Abstract:
:Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using national and district budgets related to disease burden, policy documents, organizational structures, and coordination and implementation processes. ARV provision represents the concept of a "crisis scenario", in which reforms are pushed due to a perception of urgent need, whereas the national reproductive health programme, which is older and more integrated, represents a "politics-as-usual scenario". Findings show that the early years of the national response to HIV and AIDS were characterized by new institutions with overlapping functions, and failure to integrate with and strengthen existing structures. National and district budget allocations for HIV compared to other interventions were disproportionately high when assessed against burden of disease. Strategic documents for ARV provision were relatively less developed and referred to, compared to those of the Ministry of Health Directorates for HIV and for Family Health and district health planning teams for reproductive health services. Imbalances and new structures potentially trigger important adverse effects which are difficult to remedy and likely to increase due to the dynamics they create. It therefore becomes crucial, from the outset, to integrate HIV/AIDS funding and responses into health systems.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Windisch R,de Savigny D,Onadja G,Somda A,Wyss K,Sié A,Kouyaté Bdoi
10.1016/S0968-8080(11)38587-4subject
Has Abstractpub_date
2011-11-01 00:00:00pages
163-75issue
38eissn
0968-8080issn
1460-9576pii
S0968-8080(11)38587-4journal_volume
19pub_type
杂志文章abstract::After almost 500 years of Spanish colonial rule, Canon law and laws of Spanish origin continue to dominate Philippine family, civil and penal law. Most if not all of these laws place serious limitations on the realisation of women's sexual and reproductive rights. Since 2002, the current president, Gloria Mocapagal Ar...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)24152-0
更新日期:2004-11-01 00:00:00
abstract::Drug regimens and procedures now exist that will prevent parents from transmitting HIV to infants, and the ethical and legal obligation to promote and protect the reproductive rights of those living with HIV should form part of training for HIV/AIDS care and prevention. This paper reports a study that investigated iss...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(03)02293-6
更新日期:2003-11-01 00:00:00
abstract::South Africa's cervical screening policy recommends three free Pap smears at ten-year intervals for all women over 30 years of age, aiming to achieve 70% coverage by 2010 by targeting the age group most at risk of developing pre-cancerous cervical lesions. Attaining wide coverage requires an adequate supply of motivat...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)32403-3
更新日期:2008-11-01 00:00:00
abstract::This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack o...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/j.rhm.2015.11.008
更新日期:2015-11-01 00:00:00
abstract::In 1997, the Supreme Court of India recognised sexual harassment in the workplace as a violation of human rights. However, little is known about the extent or persistence of sexual harassment. To obtain an understanding of women's experiences of sexual harassment in the health sector, an exploratory study was undertak...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(07)30319-4
更新日期:2007-11-01 00:00:00
abstract::This article offers some insights into the experiences of HIV positive women with the female condom, drawing on my own personal experience and responses of 18 members of the International Community of Women Living with HIV/AIDS to an e-mail survey conducted in 2005. Major barriers reported to female condom use were co...
journal_title:Reproductive health matters
pub_type: 杂志文章
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更新日期:2006-11-01 00:00:00
abstract::The female condom has received surprisingly little serious attention since its introduction in 1984. Given the numbers of women with HIV globally, international support for women's reproductive and sexual health and rights and the empowerment of women, and, not least, due to the demand expressed by users, one would ha...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(10)35499-1
更新日期:2010-05-01 00:00:00
abstract::A trained health service workforce is critical to ensuring good quality service delivery to people with HIV. There is only limited documented information on the challenges and constraints facing health care providers in meeting the sexual and reproductive health needs of HIV positive women and men. This paper reviews ...
journal_title:Reproductive health matters
pub_type: 杂志文章,评审
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更新日期:2007-05-01 00:00:00
abstract::The Irish Protection of Life During Pregnancy Act seeks to clarify the legal ground for abortion in cases of risk to life, and to create procedures to regulate women's access to services under it. This article explores the new law as the outcome of an international human rights litigation strategy premised on state du...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)44798-0
更新日期:2014-11-01 00:00:00
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journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(13)42728-3
更新日期:2013-11-01 00:00:00
abstract::Menopausal symptoms can be grim, and the desire to replace the hormonal "deficit" with exogenous hormones remains strong. Since the 1950s, hormone replacement therapy has been used increasingly, while evidence on the risks of unwanted side effects has accumulated. What have we learned over these decades? Firstly, curr...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)24144-1
更新日期:2004-11-01 00:00:00
abstract::This paper reports on a community-based study in 1999 of the beliefs and practices of people in Faranah District, Guinea regarding female genital excision (FGE). Semi-structured individual interviews and focus group discussions were carried out with women of reproductive age, older women, married men, community and re...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(01)90100-4
更新日期:2001-11-01 00:00:00
abstract::The Young Men's Project has been working with young men and young fathers as part of Great Yarmouth Primary Care Trust in the UK since June 2001. The Project works in schools and other educational environments to promote positive personal development, particularly around sex and relationships, and to increase accessib...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(06)28252-1
更新日期:2006-11-01 00:00:00
abstract::In spite of wide availability of menstrual regulation services, women often resort to a variety of medicines for inducing abortion. The Bangladeshi Government is now supporting attempts to investigate the introduction of medical menstrual regulation in the public sector. This study examined the acceptability of medica...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)43795-9
更新日期:2015-02-01 00:00:00
abstract::This paper discusses the type of work migrant women from the former Eastern European countries perform in nightclubs in Amman, Jordan. The fieldwork for this qualitative study was conducted in 2010 and is based on in-depth interviews with 13 women. The topic is approached from the perspective of describing women's cho...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1080/09688080.2017.1378063
更新日期:2017-10-01 00:00:00
abstract::Due to a long-term shortage of obstetricians, the Ministry of Health of Senegal and Dakar University Obstetric Department agreed in 1998 to train district teams consisting of an anaesthetist, general practitioner and surgical assistant in emergency obstetric surgery. An evaluation of the policy was carried out in thre...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(09)33437-0
更新日期:2009-05-01 00:00:00
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journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(07)30322-4
更新日期:2007-11-01 00:00:00
abstract::South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper des...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(00)90187-3
更新日期:2000-11-01 00:00:00
abstract::On 25 July 2001 the Polish Federation for Women and Family Planning organised a Tribunal on Abortion Rights in Warsaw, to publicize the negative consequences of the criminalization of abortion in Poland. A panel of Polish and foreign experts heard the testimonials of seven Polish women's experiences under the 1993 "An...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(02)00023-x
更新日期:2002-05-01 00:00:00
abstract::Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmis...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(12)39639-0
更新日期:2012-12-01 00:00:00
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journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(02)00082-4
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journal_title:Reproductive health matters
pub_type: 杂志文章
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journal_title:Reproductive health matters
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更新日期:2000-05-01 00:00:00
abstract::Population-Health-Environment (PHE) is an interdisciplinary model of programme design which recognises the complex interconnections between people, their health and their environment. PHE responds holistically to the challenges faced by ecosystems and the communities dependent on them, with thematically distinct but i...
journal_title:Reproductive health matters
pub_type: 杂志文章
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abstract::Uganda is often cited as a role model in the fight against HIV/AIDS because of its success in reducing both prevalence and incidence of HIV infection since the late 1980s. Although an increase in sexual abstinence has been highlighted as a primary cause of the declines, large increases have also been recorded in monog...
journal_title:Reproductive health matters
pub_type: 杂志文章
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更新日期:2004-05-01 00:00:00
abstract::Abortion was completely illegal in Portugal until 1984. Illegal abortion provision was a matter of silence until then and treated as a "black market" issue rather than as a health issue. The first attempts to change the abortion law began in 1982 after two trials and a national campaign for legal abortion and contrace...
journal_title:Reproductive health matters
pub_type: 杂志文章
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更新日期:2002-05-01 00:00:00
abstract::How rurality relates to women's abortion decision-making in the United States remains largely unexplored in existing literature. The present study relies on qualitative methods to analyze rural women's experiences related to pregnancy decision-making and pathways to abortion services in Central Appalachia. This analys...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1080/09688080.2018.1513270
更新日期:2018-12-01 00:00:00
abstract::Sex workers remain a vulnerable population at risk for HIV acquisition and transmission. Research suggests that interventions at the individual level, such as condom distribution, are less effective in preventing HIV among sex workers than structural changes such as allowing safer work settings and reducing the harass...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/j.rhm.2015.06.008
更新日期:2015-05-01 00:00:00
abstract::Although unsafe abortion continues to be a leading cause of maternal mortality in many countries in Asia, the right to safe abortion remains highly stigmatized across the region. The Asia Safe Abortion Partnership, a regional network advocating for safe abortion, produced an animated short film entitled From Unwanted ...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/j.rhm.2015.06.013
更新日期:2015-05-01 00:00:00
abstract::Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contr...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(06)27221-5
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