Lekan Ajijola, Victor Igharo, Nneoma Anieto, Lisa Mwaikambo
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引用次数: 0
Abstract
Background: The Challenge Initiative (TCI) works with state governments in Nigeria to scale high-impact family planning and reproductive health (FP/RH) interventions rapidly and sustainably. The Reflection and Action to Improve Self-reliance and Effectiveness (RAISE) tool is an innovative responsive feedback (RF) mechanism developed by TCI to periodically monitor governments' readiness to sustain implementation of their FP/RH interventions.
Raise description: The RAISE tool-a facilitated, self-administered tool used quarterly to track program improvements, identify gaps, and provide feedback-contains FP/RH progress indicators across 4 pillars: political and financial commitment, government capacity, institutionalization, and sustained demand. As a maturity matrix that helps state governments to understand the extent of their self-reliance in leadership and program management, the tool measures the stages of capacity: "beginning" (54% and below), "developing" (55-69%), "expanding" (70-84%), and "mature" (85% and above). Participants self-administer the tool with a trained government facilitator, develop a remediation plan with timelines and responsible persons assigned to address identified gaps, and communicate the plan to the broader FP/RH program team.
Assessment results: Thirteen supported states have completed 5 rounds of assessments between June 2020 and September 2022. Baseline results revealed that 4 states were at the developing stage, 8 were at the expanding stage, and 1 had a mature program. The most recent assessment revealed mature capacity for 9 states while the 4 others are in the expanding stage. Consequently, all the states demonstrated improved government self-reliance over the course of the year.
Conclusion: To ensure objectivity, RAISE participants, who include government policymakers, program managers, and implementers, use available government data sources to complement assessment findings. As an RF mechanism, the RAISE tool contributed to governments' enhanced leadership and management of their FP/RH programs, with current considerations for modifications to serve other primary health care programs.
期刊介绍:
International in coverage, Communications in Soil Science and Plant Analysis presents recent advances in plant and soil science, emphasizing on methods of analysis and interpretation of elemental content of soils and plants and plant nutrition. The Journal emphasizes agronomic and plantation crops with topics ranging from nutrition and methodology to precision agriculture, sustainable use of land and water resources, and increasing yield. Additional topics that are also covered in Communications in Soil Science and Plant Analysis : adverse growing conditions dealing with salinity and drought tolerance and their effects on crop yields soil chemistry; mineralogy; fertility and testing of soils; soil-crop nutrition; plant analysis; interpretation and correlation of soil tests and plant analyses; liming and fertilization of soils; and techniques for correcting deficiencies.
Scientists and crop consultants around the world benefit from the research published in Communications in Soil Science and Plant Analysis . The research can be utilized to further educational research programs and may also be applied to field operations, which are continuously changing and expanding based upon the peer reviewed research conducted and published in the journal.