TAILIEUCHUNG - Priority Setting for Reproductive Health at the District Level in the context of Health Sector Reforms in Ghana

The imagination is questionable (Daily, 1997; Dasgupta, 2000b). In any event, we should be sceptical of a theory which places such enormous burden on an experience not much more than two hundred years old (Fogel, 1994; Johnson, 2000). Extrapolation into the past is a sobering exercise: over the long haul of history (some five thousand years), economic growth even in the currently-rich countries was for most of the time not much above zero. The study of possible feedback loops between poverty, demographic behaviour and the character and performance of both human institutions and the natural-resource base is not yet on the research agenda of modern growth theorists | Priority Setting for Reproductive Health at the District Level in the context of Health Sector Reforms in Ghana April 2006 Population Council Harriet Birungi Philomena Nyarko Ian Askew Ayo Ajayi Ministry of Health Ghana Edward Addai UNFPA Ghana Gifty Addico Ghana Health Service Caroline Jehu-Appiah This study was funded by UNFPA under Contract Agreement Number UNFPA SSA 05 30 with funding from the European Commission EC under the terms of the UNFPA EC GOG Project the United States Agency for International Development USAID under the terms of the FRONTIERS Cooperative Agreement Number HRN-A-00-98-00012-00 and the Population Council under In-house Project 5800 53086. The opinions expressed herein are those of the authors and do not necessarily reflect the views of the sponsors. Population Council FRONTIERS IN REPRODUCTIVE HFA1TH s y SAI p u . FROM I Hi AMERICAN PEOPlE Table of Contents Table of List of Executive Background. 1 Overall Conceptual Framework. 3 Study Data The Content of RH in Context for RH Decentralization Service delivery Financing Priority Setting - Process and National level priority setting 15 District level priority setting 17 What influences the selection of priorities at the district level .18 Is reproductive health receiving attention at the district level .21 Is RH a perceived problem at the district level .21 The position of reproductive health in the list of district Do the media give attention to RH .23 Is the RH programme adequately resourced .24 What is the capacity of districts to deliver RH services .26 Discussion and References . 30 ii List of Acronyms ADH Adolescent Health AES Awutu-Efutu Senya district .

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