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Health systems and services

A health systems perspective on the provision of sexual and reproductive health services highlights a number of important issues. These include institutional arrangements and financing, procurement and logistics, and the implications of health sector reform, as well as the roles of the private and non-governmental sectors.

Expectations of service providers are increasingly complex, for example regarding their capacity to offer management of sexually transmitted infections (STIs), voluntary counselling and testing for HIV, and youth-friendly services. Therefore, human resources issues are also of critical importance. In countries which are heavily affected, the HIV epidemic - a key sexual health issue - may also undermine some of the services designed to address it.

Family planning services quality as a determinant of use of IUD in Egypt
This article from BMC Health Services Research examines the relationship between the quality of family planning services and the use of intrauterine devices (IUDs) in Egypt. There is general agreement that the quality of family planning and reproductive health services positively affects contraceptive use and behaviour of patients.

Recommended reading

Strengthening accountability to sexual and reproductive health and rights and community participation in the context of reforms
( R.K. Murthy / Initiative for Sexual & Reproductive Rights in Health Reforms [School of Public Health, University of the Witwatersrand] , 2005)
Recommended reading
This policy brief, published by the Initiative for Sexual & Reproductive Rights in Health Reforms, examines the ways in which community participation and accountability have been implemented in develo...
Market development approaches scoping report
( E. Gardiner; D. Schwanenflugel; C. Grace / HLSP Institute, UK , 2006)
This paper, produced for the Reproductive Health Supplies Coalition, explores how market development approaches (MDAs) for reproductive health commodities, can contribute to financial sustainability, ...
Making the link between sexual and reproductive health and health systems development
( London School of Hygiene and Tropical Medicine , 2003)
Recommended reading
The policy areas of health system development and reproductive health have developed separately, with apparently little explicit overlap and dialogue. Indeed, health system development (HSD) policies ...

Latest Additions

A handbook for those working in the community who supporting HIV prevention, care, support and treatment
( International HIV/AIDS Alliance , 2009)

Uganda like many other developing countries, suffers from inequitable distribution of health workers between rural and urban areas and between public and private sectors. To strengthen the referral...

Advancing universal access to reproductive health, family planning and HIV and AIDS services through more effective engagement with the private health sector in Africa
( Barbara O’Hanlon (ed) / Private Sector Partnerships-One , 2008)
This report documents proceedings of a regional workshop co-sponsored by the World Health Organisation and US Agency for International Development (USAID) held May 7-10, 2008, in Addis Ababa, Ethiopia...


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