Some leading practices in equitable sexual and reproductive health service provision from Zambia

Terri Collins and Patrick Mwanza for UNFPA, 2012

This study aimed to identify leading practices and enabling factors (or drivers) that have facilitated Zambia’s achievement of high levels of equity in key areas of sexual and reproductive health service (SRH) provision. HLSP used the Tanahashi Model as a conceptual framework for collecting and analysing the evidence.

The study concludes that the explanation for Zambia’s achievements in equitable provision of antenatal care and family planning services since 1992 seems to reside in a cluster of leading practices and enabling factors, rather than a single enabling factor or leading practice

The recommendations – relevant to other countries striving for equitable provision of SRH services – fall into four areas:

building effective cross-sector partnerships with civil society partners;
strengthening human resource capacity by building on the lessons from Zambia’s Health Worker Retention Scheme;
promoting integrated service provision, while mitigating potential challenges;
systematically analysing availability, accessibility, acceptability and contact coverage to identify enabling factors and opportunities.
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