• Economic and structural factors

Economic and structural factors

This report by Partners for Health Reformplus, assesses the effects of the Global Fund to Fight AIDS, tuberculosis and Malaria (GF), and the activities it supports on reproductive health and family planning programmes in Ethiopia and Malawi. The paper considers the effects of the GF on policy processes, human resources, the public/private mix, pharmaceutical and commodity procurement and management with relation to reproductive health and family planning services. It finds that reproductive health players have not participated extensively in GF planning processes, and GF activities are not integrated with reproductive health, family planning, or other preventative care services.

In Ethiopia, health workers are shifting out of the public sector in search of better working conditions at non-governmental organisations, and in Malawi, there is evidence of resource shifts away from community reproductive health programmes in favour of activities related to AIDS, tuberculosis and malaria. The paper concludes that in order to bolster reproductive health and family planning services in future GF activities, reproductive health advocates and providers should make a case for integrating services for AIDS, tuberculosis and malaria with reproductive health and family planning, and become more involved in the planning process of GF activities. [adapted from author]

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