■全球融资基金(GFF)于2015年启动,以促进增加的国内外生殖融资,母性,新生,孩子,青少年健康,和营养。在这个连续过程中,一半的死亡是新生儿死亡,死产或孕产妇死亡;然而,这些主题在整个连续体中获得的援助资金最少。
■对孕产妇和新生儿健康(MNH)进行政策内容分析,包括死产,在GFF国家规划文件中,并评估与投资相关的死亡率负担。
■对24份GFF政策文件进行了内容分析,投资案例和项目评估文件(PAD),来自11个非洲国家。我们使用了一种系统的数据提取方法,并应用了一个考虑心态的分析框架,措施,以及用于MNH干预的资金,并提及死亡率结果。我们按国家比较了PAD投资与MNH相关的死亡。
■对于这11个国家,通过PAD分配了18.94亿美元的新资金,包括GFF的3.03亿美元(16%)。所有文件都对MNH有很强的内容,特别关注怀孕和分娩干预措施。投资案例通常包括全面的结果框架,而PAD的技术含量一般较少,指标较少。提到了死亡率结果,尤其是对母亲来说。死胎很少被列为目标。各国对供资描述有不同的方法。PAD分配与负担相称。
■GFF国家计划为解决MNH提供了一个有希望的开端。强调投资和负担之间的联系,明确包括死产,突出高影响力的一揽子计划,在适当的情况下,可能会增加影响。
主要发现:孕产妇和新生儿保健一揽子计划被大力纳入全球融资基金11个非洲国家的政策文件,特别是关于怀孕和分娩,虽然死产较少,或产后护理,或者小而生病的新生儿护理。增加知识:本研究是全球融资基金投资案例和相关项目评估文件的首次独立内容分析,在文件中揭示了孕产妇和新生儿健康的基本一致内容,以及国家死亡负担与承诺投资之间的总体相关性。全球卫生对政策和行动的影响:全球融资机制已显示出对孕产妇和新生儿健康的有希望的初始投资,尽管也有加强的机会,特别是一些新生儿高影响包裹和计数对死胎的影响。
UNASSIGNED: The Global Financing Facility (GFF) was launched in 2015 to catalyse increased domestic and external financing for reproductive, maternal, newborn, child, adolescent health, and nutrition. Half of the deaths along this continuum are neonatal deaths, stillbirths or maternal deaths; yet these topics receive the least aid financing across the continuum.
UNASSIGNED: To conduct a policy content analysis of maternal and newborn health (MNH), including stillbirths, in GFF country planning documents, and assess the mortality burden related to the investment.
UNASSIGNED: Content analysis was conducted on 24 GFF policy documents, investment cases and project appraisal documents (PADs), from 11 African countries. We used a systematic data extraction approach and applied a framework for analysis considering mindset, measures, and money for MNH interventions and mentions of mortality outcomes. We compared PAD investments to MNH-related deaths by country.
UNASSIGNED: For these 11 countries, USD$1,894 million of new funds were allocated through the PADs, including USD$303 million (16%) from GFF. All documents had strong content on MNH, with particular focus on pregnancy and childbirth interventions. The investment cases commonly included comprehensive results frameworks, and PADs generally had less technical content and fewer indicators. Mortality outcomes were mentioned, especially for maternal. Stillbirths were rarely included as targets. Countries had differing approaches to funding descriptions. PAD allocations are commensurate with the burden.
UNASSIGNED: The GFF country plans present a promising start in addressing MNH. Emphasising links between investments and burden, explicitly including stillbirth, and highlighting high-impact packages, as appropriate, could potentially increase impact.
Main finding: Maternal and newborn health care packages are strongly included in the Global Financing Facility policy documents for 11 African countries, especially regarding pregnancy and childbirth, though less for stillbirth, or postnatal care, or small and sick newborn care.Added knowledge: This study is the first independent content analysis of Global Financing Facility investment cases and related project appraisal documents, revealing mostly consistent content for maternal and newborn health across documents and overall correlation between national mortality burden and investments committed.Global health impact for policy and action: The Global Financing Facility have demonstrated promising initial investments for maternal and newborn health, although there are also missed opportunities for strengthening, especially for some neonatal high-impact packages and counting impact on stillbirths.