Key factors to facilitate locally driven family planning programming: a qualitative analysis of urban stakeholder perspectives in Africa and Asia

Globalization and Health

Sarah Brittingham¹  Deepti Mathur²  Denis Joel Sama³  Fatimata Sow⁴  Ruwaida Salem⁵  Lisa Mwaikambo⁵  Saori Ohkubo⁵  Nneoma Nonyelum Anieto⁶ 

[1] Now with FHI 360, Durham, NC, USA;The Challenge Initiative for Healthy Cities, India Hub, Population Services International, Delhi, India;The Challenge Initiative, East Africa Hub, Jhpiego, Kampala, Uganda;The Challenge Initiative, Francophone West Africa Hub, IntraHealth International, Dakar, Senegal;The Challenge Initiative, Johns Hopkins Center for Communication Programs, Baltimore, MD, USA;The Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria;

关键词: Family planning;    Local government;    Local ownership;    Health system strengthening;    Evidenced-based interventions;    Scale-up;   

DOI  :  10.1186/s12992-021-00717-0

来源: Springer

【 摘 要 】

BackgroundThere has been greater recognition of the importance of country ownership in global health and development. However, operationalising country ownership to ensure the scale up and sustainability of proven interventions remains elusive at best. To address this challenge, we undertook a thematic analysis of interviews collected from representatives of local governments, public health systems, and communities in poor urban areas of East Africa, Francophone West Africa, India, and Nigeria, supported by The Challenge Initiative (TCI), aiming to rapidly and sustainably scale up evidence-based reproductive health and family planning solutions.MethodsThe main objective of this study was to explore critical elements needed for implementing and scaling evidence-based family planning interventions. The research team conducted thematic analysis of 96 stories collected using the Most Significant Change (MSC) technique between July 2018 and September 2019. After generating 55 unique codes, the codes were grouped into related themes, using TCI’s model as a general analytical framework.ResultsFive key themes emerged: (1) strengthening local capacity and improving broader health systems, (2) shifting mindsets of government and community toward local ownership, (3) institutionalising the interventions within existing government structures, (4) improving data demand and use for better planning of health services, and (5) enhancing coordination of partners.ConclusionWhile some themes feature more prominently in a particular region than others, taken together they represent what stakeholders perceive to be essential elements for scaling up locally-driven health programmes in urban areas in Africa and Asia.

【 授权许可】

CC BY