Implications of Health Sector Reforms for Sexual and Reproductive Health
Services
The Initiative for Sexual and Reproductive Health and Rights in Health
Sector Reforms is an international research, capacity building and advocacy
project (also known as the Rights and Reforms Initiative). It aims to
promote health sector reforms that are conducive to implementing the 1994
International Conference on Population and Development's (ICPD) Programme of
Action, are driven by in-country actors, and are responsive to the needs of
the people of the country, especially poor women.
The Initiative is coordinated by the Women's Health Project/School of Public
Health in Johannesburg, South Africa, and led by an international team based
in Africa, Asia, Latin America and the Caribbean. The Rights and Reforms
team is made up of researchers (NGOs and individuals) and regional sexual
and reproductive health and rights networks.
The main purpose of the Initiative is to strengthen understanding amongst
activists and decision-makers of the role of global social and economic
changes and specifically of health sector reforms (HSR) in facilitating or
undermining efforts to achieve sexual and reproductive rights in health
policies and programmes.
The first phase of the Rights and Reforms Initiative (2002-2004) focused on
strengthening the knowledge base regarding the impact of HSR on women's
access to sexual and reproductive health services. Three research teams from
Africa, Asia and Latin America respectively carried out a systematic review
of information sources on each of six issues related to HSR, namely:
o Financing,
o Public-Private Interactions,
o Priority-Setting,
o Decentralization,
o Integration of services and
o Community Participation and Accountability.
Three regional papers on each of the six topics were produced, except for a
paper on Integration of services in Africa. The regional papers on each
topic were subsequently integrated into a 'global' paper on each topic and
are published in the book, The Right Reforms? Health Sector Reforms and
Women's Sexual and Reproductive Health.
Additional project materials include policy briefs on each of the topics -
highlighting key issues and recommending further research needs and possible
areas for advocacy; three regional volumes and a training manual. All of the
materials can be accessed at www.wits.ac/whp/rightsandreforms.htm