This report outlines results of an in-depth assessment carried out in Ghana in order to provide a better understanding of key factors affecting reproductive health (RH) prioritization at the district level; and to make recommendations for policy dialogue, advocacy, resource allocation, and RH program implementation. In particular, the study examined whether or not districts are connecting to the central process of priority setting and reasons for not doing so. The report includes recommendations for bridging the policy implementation gap, including: ensuring that RH advocates participate in national policy dialogue; investing in systems development for procurement and delivery of drugs and supplies to the health institutions; recognizing that other implementers, in particular NGOs, have a comparative advantage in the delivery of certain components and mobilizing them to deliver these packages to ensure availability of these services at the district level; and mobilizing District Assemblies to support RH activities.
Birungi, Harriet, Philomena Nyarko, Ian Askew, Ayorinde Ajayi, Gifty Addico, Edward Addai, and Caroline Jehu-Appiah. 2006. "Priority setting for reproductive health at the district level in the context of health sector reforms in Ghana," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health