Centre for Global Health, Trinity College Dublin, Dublin 2, Ireland.
Stellenbosch University, Stellenbosch, South Africa.
Int J Health Policy Manag. 2015 Nov 16;5(3):193-6. doi: 10.15171/ijhpm.2015.200.
The application of EquiFrame in the analysis of sexual and reproductive health policies by Ivanova et al to a new thematic area, their selection of only some of the Core Concepts of human rights in health service provision and the addition of new vulnerable groups relevant to the purpose of their analysis, are all very welcome developments. We also applaud their application of EquiFrame to policies in countries where it has not previously been used, along with their use of interviews with policy-makers to produce a deeper understanding of policy processes. We argue that clear justification for the inclusion of additional, or replacement of some exiting vulnerable groups within EquiFrame should be accompanied by clear definitions of such groups, along with the evidence-base that justifies their classification as a vulnerable or marginalised group. To illustrate the versatility of EquiFrame, we summarise a range of ways in which it has been used across a number of regions; including a brief Case Study of its use to develop the National Health Policy of Malawi. While EquiFrame focuses on policy content, we preview a new policy analysis tool - Equity and Inclusion in Policy Processes (EquIPP) - which assesses the extent of equity and inclusion in broader policy processes. Together, EquiFrame and EquIPP can be used to help governments and civil society ensure that policies are addressing the much stronger emphasis on social inclusion, now apparent in the Sustainable Development Goals (SDGs).
伊万诺娃等人将 EquiFrame 应用于性健康和生殖健康政策分析的新专题领域,他们选择了卫生服务提供方面的核心人权概念中的一些概念,并新增了与分析目的相关的新弱势群体,这些都是非常受欢迎的发展。我们还赞赏他们将 EquiFrame 应用于之前未曾使用过的国家的政策,以及他们利用与政策制定者的访谈来深入了解政策过程。我们认为,在将额外的弱势群体纳入或取代 EquiFrame 中现有的弱势群体时,应明确说明理由,并对这些群体进行明确界定,并提供将其归类为弱势群体或边缘群体的依据。为了说明 EquiFrame 的多功能性,我们总结了它在多个地区的一系列应用方式;包括简要介绍了将其用于制定马拉维国家卫生政策的案例研究。虽然 EquiFrame 侧重于政策内容,但我们预览了一个新的政策分析工具——政策过程中的公平性和包容性 (EquIPP),它评估了更广泛政策过程中的公平性和包容性程度。EquiFrame 和 EquIPP 可一起用于帮助政府和民间社会确保政策解决了现在可持续发展目标 (SDGs) 中明显强调的社会包容问题。