提高州政府对尼日利亚计划生育干预措施的响应能力,使用创新的反思和行动工具
Lekan Ajijola1, Victor Igharo2, Nneoma Anieto2
1The Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria. lajijol1@jhu.edu.
提高自力更生和有效性反思与行动 (RAISE) 工具增强了尼日利亚各州对计划生育和生殖健康计划的能力. 所有13个州都在管理这些关键卫生服务方面提高了政府的自力更生.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 项目管理 项目管理 项目管理
背景情况:
- 挑战倡议 (TCI) 支持尼日利亚州政府迅速扩大高影响力计划生育和生殖健康 (FP/RH) 干预措施.
- 提高自力更生和效力的反思与行动 (RAISE) 工具是一个创新的响应式反机制,由TCI设计.
- RAISE监测政府是否准备可持续实施FP/RH干预措施.
研究的目的:
- 评估RAISE工具在提高政府在FP/RH计划管理方面的自力更生能力方面的有效性.
- 追踪尼日利亚各州FP/RH干预可持续性的进展和发现差距.
- 评估政府卫生计划内的领导和管理能力的提升.
主要方法:
- 该RAISE工具,一个季度自主管理的评估,衡量FP/RH在四个支柱的进展:政治/财务承诺,政府能力,制度化和持续需求.
- 它作为成熟度矩阵,将政府能力分为"开始"",发展"",扩展"和"成熟"阶段.
- 参与者使用政府数据,制定有时间表的补救计划,并向项目团队报告发现.
主要成果:
- 尼日利亚13个州在2020年6月至2022年9月期间完成了5轮RAISE评估.
- 最初的评估显示,能力水平各不相同,大多数州处于"发展"或"扩张"阶段.
- 最新的评估表明,9个州实现了"成熟"的能力,其余4个州处于"扩展"阶段,表明政府自力更生的整体改善.
结论:
- 该RAISE工具有效地增强了支持尼日利亚各州FP/RH计划的政府领导和管理.
- 所有参与国家都在维持FP/RH干预方面表现出更好的自力更生.
- 目前正在考虑将RAISE工具适用于其他初级医疗保健计划.
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