Restructuring the Health System: Experiences of Advocates for Gender Equity in Bangladesh

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Summary: By Rounaq Jahan (Reproductive Health Matters, Vol. 11, No. 21, May 2003). Examines how advocates for gender equity succeeded in influencing health sector reform in Bangladesh in the mid-1990s, but failed to exert the same influence over the implementation of those reforms. The article discusses the major challenges advocates faced, the strategies they developed in response, and as a result, the gains they were able to achieve. These included ensuring that social and gender equity as well as reproductive health were central concerns of the health system, developing indicators to monitor program performance, improving community and stakeholder participation, and recognizing the importance of gender in all health interventions. Despite these successes, substantial ground was lost in the implementation process, indicating the need for civil society to play a more prominent role at each stage of the reform process (9 pages).

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