| Decentralisation and its Implications for Reproductive Health: The Philippines Experience |
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>>Available in PDF Summary: By Rama Lakshminarayanan (Reproductive Health Matters, Vol. 11, No. 21, May 2003). An analysis of the difficulties associated with health sector reform in the Philippines, in particular the negative consequences for reproductive health services. The decentralization process, initiated in 1991, was intended to improve the efficiency, equity, and effectiveness of the health sector. Given existing weaknesses and inequities in the system, however, the process created a number of unanticipated problems, with particular consequences for women. In order to avoid such problems in the future, it is necessary to consider a number of health and non-health factors before undertaking such reforms, and to be willing to make adjustments during implementation (12 pages). To order the full issue of Reproductive Health Matters, click here.
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