A review of population, reproductive health, and adolescent health and development in poverty reduction strategies.
This review examines how poverty reduction strategies are addressing population (Pop), reproductive health (RH), and adolescent health and development (AHD) issues. We analyzed twenty-one Poverty Reduction Strategy Papers (PRSPs) and associated documents, and conducted interviews with Health, Nutrition, and Population (HNP) staff at the World Bank involved in the poverty reduction strategy process. Based on this review, we recommend actions that the Bank, other donors, government counterparts, and civil society groups can take to better support countries to address Pop/RH/AHD issues in their poverty reduction efforts. Population, reproductive health, and adolescent health and development issues are closely interrelated in cause, consequence and policy implications. To maintain a stronger focus on these three issues, we chose not to analyze related concerns such as gender, nutrition, and education -- all essential components of the multisectoral approach advocated by the Cairo Programme of Action (ICPD, 1994). Other reviews have examined these related issues in greater depth. This paper complements a growing body of work reviewing the application of the PRS framework to poverty alleviation in low-income countries. Compared to previous health and related sector reviews, it provides a more in-depth look at Pop/RH/AHD issues, examines documents related to the PRSP such as the JSA and CAS, and incorporates interviews of key actors with Pop/RH/AHD expertise involved in the PRS process. This review is meant to complement findings from other reviews of the PRS process that focus on broader issues of relevance to all sectors. Our analysis relied on several of these relevant internal and external reviews, including in-depth reviews of gender, the health sector, nutrition, and population and development issues. (Excerpt)