What happened and why? Case studies to determine the extent of equity-lens driven decision-making in response to COVID-19 in Canada and Sierra Leone

Summary

The study’s purpose stems from a critical need to address a pressing issue in public health. The current prevalence of homogeneous and uniform public health policies (PHPs) at the population level inadvertently exacerbates underlying inequalities, resulting in inequitable outcomes across various contexts. Recognizing the significance of this problem, it becomes imperative to explore an alternative approach.

Prioritized PHPs, firmly rooted in epidemiological principles and the core tenets of health equity, have shown promise in effectively mitigating disparities in underlying exposure and transmission risks. The potential benefits of implementing such equity-centered PHPs are substantial. Therefore, this study is undertaken with the aim of comprehensively understanding the obstacles and enabling factors hindering the adoption of health equity-focused PHPs.

By shedding light on these barriers and facilitators, the research seeks to empower decision makers, offering them the knowledge and insights required to institute equitable health policies. The ultimate goal is to protect those who are most vulnerable and at risk during a health emergency. Addressing these issues is not only a matter of immediate urgency but also contributes to the long-term resilience of healthcare systems, making this study an essential step toward creating a fairer and more robust public health infrastructure.

Funded By

  • New Frontiers in Research Fund
  • CIHR Pandemic Preparedness Bridge Funding

Principal Investigator

  • Christine Fahim

Co-Investigators

  • Sharmistha Mishra
  • Sulaiman Lakoh
  • Stephen Sevalie
  • Sharon E. Straus

Collaborators

  • Stefan Baral
  • Adrienne Chan
  • Luisa Enria
  • Antoinette Handley
  • Boie Jalloh
  • Joseph Marah
  • Bailah Molleh
  • Beate Sander
  • Dayo Spencer-Walters
  • Daniel Youkee

KTP Project Staff

  • Jamie Boyd
  • Lames Danok
  • Claire Gapare
  • Sierra Sweet