Criminalisation of HIV transmission: for what purpose?
Barrett, C.
Aids Analysis Africa 6(5): 11
1996
ISSN/ISBN: 1016-8974 PMID: 12347423 Document Number: 300533
This supplement to "The Family Planning Manager" presents a case scenario and three discussion questions to amplify the process of clinic decentralization. In this hypothetical situation, the Ministry of Health has announced plans to decentralize management functions, including finances--a step that will require family planning clinics to charge for services and use the fees collected to support clinic operations. It is stressed that, before such a change, the central level must clarify exactly what responsibility, authority, and accountability will be transferred. Unless adequate training and technical support are provided to field staff, services can be disrupted and their quality compromised. Training programs can focus on areas such as preparing demographic projections for a catchment area, setting performance standards, developing procedures for collecting fees and handling cash, reporting income and expenses, analyzing and projecting service costs, preparing budgets, and introducing and managing income-generating projects.