Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria
Manjula Lusti-Narasimhan, Camille Collin & Michael Mbizvo
Volume 87, Number 11, November 2009, 816-823
Table 1. Sexual and reproductive health elements featured within 214 HIV proposals approved by the Global Fund, 35 proposals selected from among them, and the 35 corresponding grant agreements, rounds 1 to 7
| Broad sexual and reproductive health element a | Delivery of the service or referral to the service |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Proposals | Proposals | Grant agreements | ||||||||||
| (n = 210) |
(n = 35) |
(n = 35) |
||||||||||
| No. | % |
No. | % |
No. | % |
|||||||
| > 70 | 40–69 | < 40 | > 70 | 40–69 | < 40 | > 70 | 40–69 | < 40 | ||||
| Information, education and communication on sexual and reproductive health | 183 | 87 | – | – | 29 | 83 | – | – | 21 | – | 60 | – |
| Information, education and communication on PMTCT and/or family planning | 94 | – | 45 | – | 19 | – | 54 | – | 7 | – | – | 20 |
| Information, education and communication on STIs | 136 | – | 65 | – | 20 | – | 57 | – | 13 | – | – | 37 |
| Safe sex/sexual health promotion | 111 | – | 53 | – | 21 | – | 60 | – | 9 | – | – | 26 |
| Promotion of involvement of men in reproductive health b | 13 | – | – | 6 | – | – | – | – | – | – | – | – |
| Condom promotion/distribution | 171 | 81 | – | – | 27 | 77 | – | – | 25 | 71 | – | – |
| Female condoms | 49 | – | – | 23 | 5 | – | – | 14 | 1 | – | – | 3 |
| Prevention of STIs | 56 | – | – | 27 | 7 | – | – | 20 | 1 | – | – | 3 |
| Dual protection | 24 | – | – | 11 | 3 | – | – | 9 | – | – | – | – |
| Lubricants | 42 | – | – | 20 | 9 | – | – | 26 | 2 | – | – | 6 |
| Diagnosis and treatment of STIs | 159 | 76 | – | – | 24 | – | 69 | – | 19 | – | 54 | – |
| Syphilis screening and/or treatment c | 46 | – | – | 22 | 5 | – | – | 14 | – | – | – | – |
| Syndromic approach/management | 84 | – | 40 | – | 12 | – | – | 34 | 6 | – | – | 17 |
| Partner(s) follow-up | 19 | – | – | 9 | 1 | – | – | 3 | – | – | – | – |
| Equipment, supplies and drug procurement | 93 | – | 44 | – | 16 | – | 46 | – | 3 | – | – | 9 |
| PMTCT of HIV | 154 | 73 | – | – | 27 | 77 | – | – | 20 | – | 57 | – |
| Syphilis screening and/or treatment | 19 | – | – | 9 | 5 | – | – | 14 | – | – | – | – |
| Voluntary counselling and testing for HIV in antenatal care | 106 | – | 50 | – | 18 | – | 51 | – | 4 | – | – | 11 |
| Antiretroviral prophylaxis and/or treatment for mother and/or newborn | 127 | – | 60 | – | 23 | – | 66 | – | 11 | – | – | 31 |
| Pediatric early HIV diagnosis | 32 | – | – | 15 | 4 | – | – | 11 | 1 | – | – | 3 |
| Nutritional support for pregnant HIV positive women | 18 | – | – | 9 | 3 | – | – | 9 | – | – | – | – |
| Infant and young child feeding counselling and support | 71 | – | – | 34 | 9 | – | – | 26 | 2 | – | – | 6 |
| Family planning consultations | 25 | – | – | 12 | 4 | – | – | 11 | 2 | – | – | 6 |
| Follow-up of mother and child | 39 | – | – | 19 | 8 | – | – | 23 | 1 | – | – | 3 |
| Procurement of adequate equipment and supplies d | 58 | – | – | 28 | 8 | – | – | 23 | – | – | – | – |
| Family approach: involvement of men/partner and/or children | 59 | – | – | 28 | 14 | – | 40 | – | 5 | – | – | 14 |
| Self-help/support groups for mothers | 17 | – | – | 8 | 2 | – | – | 6 | – | – | – | – |
| Sexual health counselling | 57 | – | – | 27 | 10 | – | – | 29 | – | – | – | – |
| Negotiating safer sex/condom use | 44 | – | – | 21 | 6 | – | – | 17 | – | – | – | – |
| Couple counselling on safe sex/sexual health | 3 | – | – | 1 | – | – | – | – | – | – | – | – |
| Addressing gender-based violence | 42 | – | – | 20 | 4 | – | – | 11 | – | – | – | – |
| Post-exposure prophylaxis for sexual violence victims | 20 | – | – | 10 | – | – | – | – | – | – | – | – |
| Emergency contraception | 2 | – | – | 1 | – | – | – | – | – | – | – | – |
| Linkage/integration of voluntary counselling and testing for HIV and sexual and reproductive healthe | 62 | – | – | 30 | 8 | – | – | 23 | 2 | – | – | 6 |
| Specific sexual and reproductive health activities for adolescentsf | 39 | – | – | 19 | 7 | – | – | 20 | 2 | – | – | 6 |
| Sexual and reproductive health rights and needs of people living with HIVg | 26 | – | – | 12 | 4 | – | – | 11 | – | – | – | – |
| Safe abortion services | 2 | – | – | 1 | – | – | – | – | – | – | – | – |
Global Fund, Global Fund to Fight AIDS, Tuberculosis and Malaria; PMTCT, prevention of mother-to-child transmission; STI, sexually transmitted infection.
a For the first six broad elements, the data represent the percentage of HIV-related proposals or grant agreements that include that element and/or at least one of the specific sexual and reproductive health elements. The last four elements were already specific and were not further disaggregated.
b Besides within PMTCT, because that is already covered by “PMTCT: family approach (involvement of men/partner and/or other children)”.
c Besides within PMTCT, because that is already covered by “PMTCT: syphilis screening and/or treatment”.
d Besides anti-retroviral drugs.
e Besides within PMTCT or antenatal care, because that is already covered by “PMTCT: voluntary counselling and testing for HIV in antenatal care”.
f Besides information, education and communication on sexual and reproductive health for adolescents, because that is already covered by “Information, education and communication on sexual and reproductive health”. Also besides condom promotion/distribution for adolescents, because that is already covered by “Condom promotion/distribution”.
g Besides PMTCT and condom promotion/distribution for people living with HIV, because that is already covered by “PMTCT” and “Condom promotion/distribution”.