Progress in health and development in the poorest countries is in serious danger if the world does not make a concerted effort to reduce inequities, protect the environment and promote sustainability. This is the stark warning highlighted in the 2011 Human Development Report, launched on Wednesday by the United Nations Development Programme (UNDP).
A period of major change is unfolding in health and HIV services in South Africa, carrying opportunities and risks for delivering effective, integrated health services that improve health outcomes and save lives. South Africa is decentralizing HIV services to the primary health care level, paving the way for greater integration to address women’s health and to reduce maternal mortality. The United States can find feasible, flexible ways to support this process, even though its health program through the President’s Emergency Plan for AIDS Relief (PEPFAR) is scaling down.
This report is based on research conducted between August 2010 and April 2011. During this period, Human Rights Watch researchers interviewed 157 women who received maternal health services, or accompanied other women seeking such services, in Eastern Cape public health facilities over the past five years, and observed health facilities in Eastern Cape Province. In addition to interviewing other experts, Human Rights Watch also reviewed laws, policies, official health strategies, and reports by academics, national and international organizations, and United Nations agencies.
The case studies that follow, from across sub-Saharan Africa, South Asia, Europe and Central
Asia, Latin America and North America, highlight the rich diversity of community initiatives that
bridge sexual and reproductive health and rights and HIV. The report has a strategic emphasis
on the innovation that is being led by women living with HIV and features pioneering endeavours
that reflect community and key stakeholder interpretation and understanding of how this
intersection is defined. It profiles initiatives that have emerged from within the HIV sector as it
broadens out to encompass a sexual and reproductive health and rights approach, as well as
World Health Organisation. The World Health Report 2007: a safer future: global public health security in the 21st century. Geneva: World Health Organisation; 2007.
World Health Organisation. The World Health Report 2005: Make every mother and child count. Geneva: World Health Organisation; 2005.
This report is part of a bigger international effort through which NGOs from sixteen countries have collected strategic data on Sexual and Reproductive Health and Rights based on the goals in the 2001 UNGASS Declaration. The process was initiated by GESTOS Soropositividade, Comunicao e Gnero, an NGO in Brazil, and was funded by the Ford Foundation. The purpose of the study was to identify gaps and progresses in the implementation of activities addressing sexual and reproductive health and rights of women and girls in the fight against HIV and AIDS.
Understanding the Impact of Decentralisation on Reproductive Health Services in Africa (RHD) - South Africa Report
The provision of appropriate reproductive health care remains one of the main health care challenges in developing countries. The development of the delivery of reproductive health services is continually confronted by challenges from a changing environment, an important element of which is health sector reform, in particular decentralisation, which is being undertaken by most governments in Africa.
This Annual Report of the Health Systems Trust (HST) reflects an extensive programme of research and development initiatives during the 2004/05 financial year, responding to priority health needs in South Africa and the broader SADC region.The following four strategic areas received particular attention during this year:
i. the supply and distribution of human resources in the public health sector