Examining priorities and investments made through the Global Financing Facility for maternal and newborn health: a sub-analysis on quality.

IF 2.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-10-11 DOI:10.1080/16549716.2024.2406486
Meghan Bruce Kumar, Mary Kinney, Joël Kiendrébéogo, Donat Shamba, Joy E Lawn, Peter Waiswa
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引用次数: 0

Abstract

Improving quality of care could avert most of the 4.5 million maternal and neonatal deaths and stillbirths that occur each year. The Global Financing Facility (GFF) aims to catalyse the national scale-up of maternal and newborn health (MNH) interventions through focused investments. Achieving impact and value for money requires high, equitable coverage and high quality of interventions. This study examines whether the rhetoric of increasing coverage together with quality has informed investment strategies in MNH through a secondary analysis of 25 GFF documents from 11 African countries. The analysis shows that the country GFF-related documents incorporate some MNH-related quality of care components; however, there is a lack of clarity in what is meant by quality and the absence of core MNH quality of care components as identified by the World Health Organization's MNH quality framework, especially experience of care and newborn care. Many of the Investment Cases have a more diagonal focus on MNH service delivery considering the clinical dimensions of quality, while the investments described in the Project Appraisal Documents are primarily on horizontal structural aspects of the health system strengthening environment. The GFF is at the forefront of investing in MNH globally and provides an important opportunity to explicitly link health systems investments and quality interventions within the MNH continuum of care for optimal impact.

审查通过孕产妇和新生儿保健全球融资机制进行的优先事项和投资:质量次级分析。
提高护理质量可以避免每年发生的450万孕产妇和新生儿死亡和死产中的大多数。全球融资基金旨在通过重点投资,促进国家扩大孕产妇和新生儿健康干预措施。实现影响和物有所值需要高、公平的覆盖面和高质量的干预措施。本研究通过对来自11个非洲国家的25份GFF文件的二次分析,检验了增加覆盖率和质量的言论是否为MNH的投资策略提供了信息。分析表明,国家gff相关文件包含了一些与mnh相关的护理质量成分;然而,质量的含义并不明确,而且缺乏世界卫生组织国家卫生保健质量框架所确定的核心国家卫生保健质量组成部分,特别是护理和新生儿护理经验。考虑到临床层面的质量,许多投资案例更侧重于MNH服务的提供,而项目评估文件中描述的投资主要侧重于卫生系统加强环境的横向结构方面。GFF处于全球MNH投资的前沿,并提供了一个重要机会,明确将卫生系统投资与MNH连续护理中的质量干预措施联系起来,以实现最佳影响。
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来源期刊
Global Health Action
Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.10
自引率
3.80%
发文量
108
审稿时长
16 weeks
期刊介绍: Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.
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