Policy analysis of the Global Financing Facility in Uganda
Background In 2015, Uganda joined the Global Financing Facility (GFF), a Global Health Initiative for Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH). Similar initiatives have been found to be powerful entities influencing national policy and priorities in Uganda, but few inde...
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| Format: | Article |
| Language: | English |
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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/10.1080/16549716.2024.2336310 |
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| author | Phillip Wanduru Doris Kwesiga Mary Kinney Asha George Peter Waiswa |
| author_facet | Phillip Wanduru Doris Kwesiga Mary Kinney Asha George Peter Waiswa |
| author_sort | Phillip Wanduru |
| collection | DOAJ |
| description | Background In 2015, Uganda joined the Global Financing Facility (GFF), a Global Health Initiative for Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH). Similar initiatives have been found to be powerful entities influencing national policy and priorities in Uganda, but few independent studies have assessed the GFF. Objective To understand the policy process and contextual factors in Uganda that influenced the content of the GFF policy documents (Investment Case and Project Appraisal). Methods We conducted a qualitative policy analysis. The data collection included a document review of national RMNCAH policy documents and key informant interviews with national stakeholders involved in the development process of GFF policy documents (N = 16). Data were analyzed thematically using the health policy triangle. Results The process of developing the GFF documents unfolded rapidly with a strong country-led approach by the government. Work commenced in late 2015; the Investment Case was published in April 2016 and the Project Appraisal Document was completed and presented two months later. The process was steered by technocrats from government agencies, donor agencies, academics and selected civil society organisations, along with the involvement of political figures. The Ministry of Health was at the center of coordinating the process and navigating the contestations between technical priorities and political motivations. Although civil society organisations took part in the process, there were concerns that some were excluded. Conclusion The learnings from this study provide insights into the translation of globally conceived health initiatives at country level, highlighting enablers and challenges. The study shows the challenges of trying to have a ‘country-led’ initiative, as such initiatives can still be heavily influenced by ‘elites’. Given the diversity of actors with varying interests, achieving representation of key actors, particularly those from underserved groups, can be difficult and may necessitate investing further time and resources in their engagement. |
| format | Article |
| id | doaj-art-c4737b7cb9604e2f9d786e44507bc08d |
| 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-c4737b7cb9604e2f9d786e44507bc08d2025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23363102336310Policy analysis of the Global Financing Facility in UgandaPhillip Wanduru0Doris Kwesiga1Mary Kinney2Asha George3Peter Waiswa4Makerere University College of Health SciencesMakerere University College of Health SciencesUniversity of the Western CapeUniversity of the Western CapeMakerere University College of Health SciencesBackground In 2015, Uganda joined the Global Financing Facility (GFF), a Global Health Initiative for Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH). Similar initiatives have been found to be powerful entities influencing national policy and priorities in Uganda, but few independent studies have assessed the GFF. Objective To understand the policy process and contextual factors in Uganda that influenced the content of the GFF policy documents (Investment Case and Project Appraisal). Methods We conducted a qualitative policy analysis. The data collection included a document review of national RMNCAH policy documents and key informant interviews with national stakeholders involved in the development process of GFF policy documents (N = 16). Data were analyzed thematically using the health policy triangle. Results The process of developing the GFF documents unfolded rapidly with a strong country-led approach by the government. Work commenced in late 2015; the Investment Case was published in April 2016 and the Project Appraisal Document was completed and presented two months later. The process was steered by technocrats from government agencies, donor agencies, academics and selected civil society organisations, along with the involvement of political figures. The Ministry of Health was at the center of coordinating the process and navigating the contestations between technical priorities and political motivations. Although civil society organisations took part in the process, there were concerns that some were excluded. Conclusion The learnings from this study provide insights into the translation of globally conceived health initiatives at country level, highlighting enablers and challenges. The study shows the challenges of trying to have a ‘country-led’ initiative, as such initiatives can still be heavily influenced by ‘elites’. Given the diversity of actors with varying interests, achieving representation of key actors, particularly those from underserved groups, can be difficult and may necessitate investing further time and resources in their engagement.http://dx.doi.org/10.1080/16549716.2024.2336310global financing facility for women, children and adolescents: examining national priorities, processes and investments |
| spellingShingle | Phillip Wanduru Doris Kwesiga Mary Kinney Asha George Peter Waiswa Policy analysis of the Global Financing Facility in Uganda Global Health Action global financing facility for women, children and adolescents: examining national priorities, processes and investments |
| title | Policy analysis of the Global Financing Facility in Uganda |
| title_full | Policy analysis of the Global Financing Facility in Uganda |
| title_fullStr | Policy analysis of the Global Financing Facility in Uganda |
| title_full_unstemmed | Policy analysis of the Global Financing Facility in Uganda |
| title_short | Policy analysis of the Global Financing Facility in Uganda |
| title_sort | policy analysis of the global financing facility in uganda |
| topic | global financing facility for women, children and adolescents: examining national priorities, processes and investments |
| url | http://dx.doi.org/10.1080/16549716.2024.2336310 |
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