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对加纳“优先”青少年性与生殖健康干预可持续融资策略利益相关方观点的定性评估。

A qualitative evaluation of stakeholder perspectives on sustainable financing strategies for 'priority' adolescent sexual and reproductive health interventions in Ghana.

机构信息

Department of Public Health, Aarhus University, Aarhus, Denmark.

Economics Division, Institute of Statistical, Social and Economic Research (ISSER) , University of Ghana, Accra, Legon, Ghana.

出版信息

BMC Health Serv Res. 2024 Mar 26;24(1):373. doi: 10.1186/s12913-024-10743-4.

Abstract

BACKGROUND

Adolescent sexual and reproductive health (ASRH) interventions are underfunded in Ghana. We explored stakeholder perspectives on innovative and sustainable financing strategies for priority ASRH interventions in Ghana.

METHODS

Using qualitative design, we interviewed 36 key informants to evaluate sustainable financing sources for ASRH interventions in Ghana. Thematic content analysis of primary data was performed. Study reporting followed the consolidated criteria for reporting qualitative research.

RESULTS

Proposed conventional financing strategies included tax-based, need-based, policy-based, and implementation-based approaches. Unconventional financing strategies recommended involved getting religious groups to support ASRH interventions as done to mobilize resources for the Ghana COVID-19 Trust Fund during the global pandemic. Other recommendations included leveraging existing opportunities like fundraising through annual adolescent and youth sporting activities to support ASRH interventions. Nonetheless, some participants believed financial, material, and non-material resources must complement each other to sustain funding for priority ASRH interventions.

CONCLUSION

There are various sustainable financing strategies to close the funding gap for ASRH interventions in Ghana, but judicious management of financial, material, and non-material resources is needed to sustain priority ASRH interventions in Ghana.

摘要

背景

加纳对青少年性与生殖健康(ASRH)干预措施的资助不足。我们探讨了利益攸关方对加纳优先 ASRH 干预措施的创新和可持续融资策略的看法。

方法

采用定性设计,我们采访了 36 名利益攸关方,以评估加纳 ASRH 干预措施的可持续融资来源。对主要数据进行了主题内容分析。研究报告遵循定性研究报告的统一标准。

结果

提出的传统融资策略包括基于税收、基于需求、基于政策和基于实施的方法。建议的非常规融资策略包括让宗教团体支持 ASRH 干预措施,就像在全球大流行期间为加纳 COVID-19 信托基金动员资源一样。其他建议包括利用现有的机会,如通过年度青少年体育活动筹集资金,以支持 ASRH 干预措施。尽管如此,一些参与者认为,为了维持优先 ASRH 干预措施的资金,财务、物质和非物质资源必须相互补充。

结论

加纳有各种可持续的融资策略来填补 ASRH 干预措施的资金缺口,但需要明智地管理财务、物质和非物质资源,以维持加纳优先 ASRH 干预措施的资金。

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