Because current policies in the various ministries are fragmented, the Ministry of Health does not know, for example what the Ministry of Poverty Eradication does about the same issue of poverty eradication, adding that if for example one puts emphasis on maternal mortality, they first have to find out who are those women who are dying. Gawanas said the Ministry of Poverty Eradication is ready to work with civil society organisations and whatever they will do together they will engage as true partners to ensure that social protection issues become prominent in national discourse through regular steering committee meetings.
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Once you focus on reducing maternal mortality you have to address poverty by making healthcare accessible to pregnant women by making healthcare free,” she said adding that the lack of integrated policies creates a situation where various ministries work in conflict with each other. She suggests that the only way to overcome this is by advocating for a stronger social policy framework
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I don’t think that maternal and child health is a global priority. The health and welfare of mothers and their children received unprecedented international attention in 2010, but not all Governments were involved and other issues subsequently knocked this issue off the top slot. For those Governments who did make specific policy and resource commitments, the role of civil society is to work hard to get them to deliver. However, to see a truly seismic shift in the life chances of mums-to-be and their babies, Governments — rich and poor — must tackle inequality, especially gender but also income.
It is almost enough to make one's jaw drop to think that officials at the World Bank and the IMF would suggest that they have poverty alleviation in mind when they force governments to withdraw subsidies that enable poor people to get clean water to drink. If this is a policy aimed at helping the world's poor, it's interesting to imagine what a policy aimed at hurting the world's poor would look like.
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Whatever expenditure is sanctioned—even when it is sanctioned against the ministry's wish—the ministry must find the money. Accordingly, they have the strongest motive to oppose extra outlay.... The ministry is (so to speak) the breadwinner of the political family, and has to meet the cost of philanthropy and glory; just as the head of a family has to pay for the charities of his wife and the toilette of his daughters.
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