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Diagonal Interventions to Fast-Forward Enhanced Reproductive Health

Objective

Improving women’s sexual and reproductive health (SRH) requires innovative strategies to maximise potential synergies between components of care. Most adverse reproductive health outcomes stem from unintended pregnancy, and acquisition and transmission of reproductive tract infections. Although proven solutions exist, their implementation has been fragmented, with limited population impact, and little access for populations most at risk, such as sex workers. Integration of SRH services is key to achieving universal access to reproductive health. However, with weakened health systems and an HIV pandemic, the way forward is uncertain. The essential package of services and models for delivering them at high coverage in resource-limited settings are unclear. To address this, we propose a ‘diagonal’ strategy, incorporating both ‘horizontal’ health systems strengthening and more targeted ‘vertical’ approaches. Horizontal programmes can reach large numbers of women, while vertical programs target high-risk populations, difficult to reach through a horizontal approach. The aim is improved SRH services through identifying best practices in delivering a combined package of interventions for general population women and female sex workers. The research will occur in Kenya, Mozambique, South Africa, and Mysore, India by a consortium of 3 African, 1 Indian and 2 European partners. Detailed situation and policy analyses will be conducted in each country, with key stakeholder and community participation, and will inform the design of context-specific interventions to be implemented as feasible and acceptable packages of interventions. We will apply health systems research methodology to evaluate effectiveness and sustainability, and to identify the determinants of successful, sustainable and replicable interventions. This project will help to define packages of SRH services and models for delivery that meet the needs of all women and impact positively on their health.

Call for proposal

FP7-HEALTH-2011-single-stage
See other projects for this call

Funding Scheme

CP-FP-SICA - Small/medium-scale focused research project for specific cooperation actions dedicated to international cooperation partner countries(SICA)

Coordinator

UNIVERSITEIT GENT
Address
Sint Pietersnieuwstraat 25
9000 Gent
Belgium
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 736 835,47
Administrative Contact
Katherine Muylaert (Ms.)

Participants (5)

ASHODAYA SAMITHI
India
EU contribution
€ 434 840,86
Address
Veenesheshanna Road No K 30 Sjl
570024 Mysore
Activity type
Other
Administrative Contact
Lakshmi Na (Ms.)
International Centre for Reproductive Health Association
Kenya
EU contribution
€ 414 854,90
Address
Tom Mboya Avenue Tudor Four
80103 Mombasa
Activity type
Research Organisations
Administrative Contact
Lou Dierick (Mr.)
ASSOCIACAO CENTRO INTERNACIONAL PARA SAUDE REPRODUTIVA
Mozambique
EU contribution
€ 378 174,98
Address
Avenida Salvador Allende 702
Maputo
Activity type
Research Organisations
Administrative Contact
Béatrice Crahay (Dr.)
UNIVERSITY OF THE WITWATERSRAND JOHANNESBURG
South Africa
EU contribution
€ 680 884,59
Address
Jan Smuts Avenue 1
2001 Johannesburg
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Jennifer Smit (Dr.)
UCL Elizabeth Garrett Anderson Institute for Women’s Health
United Kingdom
EU contribution
€ 295 291,20
Address
Gower Street
WC1E 6BT London
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Guler Eroglu (Ms.)