Building financial management capacity for community ownership of development initiatives in rural Zambia

被引:7
作者
Sakanga, Viviane I. R. [1 ]
Chastain, Parker S. [2 ]
McGlasson, Kathleen L. [3 ]
Kaiser, Jeanette L. [4 ]
Bwalya, Misheck [5 ]
Mwansa, Melvin [6 ]
Mataka, Kaluba [7 ]
Kalaba, David [8 ]
Scott, Nancy A. [4 ]
Vian, Taryn [9 ]
机构
[1] Amref Hlth Africa Zambia, Dept Programs, Lusaka, Zambia
[2] Technol Exchange Lab, Cambridge, MA USA
[3] Boston Univ, Sch Publ Hlth, Biostat & Epidemiol Data Coordinating Ctr, Boston, MA USA
[4] Boston Univ, Sch Publ Hlth, Dept Global Hlth, Boston, MA USA
[5] Right Care Zambia, Dept Res, Lusaka, Zambia
[6] Soc Family Hlth, Dept Res Monitoring & Evaluat, Lusaka, Zambia
[7] Akros Inc, Dept Prod, Lusaka, Zambia
[8] Eastern & Southern African Management Inst, Dept Finance & Adm, Arusha, Tanzania
[9] Univ San Francisco, Sch Nursing & Hlth Profess, San Francisco, CA USA
关键词
capacity building; community ownership; financial management; sustainability; training; MATERNITY WAITING HOMES; GOVERNANCE; REFORM;
D O I
10.1002/hpm.2810
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Building financial management capacity is increasingly important in low- and middle-income countries to help communities take ownership of development activities. Yet, many community members lack financial knowledge and skills. Methods We designed and conducted financial management trainings for 83 members from 10 community groups in rural Zambia. We conducted pre-training and post-training tests and elicited participant feedback. We conducted 28 in-depth interviews over 18 months and reviewed financial records to assess practical application of skills. Results The training significantly improved knowledge of financial concepts, especially among participants with secondary education. Participants appreciated exercises to contextualize financial concepts within daily life and liked opportunities to learn from peers in small groups. Language barriers were a particular challenge. After trainings, sites successfully adhered to the principles of financial management, discussing the benefits they experienced from practicing accountability, transparency, and accurate recordkeeping. Conclusion Financial management trainings need to be tailored to the background and education level of participants. Trainings should relate financial concepts to more tangible applications and provide time for active learning. On-site mentorship should be considered for a considerable time. This training approach could be used in similar settings to improve community oversight of resources intended to strengthen developmental initiatives.
引用
收藏
页码:36 / 51
页数:16
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