The Politics of Priority Setting for Reproductive Health: Breast and Cervical Cancer in Ghana

The Impact of Decentralisation on Sexual and Reproductive Health Services in Ghana

“…The development of formal mechanisms for priority setting and advocacy could also help to secure benefits for sexual and reproductive health in the context of the full range of health needs. 28 Given the increase in reported HIV/AIDS cases, serious consideration must be given to the most effective way to strengthen the National AIDS Control Programme as a multisectoral, priority programme, e.g. with earmarked funding and resources, as has been done in South Africa, and at the same time consider how best to involve the MCH-FP Unit and the Institutional Care Division who are responsible for STI treatment, within the decentralised system.…”

Hidden costs: The ethics of cost-effectiveness analyses for health interventions in resource-limited settings

“…Health programs and interventions in resource-limited settings are frequently sponsored by donor agencies with their own disease- or population-specific objectives (Kapiriri et al, 2004; Kapiriri & Norheim, 2004; Kapiriri, Robberstad, & Frithjof Norheim, 2003; Lasry, Carter, & Zaric, 2011; Reichenbach, 2002). For example, from 2003 through 2012, the Global Fund disbursed nearly $550 million to Malawi for HIV-related activities ( Global Fund Disbursements by Region, Country and Grant Agreement (in USD equivalents) , 2012).…”

Integrating Sexual Health Services Into Primary Care: An Overview of Health Systems Issues and Challenges in Developing Countries

“…Separate programs and institutions dealing with sexual and reproductive health, such as the maternal and child health program and the national AIDS program, may have developed policies, drug lists, training manuals, and technical guidelines that cover family planning, maternal and child health, STIs, and HIV/AIDS, with little interdepartmental consultation (Mayhew et al, 2000). Systems that are heavily reliant on external funds may also find that the contents of services are dictated by externally set donor priorities, and many different international organizations may be working on overlapping programs (Reichenbach, 2002). It has been suggested that an integrated planning cycle, within and between different governmental and nongovernmental departments and institutions, as well as among donor and funding agencies, may support integration (Mayhew et al, 2000;McIntyre & Klugman, 2003).…”