Equity Gauge Zambia : Enhancing Governance, Equity and Health

Like most African countries, Zambia has undertaken a series of reforms to improve the quality and equity of its health services through greater involvement of community organizations, health workers and other actors in the health system. Equity Gauge Zambia (EGZ) is an applied research and capacity-building program that seeks to inform and guide this process. Specifically, EGZ aims improve health system leadership and accountability, enhance community capacity to participate meaningfully in the health system, and increase equity in health and health care. EGZ became functional in 2001 and operates in four districts of Zambia.

This grant will support work in two of those districts for three years, with follow-up of the results in year four. External funding will support work in the other two districts. The project will involve training national and district cadres to carry out baseline research using the equity gauge approach; identifying strategies for and indicators of equitable community participation; refining a model of community participation based on principles of equity, accountability and partnership; and promoting the results to research users (policymakers, government officials). Throughout the program, national health care budget monitoring will ensure that health care financing is in keeping with current policies in support of equity and district-level mechanisms for community engagement.

Project ID


Project status


Start Date

Monday, June 19, 2006

End Date

Friday, May 1, 2009


36 months

IDRC Officer

Mhatre, Sharmila

Total funding

CA$ 340,700


Zambia, North of Sahara, South of Sahara


Maternal and Child Health

Project Leader

Thabale Jack Ngulube


Centre for Health Science and Social Research (CHESSORE) - Lusaka District

Institution Country