Table 6 The GGR- a poorly constructed and implemented policy

• There is no available documentation of all the actors involved in crafting the GGR.

• Preparation and planning for the implementation of the GGR are generally poor.

• Confusion about the GGR presents differently for stakeholders at the micro, meso, and macro levels of the health system.

• Implementation of the GGR takes a top-down approach with no bottom-up input.

• Since its inception, the GGR has had harmful impacts on more than just family planning, including miscommunication and misunderstanding of policy mandates; segregation of integrated systems; loss of funding and staff; gaged advocacy; disrupted health delivery systems; and reduced health service provision.