Transforming family planning programmes: Towards a framework for advancing the reproductive rights agenda

References 

1. Germain A , et al.   Setting a new agenda: exual and reproductive health and rights . In:  Sen G , et al. editor. Population Policies Reconsidered: Health, Empowerment and Rights . Cambridge MA: Harvard School of Public Health; 1994;
2. See, for example Bruce J . Fundamental Elements ofthe Quality of Care: A Simple Framework . New York: Population Council; 1989; Germain A , Ordway J . Population Control and Women's Health: Balancing the Scales . New York: Population Council; 1989;
3. Jain A . Implementing the ICPD's message . Studies in Family Planning . 1995;26(5):296–298
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4. Correa S , Petchesky R . Reproductive and sexual rights: a feminist perspective . In:  Sen G , et al. editor. Population Policies Reconsidered: Health, Empowerment, and Rights . Cambridge MA: Harvard School of Public Health; 1994;

5. These observations are based on research conducted in Mexico by myself and others between 1997 and 2000 for the Center for Health and Gender Equity (CHANGE), and by our partners in Mexico, including Monica Jasis, co-director, Centro Mujeres, Baja California Sur. During this period, we have been involved in conducting research on constraints to informed choice and consent in Mexico, and in monitoring the activities of both the government and donor agencies in addressing these issues. Unpublished data collected by CONAPO and funded by several external donor agencies (presented in a meeting with CONAPO officials at which CHANGE representatives were present) reveal that problems with choice and consent are widespread in the Mexican programme, and are particularly entrenched within particular segments of the public sector programme. Qualitative research and programme analyses indicate that the problems of choice and consent are most obvious in clinical settings, but have deep roots in cultural, economic, and class-based constraints on women's lives. These issues are to be explored more fully in a forthcoming case study of reproductive health programmes in Mexico to be published by CHANGE in 2000.
6. United Nations Population Fund  . Evaluation Report: Quality of Family Planning Services . 1996; No. 8. New York.
7. Johns Hopkins University and the Center for Health and Gender Equity  . Ending violence against women . Population Reports . 1999;24(4):
8. Jain A , Bruce J . A reproductive health approach to the objectives and assessment of family planning programs . In:  Sen G , et al. editor. Population Policies Reconsidered: Health, Empowerment and Rights . Cambridge MA: Harvard School of Public Health; 1994;
9. Freedman L . The challenge of fundamentalisms . Reproductive Health Matters . 1996;4(8):55–69
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10. Observations based on documents reviewed during meetings and participation by CHANGE in the Inter-Agency Gender Working Group, 1997 to the present.
11. United States Agency for International Development  . In: From Commitment to Action: Meeting the Challenge of ICPD . Washington DC. . 1999;
12. See, for example, O'Reilly K , Dehne K , Snow R . Should management of sexually transmitted infections be integrated into family planning services: evidence and challenges . Reproductive Health Matters . 1999;7(14):49–59
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13. Girard F . Cairo + Five: reviewing progress for women five years after the International Conference on Population and Development . Journal of Women's Health and Law . 1999;1(1):1–14

14. Based on experience of CHANGE staff and drawn from numerous discussions and meetings in the period 1997–2000.
15. Yamin A , Maine D . Maternal mortality as a human rights issue: measuring compliance with international treaty obligations . Human Rights Quarterly. . 1999;21(3):565–607
16. O'Reilly K. Personal communication, March 2000.
17. Center for Health and Gender Equity, Population Council  . The Implications of Health Sector Reforms for Reproductive Rights and Health . In: Report from a meeting of the Working Group on Reproductive Health and Family Planning. . Washington DC: World Bank; 1999; 14–15 December
18. Sethi G . Administrative decentralization as a strategy to improve the quality and responsiveness of social services: the Panchayati Raj and reproductive health in India . In: Paper presented at Accountability Mechanisms: Marking Progress in the Implementation of ICPD, Working Group on Reproductive Health and Family Planning, Ford Foundation . New York, 9–10 April . 1997;