Casimiro Anaxore, Branco Joana, Maulide Cane Réka, Andrade Michel Jareski, Varandas Luís, Craveiro Isabel
Global Health and Tropical Medicine, GHTM, Associate Laboratory in Translation and Innovation Towards Global Health, LA-REAL, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, 1349-008 Lisboa, Portugal.
Unidade Local de Saúde de São José, ULS São José, Hospital Dona Estefânia, HDE, 1169-045 Lisboa, Portugal.
Children (Basel). 2025 May 30;12(6):717. doi: 10.3390/children12060717.
Reproductive, maternal, neonatal, and child health (RMNCH) remains a key priority for official development assistance and private voluntary assistance (ODA+) in low-income countries. In Guinea-Bissau, maternal and child mortality rates remain high, with the healthcare system heavily dependent on foreign aid. This study analyzes ODA+ trends for RMNCH in Guinea-Bissau from 2002 to 2018 and assesses its impact on maternal, neonatal, infsupplent, and under-five mortality rates.
We used data from the OECD Creditor Reporting System and applied the Muskoka2 methodology to estimate RMNCH-related disbursements. Funding trends were categorized by donor type and RMNCH subsectors. A longitudinal analysis used regression models to assess the relationship between aid categories and mortality outcomes.
RMNCH funding accounted for 8.9% of total ODA+ to Guinea-Bissau, with most aid directed toward child health. Models revealed a negative association between child health funding and under-five and infant mortality, while reproductive health funding showed no significant correlation with maternal or neonatal mortality.
Although variable, ODA+ for RMNCH in Guinea-Bissau has helped reduce child mortality. However, maternal and neonatal mortality require targeted interventions and improved coordination. Fluctuating aid disbursements emphasize the need for sustainable health financing and stronger donor alignment with national priorities.
生殖、孕产妇、新生儿和儿童健康（RMNCH）仍然是低收入国家官方发展援助和私人自愿援助（官方发展援助加）的关键优先事项。在几内亚比绍，孕产妇和儿童死亡率仍然很高，医疗保健系统严重依赖外国援助。本研究分析了2002年至2018年几内亚比绍RMNCH的官方发展援助加趋势，并评估了其对孕产妇、新生儿、婴儿和五岁以下儿童死亡率的影响。
我们使用了经合组织债权人报告系统的数据，并应用马斯卡托2方法来估计与RMNCH相关的支出。资金趋势按捐助方类型和RMNCH子部门进行分类。纵向分析使用回归模型来评估援助类别与死亡率结果之间的关系。
RMNCH资金占几内亚比绍官方发展援助加总额的8.9%，大部分援助用于儿童健康。模型显示，儿童健康资金与五岁以下儿童和婴儿死亡率之间呈负相关，而生殖健康资金与孕产妇或新生儿死亡率之间没有显著相关性。
尽管存在差异，但几内亚比绍RMNCH的官方发展援助加有助于降低儿童死亡率。然而，孕产妇和新生儿死亡率需要有针对性的干预措施和更好的协调。援助支出的波动凸显了可持续卫生筹资的必要性，以及捐助方与国家优先事项更强的一致性。
