Equity and Ethics in Health Policy Development
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1
Division of Public Health Surveillance and Response, National Institute for Communicable Diseases, Johannesburg, South Africa
2
CDC Foundation, Atlanta, Georgia, United States
3
Gender Equity Unit, Johns Hopkins University, Baltimore, Maryland, United States
Popul. Med. 2026;8(Supplement Supplement 1):A3183
ABSTRACT
BACKGROUND:
The Data to Policy (D2P) program of Bloomberg Philanthropies’ Data for Health Initiative aims to bridge the data-policy gap through team-based training and mentoring of health professionals across the globe. D2P participants develop data-driven policy briefs and recommendations based on cost-effective analysis, for priority public health conditions. An internal review of the South Africa (SA) D2P program identified gaps in formal ethics accreditation and the application of an equity lens—skills essential for designing policies under the country’s National Health Insurance. We aimed to develop, pilot and assess an expanded equity and ethics module for the D2P-SA curriculum that addresses this gap, enabling participants to earn ethics continuing professional development points and creating a scalable model for other D2P sites.
METHODS:
A four-part equity module was developed for rollout in 2026, using interactive workshops and case-based learning. The module will help policy makers understand how ethics, equity and gender should be built into policy design and implementation. It focuses on practical approaches to reducing health inequalities and strengthening public trust in health policies. Assessment of the module will include feedback surveys and tracking application of equity principles in participants’ policy briefs.
RESULTS:
The equity and ethics module includes: 1) an overview of SA’s research ethics landscape, 2) the importance of equity and ethics in analytical methods, 3) data analysis and gender responsive budgeting and 4) the interplay of gender, culture and ethics in policy and programs. Implementation and assessment are ongoing.
CONCLUSIONS:
The D2P equity and ethics module introduces the ethical foundations of policy development. It demonstrates how applying an equity and gender lens supports the design of inclusive and responsive health policies. The validated module will offer a replicable framework for adaptation across the global D2P network, equipping policymakers worldwide to design more inclusive and equitable health policies.