Comprehensive Sexual and Reproductive Health


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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Source225 millionGlobally, 225 million women who wish to delay or avoid pregnancy have an unmet need for contraception.

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.

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

Our Vision: Integrated Health Services For All Women and Girls, Everywhere

On June 15 and 16, 2015, 25 advocates from across sub-Saharan Africa and the United States came together to create an integrated prevention agenda for women by women. With an eye towards the large body of existing work on integration, the purpose of the meeting was to create a shared vision from advocates and providers across different fields and to acknowledge the multiple entry points for this work. This is our vision.

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File Under: Policy Briefs

Prevention Now: An Integration Agenda For Women, By Women

Imagine a world in which a woman can walk into one health clinic and have all of her health needs met, free of discrimination, financial barriers, or bureaucratic inefficiencies. Her needs may include family planning and contraception; STI diagnosis and treatment; HIV prevention, treatment, and care; maternity care; safe abortion; and gender-based violence prevention and care. These services are intimately connected in the lives of women and girls but are not always integrated at the service level. And, in order for access to integrated services to become a reality, advocacy strategies directed at policies, national processes, and funding must also be linked.

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Female genital cutting & SRHR

Female genital cutting violates human rights principles and impacts the sexual and reproductive health and rights of the 133 million women and girls who have experienced cutting.

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File Under: Fact Sheets

Creando espacios para promoción y defensa lideradas por jóvenes sobre SRHR

Creando espacios para promoción y defensa lideradas por jóvenes sobre salud y derechos sexuales y reproductivos: Un estudio de caso guatemalteco

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File Under: Country Profiles

USAID Acting On The Call & Sexual and Reproductive Health and Rights

In June 2014, USAID launched Acting on the Call: Ending Preventable Child and Maternal Deaths. Based on USAID’s 18-month review of maternal and newborn child health funding, the action plan outlines USAID’s expressed commitment to end preventable child and maternal deaths by shifting resources to maternal health and family planning, and implementing technical approaches and proven interventions including family planning and HIV— major components of sexual and reproductive health and rights (SRHR).

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Creating Spaces for Youth-Led Advocacy on Sexual and Reproductive Health and Rights

On September 24-25, 2013, CHANGE and 30 Guatemalan civil society groups welcomed more than 200 youth from all over the country as participants in that country's first youth summit on adolescent sexual and reproductive health (ASRH). The event marked an important benchmark for coordinated youth advocacy with political leaders on ASRH in Guatemala, and also offers lessons beyond Guatemala for improving meaningful participation of youth in debates about adolescent and youth sexuality.

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PEPFAR Gender Strategy & Sexual and Reproductive Health and Rights

In December 2013, the President's Emergency Plan for AIDS Relief (PEPFAR) released its updated Gender Strategy. What does it mean for SRHR?

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USAID Gender Equality and Female Empowerment Policy & Sexual and Reproductive Health and Rights

In March 2012, USAID launched the Gender Equality and Female Empowerment Policy. What are the policy's implications for SRHR?

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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.