Sundari Ravindran T K
Achutha Menon Centre for Health Science Studies, Sree Chitra Thirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Reprod Health Matters. 2002 Nov;10(20):16-8. doi: 10.1016/s0968-8080(02)00078-2.
To understand the implications of health sector reforms for sexual and reproductive health services, there are three major dimensions to consider. The first two relate to the context in which health sector reforms are introduced: the characteristics of the health system, and that of reproductive and sexual health services located within it. The third dimension has to do with the content and scope of health sector reforms introduced into this context, and the actors and processes through which it is introduced. The content, scope, actors and processes have in turn to be located and understood within the larger geopolitical context and the position within it of the country under consideration.
要理解卫生部门改革对性与生殖健康服务的影响,有三个主要方面需要考虑。前两个方面与引入卫生部门改革的背景有关:卫生系统的特征,以及其中性与生殖健康服务的特征。第三个方面涉及在此背景下引入的卫生部门改革的内容和范围,以及引入改革的行为主体和过程。而这些内容、范围、行为主体和过程又必须置于更大的地缘政治背景以及所考虑国家在其中的地位中去定位和理解。