The Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria.
The Challenge Initiative, Johns Hopkins Center for Communication Programs, Baltimore, MD, USA.
Glob Health Sci Pract. 2023 Dec 18;11(Suppl 2). doi: 10.9745/GHSP-D-22-00189.
The Challenge Initiative (TCI) works with state governments in Nigeria to scale high-impact family planning and reproductive health (FP/RH) interventions rapidly and sustainably. The Reflection and Action to Improve Self-reliance and Effectiveness (RAISE) tool is an innovative responsive feedback (RF) mechanism developed by TCI to periodically monitor governments' readiness to sustain implementation of their FP/RH interventions.
The RAISE tool-a facilitated, self-administered tool used quarterly to track program improvements, identify gaps, and provide feedback-contains FP/RH progress indicators across 4 pillars: political and financial commitment, government capacity, institutionalization, and sustained demand. As a maturity matrix that helps state governments to understand the extent of their self-reliance in leadership and program management, the tool measures the stages of capacity: "beginning" (54% and below), "developing" (55-69%), "expanding" (70-84%), and "mature" (85% and above). Participants self-administer the tool with a trained government facilitator, develop a remediation plan with timelines and responsible persons assigned to address identified gaps, and communicate the plan to the broader FP/RH program team.
Thirteen supported states have completed 5 rounds of assessments between June 2020 and September 2022. Baseline results revealed that 4 states were at the developing stage, 8 were at the expanding stage, and 1 had a mature program. The most recent assessment revealed mature capacity for 9 states while the 4 others are in the expanding stage. Consequently, all the states demonstrated improved government self-reliance over the course of the year.
To ensure objectivity, RAISE participants, who include government policymakers, program managers, and implementers, use available government data sources to complement assessment findings. As an RF mechanism, the RAISE tool contributed to governments' enhanced leadership and management of their FP/RH programs, with current considerations for modifications to serve other primary health care programs.
挑战倡议（TCI）与尼日利亚州政府合作，迅速、可持续地扩大高影响力的计划生育和生殖健康（FP/RH）干预措施。反思和行动以提高自给自足和有效性（RAISE）工具是 TCI 开发的一种创新的响应反馈（RF）机制，用于定期监测政府维持其 FP/RH 干预措施实施的准备情况。
RAISE 描述：RAISE 工具-一个季度使用一次的便利的自我管理工具，用于跟踪计划改进、确定差距并提供反馈-包含 4 个支柱的 FP/RH 进展指标：政治和财务承诺、政府能力、制度化和持续需求。作为一个帮助州政府了解其在领导和项目管理方面的自给自足程度的成熟度矩阵，该工具衡量能力的阶段：“开始”（54%及以下）、“发展”（55-69%）、“扩展”（70-84%）和“成熟”（85%及以上）。参与者在经过培训的政府促进者的协助下自我管理工具，制定具有时间安排和指定负责人的补救计划，以解决确定的差距，并将计划传达给更广泛的 FP/RH 项目团队。
在 2020 年 6 月至 2022 年 9 月期间，支持的 13 个州完成了 5 轮评估。基线结果显示，4 个州处于发展阶段，8 个州处于扩展阶段，1 个州拥有成熟的项目。最新评估显示，9 个州具备成熟的能力，而其他 4 个州处于扩展阶段。因此，所有州在这一年中都表现出了政府自给自足能力的提高。
为了确保客观性，RAISE 参与者包括政府政策制定者、项目管理人员和实施人员，他们使用可用的政府数据源来补充评估结果。作为一种 RF 机制，RAISE 工具有助于政府加强对其 FP/RH 计划的领导和管理，目前正在考虑对其进行修改，以服务于其他初级卫生保健计划。
