Abstract

This paper presents a framework to help key stakeholders better understand FP decentralization processes identify potential challenges and opportunities and guide decentralization reforms in directions that will benefit FP clients and support the achievement of international FP commitments. Drawing on the latest research literature the FP and Decentralization Analytical Framework provides a way to conceptualize the interactions between different actors in FP decentralization processes the rules that structure those interactions and how different models of decentralization can affect FP services. The framework does not seek to draw broad generalizations about the impact of decentralization on FP programs and services. Rather it (1) offers its target audiences -- international donors and technical assistance providers; local and national-level FP advocates; and Ministry of Health (MOH) technical managers -- a tool that can be used to analyze the state of FP decentralization reform in individual country contexts and (2) outlines how these three audiences could apply the framework to help them engage more strategically and effectively in policy processes surrounding FP decentralization.

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