From Millennium Development Goals to post-2015 sustainable development sexual and reproductive health and rights in an evolving aid environment》.pdfVIP

FEATURE From Millennium Development Goals to post-2015 sustainable development: sexual and reproductive health and rights in an evolving aid environment Peter S Hill,a Dale Huntington,b Rebecca Dodd,c Michael Buttsworthd a Associate Professor Global Health Systems, School of Population Health, University of Queensland, Herston, 4006, Brisbane, Australia. Correspondence: peter.hill@.au b Director, Asia Pacific Directory on Health Systems and Policies, World Health Organization Western Pacific Regional Office, Manila, Philippines c Technical Officer, Division of Health Systems Development, World Health Organization Western Pacific Regional Office, Manila, Philippines (at time of research) d Research Officer, School of Population Health, University of Queensland, Brisbane, Australia Abstract: Using research from country case studies, this paper offers insights into the range of institutional and structural changes in development assistance between 2005 and 2011, and their impact on the inclusion of a sexual and reproductive health and rights agenda in national planning environments. At a global level during this period, donors supported more integrative modalities of aid – sector wide approaches, poverty reduction strategy papers, direct budgetary support – with greater use of economic frameworks in decision-making. The Millennium Development Goals brought heightened attention to maternal mortality, but at the expense of a broader sexual and reproductive health and rights agenda. Advocacy at the national planning level was not well linked to programme implementation; health officials were disadvantaged in economic arguments, and lacked financial and budgetary controls to ensure a connection between advocacy and action. With increasing competency in higher level planning processes, health officials are