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


AIDS-free Generation? Not Without Women Image

AIDS-free Generation? Not Without Women

Women are now the majority of people living with HIV worldwide. The HIV pandemic has changed--our responses have to change with it, or we'll never create an AIDS-free generation.

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Urge your Senators to Support International Family Planning Funding Image

Urge your Senators to Support International Family Planning Funding

Tell your Senators that you support full funding for international family planning and a permanent repeal of the Global Gag Rule.

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Tell your Representative to Support the United Nations Image

Tell your Representative to Support the United Nations

Congress is now considering a bill (H.R. 2829) that would effectively end our relationship with the United Nations. Act now and tell your Representative to oppose this harmful piece of legislation.

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Take Action on the Global Gag Rule

Join your voice with others and urge your member of Congress to co-sponsor the Global Democracy Promotion Act of 2011, a bill that would create a legislative barrier to block attempts by a future administration to re-instate the Global Gag Rule.

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Raise your voice for the Global Sexual and Reproductive Health Act Image

Raise your voice for the Global Sexual and Reproductive Health Act

Ask your Representative to co-sponsor the Global Sexual and Reproductive Health Act (H.R. 1319), newly introduced legislation that promotes a truly comprehensive and integrated approach to U.S. international reproductive health programs.

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Tell your Representative to Oppose Elimination of International Family Planning Funding Image

Tell your Representative to Oppose Elimination of International Family Planning Funding

The House is currently debating a spending bill (H.R. 1) that, as it stands, would drastically decrease funding for international family planning and reproductive health, global HIV/AIDS, and maternal and child health programs and services. We need you to speak out for women's health and rights today!

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Help Make U.S. Global AIDS Programs Work for Women

Send a postcard to Ambassador Goosby, the U.S. Global AIDS Coordinator, and urge him to make U.S. global AIDS programs and policies work harder and better for women and girls worldwide.

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Urge your Representative to Co-Sponsor the ICPD Resolution Image

Urge your Representative to Co-Sponsor the ICPD Resolution

Urge your member of Congress to support sexual and reproductive health and rights and sustainable development globally by co-sponsoring Rep. Lee's ICPD resolution.

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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.

Source50%Only 50% of women who give birth each year receive antenatal, delivery, and newborn care.

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.

The Promise of MPTs: An Integrated Approach to Women’s Health

In recent years, the global community has intensified its focus on women’s health and rights. This reflects a universal recognition that women and girls are fundamental to the health and well-being of societies worldwide — and that we still have significant challenges to overcome before reaching essential development goals.

Posted on May 7, 2013

The New York Times: High Court Weighs Dispute Over AIDS Funding

The Supreme Court wrestled Monday with the First Amendment implications of a policy that forces private health organizations to denounce prostitution as a condition to get AIDS funding. The court appeared divided, and not along ideological lines, in an argument over whether the anti-prostitution pledge violates the health groups' constitutional rights.

Posted on April 22, 2013

Huffington Post: The Right to Fight AIDS

The Supreme Court today will hear a case that will decide the basic rights of groups fighting HIV. The case --Agency for International Development, Et. Al., v. Alliance for Open Society International, Inc., Et. Al.--centers on a policy that requires organizations to adopt the U.S. government's point of view as a condition of receiving U.S. global HIV/AIDS funds. Not surprisingly, it is being challenged on grounds that it violates the First Amendment.

Posted on April 22, 2013

Nigeria: Arrests of Sex Workers Hampers Control of HIV Rates

Continued clampdown on commercial sex workers, intravenous drug users (IDUs) and men who have sex with men in the FCT is hampering efforts to control infection rates of HIV/AIDS, proponents lament. Female sex workers, drug users and men who sleep with men (MSM) are three of the highest-risk group of HIV in the FCT, and rates of infection among them is interwoven with that of the general public, said Angela Emenalo, community mobilisation officer at FCT Agency for Control of AIDS (FACA).

Posted on April 11, 2013

United States Announces $10 Million in Support for G-8 Preventing Sexual Violence Initiative

Today at the G-8 Foreign Ministers meeting in London, the United States joined G-8 partners in support of the United Kingdom’s Preventing Sexual Violence Initiative, and reaffirmed its commitment to work with the international community to strengthen global coordination and individual countries’ capacity to prevent sexual violence; promote justice and accountability; and provide care for survivors of such violence.

Posted on April 11, 2013

Huffington Post: Origami Condoms Radically Redesigns Almost Century-Old Latex Protection

Let's face it, for many people the classic latex condom is an unsensational product at best. And for nearly a century, no one really bothered to make that basic design any better. But now a small business called Origami Condoms says it is ready to reinvent the condom and make it more appealing to use by taking a design tip from the Japanese art of paper folding. The secret? An accordion-like design.

Posted on April 8, 2013

Women’s Rights After CSW57: A Battle Won, A War Continues

Women all over the world fight for equality, recognition and safety every day. These fights – taken up by mothers trying to raise healthy families, young women who want access to higher education, girls in conflict areas collecting water – are often invisible, hidden, not seen by the outside world.

Posted on April 5, 2013

As anti-prostitution pledge heads to Supreme Court, public health leaders file brief against it

The case of the “anti-prostitution pledge” heading for the Supreme Court this month focuses on whether the requirement that groups funded by the President’s Emergency Plan For AIDS Relief create policies “explicitly” condemning prostitution is compatible with the First Amendment. A brief filed Wednesday in the case asks also if the requirement is compatible with the interests of public health.

Posted on April 4, 2013

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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File Under: Policy Briefs

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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The U.S. Global Health Initiative and Sexual and Reproductive Health and Rights: Integration

Read our new publication on integration, the Global Health Initiative, and Sexual and Reproductive Health Rights.

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What Does Family Planning Have to do With HIV? Everything.

Voluntary family planning is an indispensible component of HIV prevention and treatment.

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File Under: Fact Sheets

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.