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Public health can be thought of as a series of complex systems. Many things that
individual living in high income countries take for granted like the control of
infectious disease, clean, potable water, low infant mortality rates require a high
functioning systems comprised of numerous actors, locations and interactions to work.
Many people only notice public health when that system fails. With widespread
globalization occurring, public health issues have become transnational.
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.