Reproductive health and health sector reform in developing countries: establishing a framework for dialogue.
It is not clear how policy-making in the field of reproductive health relates to changes associated with programmes for the reform of the health sector in developing countries. There has been little communication between these two areas, yet policy on reproductive health has to be implemented in the context of structural change. This paper examines factors that limit dialogue between the two areas and proposes the following framework for encouraging it: the identification of policy groups and the development of bases for collaborative links between them; the introduction of a common understanding around relevant policy contexts; reaching agreement on compatible aims relating to reproductive health and health sector change; developing causal links between policy content in reproductive health and health sector change as a basis for evidence-based policy-making; and strengthening policy-making structures, systems, skills, and values.
Lubben
Marianne
M
Sexual and Reproductive Health Programme, Nuffield Institute for Health, University of Leeds, Leeds, England.
Mayhew
Susannah H
SH
Collins
Charles
C
Green
Andrew
A
D003144:Communication Barriers; D003299:Cooperative Behavior; D003906:Developing Countries; D019317:Evidence-Based Medicine; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D005380:Financing, Government; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D008297:Male; D017146:Models, Organizational; D011050:Policy Making; D017149:Private Sector; D018456:Reproductive Medicine