U.S. Government Update: Positive Rhetoric, Mixed Signals On Funding And Policy

U.S. government officials continue to promote the Global Health Initiative and its integrated approach in a variety of public forums.

It [the Global Health Initiative] focuses on building health systems and ensuring that women and children have access to an integrated package of essential healthcare services—from family planning and HIV/AIDS services, to skilled attendance at childbirth, to immunization services and basic nutrition. And the initiative supports long-term, systemic changes to remove the economic, cultural, social, and legal barriers to health care services and to increase the participation of women and girls in health care decision-making. Each of these areas is critical to saving lives and reaching women and children with equitable, effective, and sustainable care.—Lois Quam, Global Health Initiative Executive Director at “7 Billion People: Counting on Each Other—Unleashing the Power of Women and Girls” event on September 13th

There have also been a number of recent funding and policy developments which impact RH-HIV integration. Relevant committees in both the House of Representatives and the Senatehave produced draft funding bills for fiscal year 2012, which include funding levels for family planning/reproductive health and HIV/AIDS programs, as well as policy changes. The Office of the Global AIDS Coordinator also released two important PEPFAR guidances on the development of Country Operational Plans and on the Prevention of Sexually Transmitted HIV Infections. Click on the links for further details and commentary on these developments.


U.S. government implementing partners are also busy establishing creative integrated programs and building the evidence base for why and how to effectively integrate reproductive health and HIV. Three examples are below:

Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) produced a new technical brief on family planning and HIV integration. EGPAF currently works in the following TIP countries: Kenya, Tanzania and Zambia.

FHI360 just concluded research in five countries supported by USAID evaluating potential integration indicators. A report will be released and shared with TIP partners soon. FHI360 has programs in all TIP countries except Burkina Faso.

Pathfinder International published a report on the implementation of integrated programs in the U.S. funded AIDS, Population and Health Integrated Assistance Project (APHIA) II in Kenya’s North Eastern Province. Pathfinder is currently working in the following TIP countries: Ethiopia, Kenya, Nigeria and Tanzania