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| Research article summary (published 29 Apr 2003): |
Restructuring the health system: experiences of advocates for gender equity in Bangladesh.
Full Abstract
This paper illustrates how advocates for gender equity succeeded in influencing the restructuring of the health system in Bangladesh in the mid-1990s but failed to influence its implementation. Using published and unpublished documents and personal interviews, it traces the changing fortunes of health sector reforms and reform advocates from 1995 to 2002 and analyses the major challenges and strategies involved. It explores the gains advocates for gender equity made in the design of the reforms and also their limitations to counter some of the inherent risks. The paper highlights the gaps between the design and implementation of reforms. It argues that the key factor for success during the design of reforms was the participation of civil society, which enabled a large number of women, particularly poor women, to engage with the design of reforms. During the implementation phase, however, reforms became a government-donor driven programme disconnected from civil society and space for women's voices became limited. When a new government assumed power in 2001, opponents of reform succeeded in halting the restructuring of the health system, in part because civil society was no longer engaged with the reform process and registered little protest.
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Author information
Author/s: Jahan, Rounaq (R);
Affiliation: Southern Asia Institute, SIPA, Columbia University, New York, NY, USA. rj15@columbia.edu
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Review
Journal: Reproductive health matters (Reprod Health Matters), published in Netherlands. (Language: eng)
Reference: 2003-May; vol 11 (issue 21) : pp 183-91
Dates: Created 2003/06/12; Completed 2003/06/27; Revised 2006/11/15;
PMID: 12800715, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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