还有更好的吗?对全球融资机制国家规划文件中纳入青少年性健康和生殖健康内容的后续分析。

IF 2.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-06-19 DOI:10.1080/16549716.2024.2315644
Ulla Walmisley, Mary V Kinney, Joël Arthur Kiendrébéogo, Yamba Kafando, Asha S George
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引用次数: 0

摘要

背景:全球筹资机制(GFF)支持各国在生殖、孕产妇、新生儿、儿童、青少年健康和营养方面的需求。之前的分析研究了 11 个全球森林筹资机制伙伴国家的青少年性健康和生殖健康在全球森林筹资机制国家规划文件中的体现情况:作为特别系列的一部分,本文进一步分析了 16 个全球森林论坛伙伴国家的情况:方法:对阿富汗、布基纳法索、柬埔寨、中非共和国、科特迪瓦、几内亚、海地、印度尼西亚、马达加斯加、马拉维、马里、卢旺达、塞内加尔、塞拉利昂、塔吉克斯坦和越南公开发表的全球森林论坛规划文件进行了内容分析。分析考虑了与青少年性健康和生殖健康需求相关的青少年健康内容(思维方式)、指标(措施)和资金(金钱),并使用了追踪指标: 结果:青少年怀孕率较高的国家与青少年生殖健康有关的内容较多,但情况脆弱的国家除外。与项目评估文件相比,投资案例中有关青少年的内容更多。从思想到措施再到资金,内容逐渐弱化。瘘管病、人工流产和心理健康等相关问题没有得到充分解决。布基纳法索和马拉维的文件表明,即使在优先事项发生变化或有所选择的情况下,也有可能纳入青少年计划:结论:追溯优先事项以及将承诺转化为计划的过程,为讨论全球青少年资助问题奠定了基础。我们强调了计划编制的积极方面和需要加强的领域,并建议将青少年健康的视角从生殖健康扩大到心理健康等问题。本文是日益增多的问责制文献的一部分,为青少年计划和资金的宣传工作提供了支持。
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Any better? A follow-up content analysis of adolescent sexual and reproductive health inclusion in Global Financing Facility country planning documents.

Background: The Global Financing Facility (GFF) supports national reproductive, maternal, newborn, child, adolescent health, and nutrition needs. Previous analysis examined how adolescent sexual and reproductive health was represented in GFF national planning documents for 11 GFF partner countries.

Objectives: This paper furthers that analysis for 16 GFF partner countries as part of a Special Series.

Methods: Content analysis was conducted on publicly available GFF planning documents for Afghanistan, Burkina Faso, Cambodia, CAR, Côte d'Ivoire, Guinea, Haiti, Indonesia, Madagascar, Malawi, Mali, Rwanda, Senegal, Sierra Leone, Tajikistan, Vietnam. Analysis considered adolescent health content (mindset), indicators (measure) and funding (money) relative to adolescent sexual and reproductive health needs, using a tracer indicator.

Results: Countries with higher rates of adolescent pregnancy had more content relating to adolescent reproductive health, with exceptions in fragile contexts. Investment cases had more adolescent content than project appraisal documents. Content gradually weakened from mindset to measures to money. Related conditions, such as fistula, abortion, and mental health, were insufficiently addressed. Documents from Burkina Faso and Malawi demonstrated it is possible to include adolescent programming even within a context of shifting or selective priorities.

Conclusion: Tracing prioritisation and translation of commitments into plans provides a foundation for discussing global funding for adolescents. We highlight positive aspects of programming and areas for strengthening and suggest broadening the perspective of adolescent health beyond the reproductive health to encompass issues, such as mental health. This paper forms part of a growing body of accountability literature, supporting advocacy work for adolescent programming and funding.

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来源期刊
Global Health Action
Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.10
自引率
3.80%
发文量
108
审稿时长
16 weeks
期刊介绍: Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.
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