Policy analysis of the Global Financing Facility in Uganda

Bibliographic Data

ID19529648
AuthorsPhillip Wanduru (0000-0001-5934-2505, Karolinska Institutet, corresponding author), Doris Kwesiga (0000-0002-6811-5643, Makerere University), Mary Kinney (University of the Western Cape), Asha George (0000-0002-5968-1424, University of the Western Cape), Peter Waiswa (0000-0001-8221-902X, Karolinska Institutet)
Year2024
Volume17
Issue1
Pages2336310-2336310
Publication date2024-12-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2024.2336310
PMID38979635
OpenAlexW4399805451
LanguageEN
Citations received7
References cited18

BACKGROUND: 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: = 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

Business · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Human Rights and Development · Finance

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