Work package 2: Policy analysis

Overall objective

  • To provide formative  information on SRH policy, especially of services for high-risk populations

Specific objectives

  • To compile a comprehensive literature review on policies related to integration of targeted and general population SRH services
  • To prepare a policy paper of key issues arising from literature review
  • To do a mapping of country (India, Kenya, Mozambique, South Africa) HPS policy environment and networks to identify the geographical locations in our target sites where sex work is negotiated or takes place, provide estimate
  • Analysis of policies for SRH integration, including for FSW, and identification of opportunities to update existing policies
  • Analysis of policies and legislation on sex work
  • To advocate for new policies if required

Description

This WP focused on the policy processes around integration of reproductive health services, especially of services for high-risk groups. Activities examined policy processes, and tracked the evolution of policy design and its implementation. In conducting these assessments, partners obtained information through face-to-face and telephonic interviews with governmental actors, donors and training organisations, as well as through review of any relevant documentation.

Activities included:

  • An updated review of literature on policies for integration of targeted and general population services, and concepts of integrated service delivery. The lead partner initially conducted a brief review of the available literature on integration of high-risk services, preparing a policy paper outlining the key issues raised in this literature. This informed the development of the needs assessment methodology for the project.
  • A mapping of country Health Policy and Services (HPS) environment and networks. Primary data collection in each country was undertaken by the African and Indian Participants, and started with mapping of the national SRH policy environment and policy networks. This included the roles of policymakers from the Ministry of Health (MOH) and other government departments as appropriate (e.g. planning, finance), politicians, health research institutions, senior academics and professionals who act as advisors to the MOH, international and national NGOs, and other international agencies. Mapping informed the final policy enquiry.
  • An analysis of policies for integration and opportunities for altering such policies. Semi-structured interviews with key policy makers and actors explored current SRH and HIV policy and service availability and integration (including understanding of integrated care, challenges and benefits to integration, and ideal service-delivery models).

A qualitative approach provided an in-depth understanding of policy contexts and informed implementation of an innovative model for diagonal integration. This included key informant interviews with policy-makers, program managers, donor agencies and academics with knowledge and experience of integrating SRH and HIV services in India, Kenya, Mozambique and South Africa.