Are health partnerships leaving no one behind?

1. Are Health Partnerships
leaving no one behind?
FINDINGS FROM A SOCIAL INCLUSION STUDY

2. Who are considered ‘disadvantaged’?
Disadvantaged
and
marginalised
groups
Poorest of
the poor
Living with
a disability
Women
and girls
Ethnic and
Religious
groups
Sexual
Identity
(LGBTI)

3. Review of inclusion of disadvantaged
groups in the HPS project cycle
Design
Implementation
Monitoring &
Evaluation
Future
partnerships

4. Methods
A mixed
methods
approach
Secondary data
Online survey
(n=41)
Key informant
interviews
(n=17)

5. Results

6. Design: strategic vision but disadvantaged
populations not an explicit priority in grant streams

7. Design: …but health partnerships are already designing
projects to reach some disadvantaged groups
“
“Trying to make sure that people
didn’t have to travel miles to get an x-
ray…that was the ultimate aim of the
process…making it more local”
(UK volunteer)
“The poor are always with us. Most
people who get burned are from
disadvantaged groups. Burns is one of
the neglected diseases”
(Overseas coordinator)

8. Implementation: current health partnerships
targeting (some) disadvantaged groups

9. Implementation: multiple barriers impeding access
to health services provided by health partnerships
“You can get 10 people lined up for x-
ray or ultrasound…just because of
finances, only two will agree to do it.
Some go, and come back at a different
time. Some will never come back….”
(Assistant Practitioner, Overseas)
“Due to socio-cultural practices, it
limits most of our women from
accessing the healthcare…in some
communities, every decision in the
house has to be made by the
husband. If the woman is sick, their
husband has to give the go ahead”
(Nurse, Overseas)

10. Monitoring and evaluation: some service user data
collected but no standardised metrics

11. Future: Opportunities and challenges for including
disadvantaged groups in health partnerships
CHALLENGES OPPORTUNITIES

12. Recommendations: how future health partnerships
can improve access for disadvantaged populations
Design:
 Prioritisation of disadvantaged populations in future grant streams and project cycle
 Identify best practice and learn from any successful models in current health partnerships
Implementation:
 Targeted strategies to reach disadvantaged populations
 Make services accessible to disadvantaged populations
Monitoring & Evaluation:
 Define a basket of indicators to measure profile of service users
 Track type of health facilities, facility location, workforce composition
consider engaging with partners

13. Thank you
EVA BURKE
eva.burke.consulting@gmail.com