Alignment and harmonization of sexual and reproductive health The 6 years since the Paris Declaration on Aid Effectiveness (4) have marked a significant change in awareness of the importance of coordination of resources for health and development – though reviews of progress at the Accra Agenda for Action in 2008 (4) suggested that there was a need for a greater shift towards alignment with government policies and national systems (such as monitoring and procurement) than had already occurred. The case-studies have shown how increasing mechanisms for coordination have themselves presented challenges for governments, with a range of coordination structures at national, sectoral.
