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...

Full description

Bibliographic Details
Main Authors: Manjula Lusti-Narasimhan, Camille Collin, Michael Mbizvo
Format: Article
Language:English
Published: The World Health Organization
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
_version_ 1797288180559380480
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
work_keys_str_mv AT manjulalustinarasimhan sexualandreproductivehealthinhivrelatedproposalssupportedbytheglobalfundtofightaidstuberculosisandmalaria
AT camillecollin sexualandreproductivehealthinhivrelatedproposalssupportedbytheglobalfundtofightaidstuberculosisandmalaria
AT michaelmbizvo sexualandreproductivehealthinhivrelatedproposalssupportedbytheglobalfundtofightaidstuberculosisandmalaria