Journal Article

How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries

Kiendrébéogo, Joël Arthur, Kafando, Yamba, George, Asha S., Kumar, Meghan Bruce, Sory, Orokia, Steege, Rosie, Kaboré, Issa

2024

Overview

Community health is key for improving Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition (RMNCAH-N). However, how community health supports integrated RMNCAH-N service delivery in francophone West Africa is under-researched. We examined how six francophone West African countries (Burkina Faso, Côte d'Ivoire, Guinea, Mali, Niger, and Senegal) support community health through the Global Financing Facility for Women, Children and Adolescents (GFF). We conducted a content analysis on Investment Cases and Project Appraisal Documents from selected countries, and set out the scope of the analysis and the key search terms. We applied an iterative hybrid inductive-deductive approach to identify themes for data coding and extraction. The extracted data were compared within and across countries and further grouped into meaningful categories. In country documents, there is a commitment to community health, with significant attention paid to various cadres of community health workers (CHWs) who undertake a range of preventive, promotive and curative roles across RMNCAH-N spectrum. While CHWs renumeration is mentioned, it varies considerably. Most community health indicators focus on CHWs' deliverables, with few related to governance and civil registration. Challenges in implementing community health include poor leadership and governance and resource shortages resulting in low CHWs performance and service utilization. While some countries invest significantly in training CHWs, structural reforms and broader community engagement are lacking. There is an opportunity to better prioritize and streamline community health interventions, including integrating them into health system planning and budgeting, to fully harness their potential to improve RMNCAH-N.

• Publisher: Taylor & Francis Ltd,Taylor & Francis,Taylor & Francis Group
• Subject: Adolescent / Adolescent Health / Adolescents / Africa, Western / Budgets / Burkina Faso / Cadres / Child / Child Health / Children / Community / Community health care / Community Health Services - organization & administration / Community health workers / Community Health Workers - organization & administration / Community involvement / Comparative studies / Content analysis / Cote d'Ivoire / Extraction / Female / Financing / Francophones / global financing facility for women, children and adolescents: examining national priorities, processes and investment / Governance / Grammatical aspect / Guinea / Health care expenditures / Health indicators / Health planning / Health promotion / Health services / Health status / Humans / Infant / Infant, Newborn / Infants / Integrated delivery systems / Leadership / Mali / Mothers / Niger / Nutrition / Reforms / Registration / Reproductive Health / Senegal / Shortages / Special Series: Global Financing Facility for Women, Children and Adolescents: Examining National Priorities, Processes and Investments / Women