Interventions are groupings of health interventions according to the type of service, target population and disease or condition they address. There are 9 intervention packages associated with EQUIST: neonatal & infant care, immunization plus, environmental safety, antenatal care, IMNCI, delivery by a skilled professional, water/sanitation/hygiene (WASH), EMONC, and family planning.
Excess deaths are deaths occurring in disadvantaged populations that are due to the lower effective coverage of interventions compared to the least disadvantaged population in the country. In other words, the number of lives that could be saved by bringing the levels of intervention coverage in the disadvantaged populations to the same levels as the least …
We defined the “most disadvantaged” in each country to be anyone that is below a given threshold. Figure 2: Country Typology based on inequality of DALYs between quintiles, and severity of inequity between most and least disadvantaged groups. Based on an analysis of 54 countries from different regions, the graphs above show the distribution of …
Amenable or avertable deaths are deaths in disadvantaged populations due to the fact that these populations have lower coverage of high impact interventions than the least disadvantaged populations in the same country.
The bottleneck severity is the relative importance of any given bottleneck as a constraining factor of effective coverage. In EQUIST, the severity of a bottleneck is measured as the relative (%) drop between two consecutive coverage determinants.
The bottleneck analysis is a systematic approach to assess which bottlenecks are constraining the coverage of health interventions, and to identify their causes and select operational strategies to address these bottlenecks. Often this analysis is aided by comparing the coverage determinants for health interventions.
You will see the term “Drivers of inequality” throughout EQUIST. This refers to one of three factors that contributes the most to inequalities in a select target population. The main driver is the criteria we use to operationalize our strategy: Province/District: regions within a country. For example, there could be substantial geographic differences in mortality or other …
The last step in the bottleneck, causes & strategies analysis is to estimate the LiSt impact. In this exercise, EQUIST takes the change in effective coverage of each intervention resulting from the scenario you have built, and runs it through LiST to estimate the lives that could have been averted. The results from this analysis …
To assess a realistic pace at which bottlenecks for the deprived populations could be reduced an analysis of 54 countries was carried out. For each country and each coverage determinant, we calculated the bottleneck severity in 2 periods of time based on data availability – the period corresponding to the most recent household survey and …
In this section you will identify the priority bottlenecks to implementing the intervention(s) you have selected in the intervention step above (EQUIST will automatically bring the interventions you selected from the above analysis into the bottleneck analysis step). In the bottleneck analysis, EQUIST will automatically calculate the severity of bottlenecks based on the indicators used to …
