Comprehensive Sexual and Reproductive Health

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CHANGE believes that comprehensive sexual and reproductive health programs and services are the most effective approaches for preventing maternal mortality and morbidity, fighting HIV and AIDS, and meeting the sexual and reproductive health needs of women and young people while also promoting human rights. When reproductive and sexual health programs are segregated from each other, it increases barriers to access and neglects the connections that exist among sexual and reproductive health issues.

CHANGE approaches this question from a woman’s standpoint: what combination of services, programs, and referral systems and what set of rights protections does one need to achieve optimal sexual and reproductive health? If the U.S. government is to help meet the world’s target of achieving universal access to reproductive health by 2015, U.S. policymakers must ask the same question.

See CHANGE's report Reproductive Justice for All: Toward a U.S. Foreign Policy on Comprehensive Sexual and Reproductive Health and Rights

Video: Making U.S. Foreign Assistance Work for Women and Girls in Ethiopia


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Take Action for Rape Survivors

Tell President Obama: Stand with women and girls raped in conflict or crisis. Ensure that U.S. funds can be used to provide safe, voluntary abortion care overseas in cases of rape, incest, and life-endangerment.

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Pledge to Take Action on Global Female Condom Day

Global Female Condom Day is September 16th! You can help advocate for greater access to female condoms by pledging to take action as part of a movement of women and allies around the world who are taking control of their sexual and reproductive health and rights. Click the link below to sign the pledge!

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Source8In sub-Saharan Africa, women 15-24 years old are 8 times more likely than men to be HIV positive.

Source340 millionEach year there are 340 million new cases of curable sexually transmitted infections (STIs).

Source0Emergency contraception (EC) is not distributed by USAID.

Source$6.7 billionFulfilling the unmet need for modern family planning methods would cost, in total, $6.7 billion annually.

Source20 millionWorldwide, there are over 20 million unsafe abortions every year.

Source215 millionWorldwide, 215 million women who want to avoid a pregnancy are not using an effective method of contraception.

Source35In real terms, U.S. support for family planning is at the same level now as it was 35 years ago.

US House votes not to reauthorise domestic violence funding bill

Violence Against Women Act (Vawa) passes Senate but is not renewed after Republicans take issue with new provisions

Posted on January 2, 2013

Philippines contraception law signed by Benigno Aquino

Philippines President Benigno Aquino has signed into law a bill providing for free access to contraception and family planning.

Posted on December 29, 2012

Nigerian senate passes anti-gay bill, defying British aid threat

CNN, November 30, 2011 - The Nigerian senate has passed a bill banning same-sex marriages, defying a threat from Britain to withhold aid from nations violating gay rights. The bill by Africa's most populous nation calls for a 14-year sentence for anyone convicted of homosexuality. Anyone who aids or "abets" same-sex unions faces 10 years in prison, a provision that could target rights groups.

Posted on November 30, 2011

Women and HIV

What is it with women and girls? Why are we always left behind? Why can’t we choose the things we want to be a part of? Why must we always race to the front, rather than be left peacefully alone when we would rather not partake? Is it because, as women, we are strong, powerful, and the foundation of our society?

Posted on June 3, 2011

ETHIOPIA: Tackling the perils of pregnancy

Childbirth will prove fatal for one in 27 women in Ethiopia and much of the rest of the continent, according to the UN Children’s Fund (UNICEF), versus a rate of one in 8,000 in industrialized countries

Posted on August 17, 2010

Hillary Clinton Touts Global Health Initiative as Key Foreign Policy Tool

"What exactly does maternal health or immunizations or the fight against HIV and AIDS have to do with foreign policy?" Secretary of State Hillary Rodham Clinton queried a packed crowd of faculty and students at the Johns Hopkins School of Advance International Studies on Monday. "Well, my answer is 'everything.' "

Posted on August 17, 2010

SWAZILAND: ABC approach to be shelved

"If you look at the increase of HIV in the country while we've been applying the ABC concept all these years, then it is evident that ABC is not the answer," said Dr Derek von Wissell, Director of the National Emergency Response Council on HIV/AIDS (NERCHA).

Posted on August 16, 2010

Ethiopia: U.S. foreign policy and unsafe abortion in Africa

United States foreign policy abortion restrictions have often hampered African NGOs’ efforts to reduce deaths and disabilities associated with unsafe abortion procedures. In a positive recent development, however, the fight for African women’s access to safe abortion services took a small but important step forward.

Posted on August 5, 2010

Creating a Prevention Agenda for Women

The Center for Health and Gender Equity (CHANGE) and AVAC convened an initial strategy think tank in May 2013 with 30 global stakeholders working on women’s sexual and reproductive health to chart a course forward in developing and advancing a prevention agenda for women as a key part of a broader sexual and reproductive health and rights agenda. Building on recent gains in policy and political will, the meeting participants identified a number of critical needs and opportunities for action in the coming 24 months.

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File Under: Policy Briefs

The Legal Landscape for Abortion Provision In U.S. Foreign Assistance

This brief is a comprehensive analysis of three distinct but overlapping legal systems that inform prohibition or provision of funding for abortion services through United States foreign assistance programs.

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File Under: Policy Briefs

US Strategy to Prevent and Respond to Gender-Based Violence Globally: What Does it Mean for SRH?

The 2012 United States Strategy to Prevent and Respond to Gender-Based Violence Globally is the country’s first comprehensive, multi-sector approach to gender-based violence. What does it mean for sexual and reproductive health?

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File Under: Fact Sheets

Fact Sheet: U.S. National Action Plan on Women, Peace, and Security

The United States National Action Plan on Women, Peace, and Security (NAP) was issued by executive order by President Barack Obama in 2011. What does it say about sexual and reproductive health and rights?

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U.S. Global HIV Policy: Combination Prevention

This paper outlines why the U.S. must support a true combination prevention strategy, one that scales up proven biomedical tools, integrates sexual and reproductive health services into HIV prevention, and addresses social barriers to HIV prevention.

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GHI Implementation and Sexual and Reproductive Health in Guatemala: A Progress Report

A preliminary analysis of the U.S. Global Health Initiative in Guatemala finds that resource and policy constraints are a barrier to progress.

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File Under: Research Documents

GHI Implementation and Sexual and Reproductive Health in Ethiopia: A Progress Report

A preliminary analysis of the implementation of the U.S. Global Health Initiative in Ethiopia finds that a focus on women and girls is already making a difference.

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Ficha técnica: ¿Qué tiene que ver la planificación familiar con el VIH? Todo.

La planificación familiar voluntaria es un componente indispensable de la prevención y el tratamiento del VIH.

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Comprehensive Sexual and Reproductive Health Topics

Components and Attributes

There are three essential components of sexual and reproductive health care: family planning, sexual health, and maternal health.

Comprehensive Services in Low-Resource Settings: Ethiopia

In 2010, CHANGE conducted a study tour in Ethiopia and identified effective practices and obstacles in providing comprehensive services in low-resource settings.

The Case for Comprehensive: Dominican Republic

In the Dominican Republic, NGOs offering integrated services are able to provide higher quality care than their public counterpart.