ReviewGlobal health action2024
Policy analysis of the Global Financing Facility in Uganda.
Review in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
7 citing papers in PubMed.
- Navigating power, participation, and priorities: critical reflections for Global Financing Facility new strategy.Global health action · 2025Article
- Sailing global health initiative ships into stormy seas: navigating the introduction of the Global Financing Facility in Mozambique.Global health action · 2025Article
- Unwrapping the Global Financing Facility: understanding implications for women's children's and adolescent's health through layered policy analysis.Global health action · 2025Review
- Who is at the table and who has the power? Case study analysis of decision-making processes for the Global Financing Facility in Tanzania.Global health action · 2025Article
- Advancing the Lusaka Agenda: the Global Financing Facility's missed opportunities for catalysing sustainable health investment.Global health action · 2025Article
- Behind the billions: policies, politics and power of the Global Financing Facility for women's, children's, and adolescents' health.Global health action · 2025Article
- ["When the country depends entirely on partners, things tend to go wrong": global health and HIV/AIDS initiatives in Guinea-Bissau].Cadernos de saude publica · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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.
objectiveTo understand the policy process and contextual factors in Uganda that influenced the content of the GFF policy documents (Investment Case and Project Appraisal).
methodsWe 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 (
resultsThe 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.
conclusionThe 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.
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