Within developing countries, health sector reform, often including decen- tralized priority setting, increases the information and advocacy burden for inclusion of SRH concerns. Central functions (like operating logistic systems and service quality control) require high-level commitment and a supportive policy and regulatory framework. The international discussion on SRH emphasizes an outcome-oriented public health approach but people react to multiple dimensions. Strong pas- sions and intensive debates continue on a range of issues: abortion, adolescent SRH and even family planning. These issues elicit renewed discussion at every relevant intergovernmental conference. Donor policies can advance or stif le discussion and reproductive health program development. .
