Enhancing public health programs with performance-based memorandum of understanding.

IF 2.3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Public Health Policy Pub Date : 2023-12-01 Epub Date: 2023-10-27 DOI:10.1057/s41271-023-00446-1

Kabiru Gulma

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引用次数: 0

Abstract

This Viewpoint presents a case study that explored the effects of using a performance-based Memorandum of Understanding (MoU) in public health donor programs to enhance health metrics, program efficiency, and accountability. The MoU between Kebbi State Government in Nigeria and the United States Agency for International Development (USAID) focused on strengthening primary healthcare. It covered Health Systems Strengthening (HSS) indicators, overseen by an Operations Committee (OC) and a high-level Steering Committee (SC). Quarterly and biannual reviews tracked indicators through a dashboard developed by the Integrated Health Program (IHP). Results suggest that the MoU led to better monitoring of primary healthcare (PHC) revitalization, health sector work plan harmonization, and data quality. Dashboard tracking showed improved health facility financing, immunization, antenatal care, and skilled attendants at births. The use of the MoU demonstrated potential for boosting program efficiency, cost-effectiveness, and political commitment for resource mobilization in public health initiatives. Results support recommending MoUs as valuable tools for effective outcome-driven public health funding.

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通过基于绩效的谅解备忘录加强公共卫生项目。

本观点提供了一个案例研究，探讨了在公共卫生捐赠项目中使用基于绩效的谅解备忘录（MoU）以提高健康指标、项目效率和问责制的效果。尼日利亚凯比州政府和美国国际开发署（USAID）之间的谅解备忘录侧重于加强初级医疗保健。它涵盖了卫生系统强化（HSS）指标，由运营委员会（OC）和高级别指导委员会（SC）监督。季度和半年一次的审查通过综合卫生计划（IHP）开发的仪表盘跟踪指标。结果表明，谅解备忘录有助于更好地监测初级保健（PHC）的振兴、卫生部门工作计划的协调和数据质量。仪表板跟踪显示，卫生设施的资金、免疫接种、产前护理和熟练的助产士得到了改善。谅解备忘录的使用证明了提高项目效率、成本效益和公共卫生倡议中资源调动的政治承诺的潜力。结果支持建议将谅解备忘录作为有效的成果驱动型公共卫生资金的宝贵工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.70

自引率

2.60%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.