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Following the conclusion of the project “Strengthening country office capacity to support sexual and reproductive health in the new aid environment”, a series of four country case studies was undertaken in Malawi, Lao People’s Democratic Republic, Senegal and Tajikistan in early 2011.

These provided an opportunity to explore more broadly the changes that have occurred in the five years since the implementation of the project, and to reflect on the changing roles of the United Nations Population Fund (UNFPA) and World Health Organization (WHO) country offices, in what continues to evolve as a complex and dynamic context for sexual and reproductive health (SRH). This report provides a summary of key findings, with actions for further collaboration in SRH.