Policy analysis of the global financing facility in Uganda

dc.contributor.authorWanduru, Phillip
dc.contributor.authorKinney, Mary
dc.contributor.authorGeorge, Asha
dc.date.accessioned2024-11-12T07:53:59Z
dc.date.available2024-11-12T07:53:59Z
dc.date.issued2024
dc.description.abstractBackground: In 2015, Uganda joined the Global Financing Facility (GFF), a Global Health Initiative for Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH). Similar initiatives have been found to be powerful entities influencing national policy and priorities in Uganda, but few independent studies have assessed the GFF. Objective: To understand the policy process and contextual factors in Uganda that influenced the content of the GFF policy documents (Investment Case and Project Appraisal). Methods: We conducted a qualitative policy analysis. The data collection included a document review of national RMNCAH policy documents and key informant interviews with national stakeholders involved in the development process of GFF policy documents (N = 16). Data were analyzed thematically using the health policy triangle. Results: The process of developing the GFF documents unfolded rapidly with a strong country-led approach by the government. Work commenced in late 2015; the Investment Case was published in April 2016 and the Project Appraisal Document was completed and presented two months later. The process was steered by technocrats from government agencies, donor agencies, academics and selected civil society organisations, along with the involvement of political figures. The Ministry of Health was at the center of coordinating the process and navigating the contestations between technical priorities and political motivations. Although civil society organisations took part in the process, there were concerns that some were excluded. Conclusion: The learnings from this study provide insights into the translation of globally conceived health initiatives at country level, highlighting enablers and challenges. The study shows the challenges of trying to have a ‘country-led’ initiative, as such initiatives can still be heavily influenced by ‘elites’. Given the diversity of actors with varying interests, achieving representation of key actors, particularly those from underserved groups, can be difficult and may necessitate investing further time and resources in their engagement.
dc.identifier.citationWanduru, P., Kwesiga, D., Kinney, M., George, A. and Waiswa, P., 2024. Policy analysis of the global financing facility in Uganda. Global Health Action, 17(1), p.2336310.
dc.identifier.urihttps://doi.org/10.1080/16549716.2024.2336310
dc.identifier.urihttps://hdl.handle.net/10566/19641
dc.language.isoen
dc.publisherTaylor and Francis Ltd.
dc.subjectGlobal financing facility
dc.subjectUganda
dc.subjectChildren and adolescents
dc.subjectAdolescents
dc.subjectWomen
dc.titlePolicy analysis of the global financing facility in Uganda
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
wanduru_policy_ analysis_ of_the_global_financing_2024.pdf
Size:
1.16 MB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: