly Canadian Coalition for Global Health Research), Ottawa, Canada.
fHealthBridge Vietnam, Hanoi, Vietnam.
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Theresa W. Gyorkos
bDepartment of Epidemiology, Biostatistics and Occupational Health, School of Population and Global Health, Faculty of Medicine and Health Sciences, McGill University, Montréal, Canada.
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Key Findings

  • There is a need to more comprehensively advance equity in global health partnerships.

  • The Equity Tool (EQT) offers a practical guide for considering equity in 4 domains of practice: governance and process, procedures and operations, progress and impacts, and power and inclusion.

  • The EQT is equity focused, user friendly, and can support reflective dialogue at any stage of the partnership, by individuals at any level in the partnership.

Key Implications

  • The EQT will spark questions that invite people to pause and think about their experiences within a partnership.

  • By periodically engaging in relational, reflective dialogue about how equity is experienced in a global health partnership using the EQT, partners can embrace ways of recognizing, understanding, and advancing equity in all their processes.

  • The EQT offers prompts for reflective dialogue about how equity or inequity is experienced in many different ways and moments throughout the process of partnering, which require attention to creating safe, learning-focused conversations with clear intentions and respect for the contributions and vulnerability of all involved.

ABSTRACT

Global health partnerships (GHPs) involve complex relationships between individuals and organizations, often joining partners from high-income and low- or middle-income countries around work that is carried out in the latter. Therefore, GHPs are situated in the context of global inequities and their underlying sociopolitical and historical causes, such as colonization. Equity is a core principle that should guide GHPs from start to end. How equity is embedded and nurtured throughout a partnership has remained a constant challenge. We have developed a user-friendly tool for valuing a GHP throughout its lifespan using an equity lens. The development of the EQT was informed by 5 distinct elements: a scoping review of scientific published peer-reviewed literature; an online survey and follow-up telephone interviews; workshops in Canada, Burkina Faso, and Vietnam; a critical interpretive synthesis; and a content validation exercise. Findings suggest GHPs generate experiences of equity or inequity yet provide little guidance on how to identify and respond to these experiences. The EQT can guide people involved in partnering to consider the equity implications of all their actions, from inception, through implementation and completion of a partnership. When used to guide reflective dialogue with a clear intention to advance equity in and through partnering, this tool offers a new approach to valuing global health partnerships. Global health practitioners, among others, can apply the EQT in their partnerships to learning together about how to cultivate equity in their unique contexts within what is becoming an increasingly diverse, vibrant, and responsive global health community.

Footnotes

  • Received: September 27, 2021.
  • Accepted: March 15, 2022.
  • Published: April 28, 2022.
  • © Larson et al.

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-21-00316

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Global Health: Science and Practice: 10 (2)
Global Health: Science and Practice
Vol. 10, No. 2
April 28, 2022
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The Equity Tool for Valuing Global Health Partnerships
Charles P. Larson, Katrina M. Plamondon, Leslie Dubent, Frank Bicaba, Abel Bicaba, Tran Hung Minh, An Nguyen, Jacques E. Girard, Jean Ramdé, Theresa W. Gyorkos
Global Health: Science and Practice Apr 2022, 10 (2) e2100316; DOI: 10.9745/GHSP-D-21-00316

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The Equity Tool for Valuing Global Health Partnerships
Charles P. Larson, Katrina M. Plamondon, Leslie Dubent, Frank Bicaba, Abel Bicaba, Tran Hung Minh, An Nguyen, Jacques E. Girard, Jean Ramdé, Theresa W. Gyorkos
Global Health: Science and Practice Apr 2022, 10 (2) e2100316; DOI: 10.9745/GHSP-D-21-00316
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