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Gender impacts of health reforms : the current state of policy and implementation


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This article follows another one written in 1997 that raised questions about the gender implications of health reforms in low income countries. This article attempts to update the issues, taking into account the changes in the language and concepts of health reform and moves towards a more intersectoral view of health. It focuses on the following issues: the importance of contextualising health reforms and associated impacts, such as the different economic, political, demographic and epidemiological drivers in different countries; the change in language from first-generation supply side reforms to second-generation reforms emphasising anti-poverty interventions; the continuing problem of the lack of data; marketisation in the health sector and the resulting pluralism of provision; decentralisation and accountability; systems versus advocacy approaches; and policy issues


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