■全球融资基金(GFF)支持国家生殖,母性,新生,孩子,青少年健康,和营养需求。先前的分析审查了GFF11个伙伴国家的GFF国家规划文件中如何代表青少年性健康和生殖健康。
■本文进一步分析了16个GFF伙伴国家,作为特别系列的一部分。
■对公开的GFF阿富汗规划文件进行了内容分析,布基纳法索,柬埔寨,汽车,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,越南。分析考虑了青少年健康内容(心态),与青少年性健康和生殖健康需求相关的指标(衡量标准)和资金(资金),使用示踪剂指示器。
■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,在脆弱的环境中例外。投资案例比项目评估文件具有更多的青春期内容。内容从心态到手段再到金钱逐渐弱化。相关条件,比如瘘管,流产,和心理健康,没有得到充分的解决。布基纳法索和马拉维的文件表明,即使在转移或选择性优先事项的背景下,也有可能纳入青少年方案。
■追踪优先次序并将承诺转化为计划为讨论全球青少年资金提供了基础。我们强调方案拟订的积极方面和加强的领域,并建议将青少年健康的视角扩大到生殖健康之外,以涵盖各种问题,比如心理健康。这篇论文是越来越多的问责文献的一部分,支持青少年规划和资助的宣传工作。
主要发现:全球融资机制国家文件中包含的青少年健康内容不一致,尽管有强有力或积极的例子,投资案例中的内容比项目评估文件强,并在比较内容时减少,指标和融资。补充知识:尽管在18岁之前出生比例最高的国家中,青少年健康内容通常最强,但在脆弱的情况下也有例外,在解决与青少年健康有关的重要问题方面存在差距。全球卫生对政策和行动的影响:全球融资基金支持的青少年卫生规划应以强有力的国家计划为例,在解决青少年健康问题上更加一致,并伴随着公众透明度,以促进诸如此类的问责工作。
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.
This paper furthers that analysis for 16 GFF partner countries as part of a Special Series.
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.
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.
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.
Main findings: Adolescent health content is inconsistently included in the Global Financing Facility country documents, and despite strong or positive examples, the content is stronger in investment cases than project appraisal documents, and diminishes when comparing content, indicators and financing.Added knowledge: Although adolescent health content is generally strongest in countries with the highest proportion of births before age 18, there are exceptions in fragile contexts and gaps in addressing important issues related to adolescent health.Global health impact for policy and action: Adolescent health programming supported by the Global Financing Facility should build on examples of strong country plans, be more consistent in addressing adolescent health, and be accompanied by public transparency to facilitate accountability work such as this.