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
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 francopho...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2407680 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832096677087936512 |
|---|---|
| author | Joël Arthur Kiendrébéogo Orokia Sory Issa Kaboré Yamba Kafando Rosie Steege Asha S. George Meghan Bruce Kumar |
| author_facet | Joël Arthur Kiendrébéogo Orokia Sory Issa Kaboré Yamba Kafando Rosie Steege Asha S. George Meghan Bruce Kumar |
| author_sort | Joël Arthur Kiendrébéogo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7a55750c8c2f4852a6b9baf346ad3daf |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-7a55750c8c2f4852a6b9baf346ad3daf2025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24076802407680How 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 countriesJoël Arthur Kiendrébéogo0Orokia Sory1Issa Kaboré2Yamba Kafando3Rosie Steege4Asha S. George5Meghan Bruce Kumar6University Joseph Ki-ZerboRecherche pour la santé et le développement (RESADE)Recherche pour la santé et le développement (RESADE)Recherche pour la santé et le développement (RESADE)Liverpool School of Tropical MedicineUniversity of the Western CapeNorthumbria UniversityBackground 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.http://dx.doi.org/10.1080/16549716.2024.2407680global financing facility for women, children and adolescents: examining national priorities, processes and investment |
| spellingShingle | Joël Arthur Kiendrébéogo Orokia Sory Issa Kaboré Yamba Kafando Rosie Steege Asha S. George Meghan Bruce Kumar 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 global financing facility for women, children and adolescents: examining national priorities, processes and investment |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | global financing facility for women, children and adolescents: examining national priorities, processes and investment |
| url | http://dx.doi.org/10.1080/16549716.2024.2407680 |
| work_keys_str_mv | AT joelarthurkiendrebeogo howdoescommunityhealthfeatureinglobalfinancingfacilityplanningdocumentstosupportreproductivematernalnewbornchildandadolescenthealthandnutritionrmnahninsightsfromsixfrancophonewestafricancountries AT orokiasory howdoescommunityhealthfeatureinglobalfinancingfacilityplanningdocumentstosupportreproductivematernalnewbornchildandadolescenthealthandnutritionrmnahninsightsfromsixfrancophonewestafricancountries AT issakabore howdoescommunityhealthfeatureinglobalfinancingfacilityplanningdocumentstosupportreproductivematernalnewbornchildandadolescenthealthandnutritionrmnahninsightsfromsixfrancophonewestafricancountries AT yambakafando howdoescommunityhealthfeatureinglobalfinancingfacilityplanningdocumentstosupportreproductivematernalnewbornchildandadolescenthealthandnutritionrmnahninsightsfromsixfrancophonewestafricancountries AT rosiesteege howdoescommunityhealthfeatureinglobalfinancingfacilityplanningdocumentstosupportreproductivematernalnewbornchildandadolescenthealthandnutritionrmnahninsightsfromsixfrancophonewestafricancountries AT ashasgeorge howdoescommunityhealthfeatureinglobalfinancingfacilityplanningdocumentstosupportreproductivematernalnewbornchildandadolescenthealthandnutritionrmnahninsightsfromsixfrancophonewestafricancountries AT meghanbrucekumar howdoescommunityhealthfeatureinglobalfinancingfacilityplanningdocumentstosupportreproductivematernalnewbornchildandadolescenthealthandnutritionrmnahninsightsfromsixfrancophonewestafricancountries |