Pradhan Jalandhar, Sidze Estelle Monique, Khanna Anoop, Beekink Erik
Netherlands Interdisciplinary Demographic Institute (NIDI), P.O. Box 11650 NL-2502 AR The Hague, The Netherlands; Department of Humanities and Social Sciences, National Institute of Technology, Rourkela, Odisha-769008, India.
African Population and Health Research Center (APHRC) APHRC Campus, Kirawa Road, off Peponi Road, P.O. Box 10787-00100, Nairobi, Kenya.
Sex Reprod Healthc. 2014 Oct;5(3):90-8. doi: 10.1016/j.srhc.2014.05.003. Epub 2014 May 15.
Low level of funding for reproductive health (RH) is a cause for concern, given that RH service utilization in the vast majority of the developing world is well below the desired level. Though there is an urgent need to track the domestic and international financial resource flows for RH, the instruments through which financial resources are tracked in developing countries are limited. In this paper we examined the methodological and conceptual challenges of monitoring financial resources for RH services at international and national level. At the international level, there are a number of estimates that highlights the need for financial resources for RH programmes but the estimates vary significantly. At the national level, Reproductive Health Accounts (RHA) in the framework of National Health Accounts (NHA) is considered to be the ideal source to track domestic financial flows for RH activities. However, the weak link between data production by the RHA and its application by the stakeholders as well as lack of political will impedes the institutionalization of RHA at the country level.
鉴于绝大多数发展中国家的生殖健康服务利用率远低于理想水平,生殖健康领域资金投入水平较低令人担忧。尽管迫切需要追踪国内和国际用于生殖健康的资金流动情况,但发展中国家用于追踪资金的工具有限。在本文中,我们研究了在国际和国家层面监测生殖健康服务资金的方法和概念挑战。在国际层面,有多项估计凸显了生殖健康项目对资金的需求,但这些估计差异很大。在国家层面,国家卫生账户(NHA)框架下的生殖健康账户(RHA)被认为是追踪国内生殖健康活动资金流动的理想来源。然而,RHA数据产出与利益相关者应用之间的薄弱联系以及缺乏政治意愿阻碍了RHA在国家层面的制度化。