Evidence map›Paper›PMID 39354843›Full record

ArticleGlobal health action2024

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.

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

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Article 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 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Joël Arthur KiendrébéogoDepartment of Public Health, University Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.ORCID 0000-0002-7000-3712
Orokia SoryResearch, Expertise and Capacity Building, Recherche pour la santé et le développement (RESADE), Ouagadougou, Burkina Faso.ORCID 0000-0002-6325-1195
Issa KaboréResearch, Expertise and Capacity Building, Recherche pour la santé et le développement (RESADE), Ouagadougou, Burkina Faso.
Yamba KafandoResearch, Expertise and Capacity Building, Recherche pour la santé et le développement (RESADE), Ouagadougou, Burkina Faso.
Rosie SteegeDepartment of International Public Health institution, Liverpool School of Tropical Medicine, Liverpool, UK.
Asha S GeorgeSchool of Public Health, University of the Western Cape, Cape Town, South Africa.ORCID 0000-0002-5968-1424
Meghan Bruce KumarNursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-4713-8328

Funding

Gates Foundation INV-007594
6 · The paper itself

Abstract

backgroundCommunity 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.

objectiveWe 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).

methodsWe 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.

resultsIn 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.

conclusionsThere 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.

Indexed as

Community Health ServicesAdolescentAdolescent HealthAfrica, WesternBurkina FasoChildChild HealthCommunity Health WorkersCote d'IvoireFemaleGuineaHumansInfantInfant, NewbornMaliNigercommunity healthfrancophone West AfricaGlobal Financing FacilityGlobal Financing Facility for Women, Children and Adolescents: Examining National Priorities, Processes and Investmentinvestment case and project appraisal documentRMNCAH-N

Identifiers

PMID39354843
PMCPMC11448318

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.