Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019
Background The Global Financing Facility (GFF) was launched in 2015 to catalyse increased domestic and external financing for reproductive, maternal, newborn, child, adolescent health, and nutrition. Half of the deaths along this continuum are neonatal deaths, stillbirths or maternal deaths; yet the...
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2329369 |
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| author | Mary Kinney Meghan Bruce Kumar Issa Kaboré Joël Kiendrébéogo Peter Waiswa Joy E. Lawn |
| author_facet | Mary Kinney Meghan Bruce Kumar Issa Kaboré Joël Kiendrébéogo Peter Waiswa Joy E. Lawn |
| author_sort | Mary Kinney |
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| description | Background The Global Financing Facility (GFF) was launched in 2015 to catalyse increased domestic and external financing for reproductive, maternal, newborn, child, adolescent health, and nutrition. Half of the deaths along this continuum are neonatal deaths, stillbirths or maternal deaths; yet these topics receive the least aid financing across the continuum. Objectives To conduct a policy content analysis of maternal and newborn health (MNH), including stillbirths, in GFF country planning documents, and assess the mortality burden related to the investment. Methods Content analysis was conducted on 24 GFF policy documents, investment cases and project appraisal documents (PADs), from 11 African countries. We used a systematic data extraction approach and applied a framework for analysis considering mindset, measures, and money for MNH interventions and mentions of mortality outcomes. We compared PAD investments to MNH-related deaths by country. Results For these 11 countries, USD$1,894 million of new funds were allocated through the PADs, including USD$303 million (16%) from GFF. All documents had strong content on MNH, with particular focus on pregnancy and childbirth interventions. The investment cases commonly included comprehensive results frameworks, and PADs generally had less technical content and fewer indicators. Mortality outcomes were mentioned, especially for maternal. Stillbirths were rarely included as targets. Countries had differing approaches to funding descriptions. PAD allocations are commensurate with the burden. Conclusions The GFF country plans present a promising start in addressing MNH. Emphasising links between investments and burden, explicitly including stillbirth, and highlighting high-impact packages, as appropriate, could potentially increase impact. |
| format | Article |
| id | doaj-art-858ad6a5e56d4af885529ccbfbe49473 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
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| series | Global Health Action |
| spelling | doaj-art-858ad6a5e56d4af885529ccbfbe494732025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23293692329369Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019Mary Kinney0Meghan Bruce Kumar1Issa Kaboré2Joël Kiendrébéogo3Peter Waiswa4Joy E. Lawn5University of the Western CapeMidwifery and Health, Nothumbria UniversityResearch, Expertise and Training Department, Recherche Pour la Santé et le Développement (RESADEResearch, Expertise and Training Department, Recherche Pour la Santé et le Développement (RESADE)School of Public Health, Makerere University College of Health SciencesLondon School of Hygiene & Tropical MedicineBackground The Global Financing Facility (GFF) was launched in 2015 to catalyse increased domestic and external financing for reproductive, maternal, newborn, child, adolescent health, and nutrition. Half of the deaths along this continuum are neonatal deaths, stillbirths or maternal deaths; yet these topics receive the least aid financing across the continuum. Objectives To conduct a policy content analysis of maternal and newborn health (MNH), including stillbirths, in GFF country planning documents, and assess the mortality burden related to the investment. Methods Content analysis was conducted on 24 GFF policy documents, investment cases and project appraisal documents (PADs), from 11 African countries. We used a systematic data extraction approach and applied a framework for analysis considering mindset, measures, and money for MNH interventions and mentions of mortality outcomes. We compared PAD investments to MNH-related deaths by country. Results For these 11 countries, USD$1,894 million of new funds were allocated through the PADs, including USD$303 million (16%) from GFF. All documents had strong content on MNH, with particular focus on pregnancy and childbirth interventions. The investment cases commonly included comprehensive results frameworks, and PADs generally had less technical content and fewer indicators. Mortality outcomes were mentioned, especially for maternal. Stillbirths were rarely included as targets. Countries had differing approaches to funding descriptions. PAD allocations are commensurate with the burden. Conclusions The GFF country plans present a promising start in addressing MNH. Emphasising links between investments and burden, explicitly including stillbirth, and highlighting high-impact packages, as appropriate, could potentially increase impact.http://dx.doi.org/10.1080/16549716.2024.2329369global financing facility for women, children and adolescents: examining national priorities, processes and investments |
| spellingShingle | Mary Kinney Meghan Bruce Kumar Issa Kaboré Joël Kiendrébéogo Peter Waiswa Joy E. Lawn Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019 Global Health Action global financing facility for women, children and adolescents: examining national priorities, processes and investments |
| title | Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019 |
| title_full | Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019 |
| title_fullStr | Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019 |
| title_full_unstemmed | Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019 |
| title_short | Global Financing Facility investments for vulnerable populations: content analysis regarding maternal and newborn health and stillbirths in 11 African countries, 2015 to 2019 |
| title_sort | global financing facility investments for vulnerable populations content analysis regarding maternal and newborn health and stillbirths in 11 african countries 2015 to 2019 |
| topic | global financing facility for women, children and adolescents: examining national priorities, processes and investments |
| url | http://dx.doi.org/10.1080/16549716.2024.2329369 |
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