Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria
OBJECTIVE: To assess the sexual and reproductive health interventions included by countries in HIV-related proposals approved by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). METHODS: We examined the Global Fund database for elements and indicators of sexual and reproductive...
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Format: | Article |
Language: | English |
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The World Health Organization
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Series: | Bulletin of the World Health Organization |
Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862009001100009&lng=en&tlng=en |
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author | Manjula Lusti-Narasimhan Camille Collin Michael Mbizvo |
author_facet | Manjula Lusti-Narasimhan Camille Collin Michael Mbizvo |
author_sort | Manjula Lusti-Narasimhan |
collection | DOAJ |
description | OBJECTIVE: To assess the sexual and reproductive health interventions included by countries in HIV-related proposals approved by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). METHODS: We examined the Global Fund database for elements and indicators of sexual and reproductive health in all approved HIV-related proposals (214) submitted by 134 countries, from rounds 1 to 7, and in an illustrative sample of 35 grant agreements. FINDINGS: At least 70% of the HIV-related proposals included one or more of the four broad elements: sexual and reproductive health information, education and communication; condom promotion/distribution; diagnosis and treatment of sexually transmitted infections; and prevention of mother-to-child transmission of HIV. Between 20% and 30% included sexual health counselling, gender-based violence, and the linking of voluntary counselling and testing for HIV with sexual and reproductive health services. Less than 20% focused on adolescent sexual and reproductive health, the rights and needs of people living with HIV, or safe abortion services. All these elements were rarely featured, if at all, in the grant agreements reviewed. Overall, however, sexual and reproductive health indicators did appear in most HIV-related proposals and in more than 80% of the grant agreements. CONCLUSION: Country coordinating mechanisms and national-level stakeholders see in funding for sexual and reproductive health a means to address the problem of HIV infection in their respective national settings. However, we highlight some missed opportunities for linking HIV and sexual and reproductive health services. |
first_indexed | 2024-03-07T18:45:35Z |
format | Article |
id | doaj.art-9c369cc39ee644fc91e70569ac536634 |
institution | Directory Open Access Journal |
issn | 0042-9686 |
language | English |
last_indexed | 2024-03-07T18:45:35Z |
publisher | The World Health Organization |
record_format | Article |
series | Bulletin of the World Health Organization |
spelling | doaj.art-9c369cc39ee644fc91e70569ac5366342024-03-02T02:41:12ZengThe World Health OrganizationBulletin of the World Health Organization0042-9686871181682310.1590/S0042-96862009001100009S0042-96862009001100009Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and MalariaManjula Lusti-Narasimhan0Camille Collin1Michael Mbizvo2World Health OrganizationWorld Health OrganizationWorld Health OrganizationOBJECTIVE: To assess the sexual and reproductive health interventions included by countries in HIV-related proposals approved by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). METHODS: We examined the Global Fund database for elements and indicators of sexual and reproductive health in all approved HIV-related proposals (214) submitted by 134 countries, from rounds 1 to 7, and in an illustrative sample of 35 grant agreements. FINDINGS: At least 70% of the HIV-related proposals included one or more of the four broad elements: sexual and reproductive health information, education and communication; condom promotion/distribution; diagnosis and treatment of sexually transmitted infections; and prevention of mother-to-child transmission of HIV. Between 20% and 30% included sexual health counselling, gender-based violence, and the linking of voluntary counselling and testing for HIV with sexual and reproductive health services. Less than 20% focused on adolescent sexual and reproductive health, the rights and needs of people living with HIV, or safe abortion services. All these elements were rarely featured, if at all, in the grant agreements reviewed. Overall, however, sexual and reproductive health indicators did appear in most HIV-related proposals and in more than 80% of the grant agreements. CONCLUSION: Country coordinating mechanisms and national-level stakeholders see in funding for sexual and reproductive health a means to address the problem of HIV infection in their respective national settings. However, we highlight some missed opportunities for linking HIV and sexual and reproductive health services.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862009001100009&lng=en&tlng=en |
spellingShingle | Manjula Lusti-Narasimhan Camille Collin Michael Mbizvo Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria Bulletin of the World Health Organization |
title | Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria |
title_full | Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria |
title_fullStr | Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria |
title_full_unstemmed | Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria |
title_short | Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria |
title_sort | sexual and reproductive health in hiv related proposals supported by the global fund to fight aids tuberculosis and malaria |
url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862009001100009&lng=en&tlng=en |
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