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Kiendrébéogo, Joël Arthur, Sory, Orokia, Kaboré, Issa, Kafando, Yamba, Steege, Rosie, George, Asha S. and Kumar, Meghan Bruce (2024) 'How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries'. Global health action, Vol 17, Issue 1.
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How does community health feature in Global Financing Facility planning documents to support reproductive maternal newborn child and adolescent hea.pdf - Published Version Available under License Creative Commons Attribution. Download (910kB) | Preview |
Abstract
Background
Community health is key for improving Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition (RMNCAH-N). However, how community health supports integrated RMNCAH-N service delivery in francophone West Africa is under-researched.
Objective
We examined how six francophone West African countries (Burkina Faso, Côte d’Ivoire, Guinea, Mali, Niger, and Senegal) support community health through the Global Financing Facility for Women, Children and Adolescents (GFF).
Methods
We conducted a content analysis on Investment Cases and Project Appraisal Documents from selected countries, and set out the scope of the analysis and the key search terms. We applied an iterative hybrid inductive-deductive approach to identify themes for data coding and extraction. The extracted data were compared within and across countries and further grouped into meaningful categories.
Results
In country documents, there is a commitment to community health, with significant attention paid to various cadres of community health workers (CHWs) who undertake a range of preventive, promotive and curative roles across RMNCAH-N spectrum. While CHWs renumeration is mentioned, it varies considerably. Most community health indicators focus on CHWs’ deliverables, with few related to governance and civil registration. Challenges in implementing community health include poor leadership and governance and resource shortages resulting in low CHWs performance and service utilization. While some countries invest significantly in training CHWs, structural reforms and broader community engagement are lacking.
Conclusions
There is an opportunity to better prioritize and streamline community health interventions, including integrating them into health system planning and budgeting, to fully harness their potential to improve RMNCAH-N.
| Item Type: | Article |
|---|---|
| Subjects: | WA Public Health > Health Administration and Organization > WA 546 Local Health Administration. Community Health Services WY Nursing > WY 106 Community health nursing WY Nursing > WY 157.3 Maternal-child nursing. Neonatal nursing. Perinatal nursing |
| Faculty: Department: | Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1080/16549716.2024.2407680 |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 29 Oct 2024 15:48 |
| Last Modified: | 29 Oct 2024 15:48 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/25456 |
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