Innovations in Public Financing for Family Planning at Subnational Levels: Sustainable Cofinancing Strategies for Family Planning With Nigerian States.

التفاصيل البيبلوغرافية
العنوان:	Innovations in Public Financing for Family Planning at Subnational Levels: Sustainable Cofinancing Strategies for Family Planning With Nigerian States.
المؤلفون:	Igharo V; The Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria. vigharo1@jhu.edu., Ananaba U; The Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria., Omotoso O; The Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria., Davis T; Johns Hopkins Center for Communication Programs, Baltimore, MD, USA., Kioko M; Johns Hopkins Center for Communication Programs, Baltimore, MD, USA., Finkle C; Independent consultant, Seattle, WA, USA.
المصدر:	Global health, science and practice [Glob Health Sci Pract] 2024 May 21; Vol. 12 (Suppl 2). Date of Electronic Publication: 2024 May 21 (Print Publication: 2024).
نوع المنشور:	Journal Article; Research Support, Non-U.S. Gov't
اللغة:	English
بيانات الدورية:	Publisher: U.S. Agency for International Development and Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs Country of Publication: United States NLM ID: 101624414 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 2169-575X (Electronic) Linking ISSN: 2169575X NLM ISO Abbreviation: Glob Health Sci Pract Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Baltimore, MD : U.S. Agency for International Development and Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs, 2013-
مواضيع طبية MeSH:	Family Planning Services/economics , Financing, Government, Nigeria ; Humans ; Developing Countries ; State Government
مستخلص:	Global declines in donor funding present a substantial threat to development financing in low- and middle-income countries. In Nigeria, the resources required to achieve states' health goals surpass existing government budgets and available donor funding, a shortfall that incentivizes efforts to expand nondonor sources of financing, including public-driven cofinancing models. The Challenge Initiative (TCI) in Nigeria implements a demand-led model wherein 13 state governments requested technical support from TCI to adapt and scale up high-impact family planning and reproductive health (FP/RH) interventions. TCI provides a blend of technical coaching and financial support through the Challenge Fund, a mechanism designed to incentivize domestic funding for FP programming. To qualify as a recipient, states must demonstrate political will, financial commitment, and potential for impact at scale. However, state financial commitments alone are insufficient to guarantee the successful implementation of health scale-up initiatives. For this reason, the TCI Nigeria cofinancing strategy builds positive relations among key actors (donors, implementers, and government) and improves accountability in FP/RH financing. Although there are several donor-led cofinancing primary health care initiatives in Nigeria, such as the Saving One Million Lives Performance for Results project and Basic Healthcare Provision Fund, little is known about the role of government in driving the process specifically for improving domestic FP/RH financing. In Nigeria, state governments, in collaboration with TCI, developed a cofinancing model that helps states meet their FP/RH financing commitments. To promote effectiveness and sustainability, this model operates within an existing state structure, the State Annual Operation Plan. TCI's cofinancing model motivates continuous improvement in state governments' fiscal capacity, using a framework to measure, track, and reward financial and nonfinancial state commitments. Although the model is not a replacement for existing program tracking and monitoring tools, it helps subnational governments better harness their resources to accelerate improvement in FP/RH outcomes. (© Igharo et al.)
References:	J Healthc Eng. 2019 Oct 10;2019:6820609. (PMID: 31687122) Global Health. 2019 Dec 18;15(1):86. (PMID: 31849335) Lancet. 2022 Mar 19;399(10330):1155-1200. (PMID: 35303470) Glob Health Sci Pract. 2024 May 21;12(Suppl 2):. (PMID: 38772722)
تواريخ الأحداث:	Date Created: 20240415 Date Completed: 20240521 Latest Revision: 20240729
رمز التحديث:	20240729
مُعرف محوري في PubMed:	PMC11111108
DOI:	10.9745/GHSP-D-22-00242
PMID:	38621819
قاعدة البيانات:	MEDLINE

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تدمد:	2169-575X
DOI:	10.9745/GHSP-D-22-00242