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A range of factors contributed to this situation, such as the lack of access to basic health facilities - only 40% of the population is in the coverage areas of basic health facilities, and only 9% of rural households surveyed in 2003 reported a health facility in their village;1 lack of female staff at the existing facilities particularly in rural areas; marked rural-urban disparities in availability of health facilities; and lack of infrastructure (roads and transport) and security that reduce mobility and access. Furthermore, the overall lack of clean drinking water and sanitation facilities contributes to a very high level of water-borne diseases. The alarming health. | Involving Men in Reproductive Health Contributions to Development Margaret E. Greene Manisha Mehta Julie Pulerwitz Deirdre Wulf Akinrinola Bankole and Susheela Singh Millenniumproject Background paper to the report Public Choices Private Decisions Sexual and Reproductive Health and the Millennium Development Goals Involving Men in Reproductive Health Contributions to Development Margaret E. Greene Manisha Mehta Julie Pulerwitz Deirdre Wulf Akinrinola Bankole Susheela Singh Comments are welcome and should be directed to Margaret E. Greene at mgreene@gwu.edu This background paper was prepared at the request of the UN Millennium Project to contribute to the report Public Choices Private Decisions Sexual and Reproductive Health and the Millennium Development Goals. The analyses conclusions and recommendations contained herein are the responsibility of the authors alone. Front cover photo TK Acknowledgements We are grateful for the assistance of many individuals who provided us with research materials gave us things to think about helped with editing and offered suggestions and constructive criticisms Michèle Burger John Holveck Brian Greenberg James Rosen Dean Peacock Andrew Levack Dumisani Rebombo Nhlanhla Mabizela Lissette Bernal Rabbuh Raletsmo Gary Barker Marcio Segundo Ravi Verma Ravai Marindo Arodys Robles Ellen Weiss Hortensia Amaro and Alison Lee. We hope we have not inadvertently omitted anyone from this list and apologize sincerely if we have.
