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

Int J Health Plann Manage. 2020 Jan;35(1):36-51. doi: 10.1002/hpm.2810. Epub 2019 May 23.

Abstract

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.

Keywords: capacity building; community ownership; financial management; sustainability; training.

MeSH terms

  • Adult
  • Capacity Building / methods*
  • Capacity Building / organization & administration
  • Community Health Services / economics
  • Community Health Services / organization & administration*
  • Developing Countries
  • Female
  • Financial Management*
  • Formative Feedback
  • Health Facility Administration / education*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Male
  • Ownership / economics
  • Ownership / organization & administration
  • Rural Health Services / economics
  • Rural Health Services / organization & administration*
  • Teaching / education
  • Teaching / organization & administration
  • Zambia