- Abstinence & Fidelity
- Anti-Prostitution Pledge
- Comprehensive Prevention Strategy
- Conscience Clause
- Gender Strategy
- Sexual/Reproductive Health & HIV Integration
Comprehensive Prevention Strategy
Globally, the majority of HIV infections occur through sexual contact between men and women. Comprehensive prevention strategies are needed to ensure that women, men and adolescents are equipped with the knowledge, tools and skills necessary to prevent HIV infection and practice safe sex. In the past PEPFAR’s prevention strategy has been driven by the “ABC” model - Abstain, Be faithful, and use Condoms correctly and consistently.
PEPFAR needs to go beyond the ABC strategy. A comprehensive prevention strategy, including comprehensive sex education, condom distribution, and harm reduction strategies – is the most effective way to prevent HIV.
Fortunately, PEPFAR’s five-year strategy that was released in December 2009 adopts many of the recommendations that global advocates have long sought. It embraces integration of HIV/AIDS services with other sexual and reproductive services and commits to educating all youth 15 and older with comprehensive knowledge about HIV prevention. It also focuses on addressing the drivers of the epidemic: including stigma, low male partner involvement, and gender-based violence. The strategy also envisions expanding high impact prevention interventions, including prevention of mother to child transmission, male circumcision, and services for people who inject drugs.
PEPFAR’s strategy also seeks to expand participation of people living with HIV in the design and implementation of the programs that serve them, which if implemented will contribute substantially to the quality of these interventions.
However, unless Congress takes action, PEPFAR will continue to be constrained from fully embracing evidence-based approaches to prevention because of the funding directive that gives preference to abstinence and faithfulness programming.
Urge Congress to Get it Right with Foreign Assistance Reform
Send a message to Chairman Berman stressing the importance of comprehensive, integrated and evidence-based HIV prevention in foreign assistance reform efforts.
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Scientific Advances and the Fight Against AIDS
This week, I am in Rome, Italy, for the International AIDS Society’s Conference on HIV Pathogenesis, Treatment, and Prevention. This gathering of researchers caps a year of incredible scientific announcements, and I anticipate even more at this meeting.
Senate Committee Approves Amendment Overturning “Global Gag” Rule
WASHINGTON, DC - The Senate Appropriations Committee today passed an amendment authored by Sen. Frank R. Lautenberg (D-NJ) to the FY 2011 State and Foreign Operations funding measure that would permanently overturn the “global gag” rule and provide access to family planning services for women around the world.
Bad Romance: Why is the Obama Administration Still Funding Abstinence-Only Education?
Dearest Obama administration, we need to talk. I know you say you want to change, Obama administration, but please show me. No more sweet talk that you don’t really mean. You say you’re not like that administration that hurt so many in the past, but can I believe you?
Why Are We Still Funding Abstinence-Only Programming?
It seems you can’t keep a bad idea down. Even though the Obama administration has pledged that science will finally trump ideology when it comes to global AIDS prevention, we recently learned that U.S. funding for failed prevention programs is continuing.
Female Condoms and U.S. Foreign Assistance: An Unfinished Imperative for Women’s Health
Female Condoms and U.S. Foreign Assistance: An Unfinished Imperative for Women's Health, summarizes U.S. support for female condoms, identifies barriers, and offers concrete recommendations for improving U.S. efforts to increase access and availability of female condoms.
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Comprehensive HIV Prevention for People Who Inject Drugs,Revised Guidance
The revised guidance provides support for a comprehensive package of prevention services that have been scientifically demonstrated to decrease HIV infection risk without increasing drug use.
Download this PDFGoals and Recommendations for New OGAC Prevention Guidance and Program Implementation
The urgency of the prevention imperative is real given that we know. This report is the result of a collaborative process among 21 non-governmental organizations. These organizations came together because they believe it is urgent to enact evidence-based HIV prevention policies and scale up access immediately. Organizations contributed according to their areas of focus and expertise.
Download this PDFPEPFAR Fact Sheet, April 2010
The most recent PEPFAR fact sheet reviews the programs' current funding, targets and results, and operational plans, in addition to future objectives.
Download this PDFInvesting in Reproductive Justice for All
Based on international field visits, this report establishes an innovative framework to assess sexual and reproductive health programs.
Download this PDFMaking U.S. Foreign Assistance Work
Recognizing women's and girls' sexual and reproductive health and rights are critical to sustainable global development.
Download this PDFImplications of U.S. Policy Restrictions for HIV Programs Aimed at Commercial Sex Workers
A documentation of the ground-level impact of U.S. foreign policy on sex workers, exposing the negative reality of current legislation.
Download this PDFU.S. Global AIDS Policy and HIV Prevention
An overview of U.S. global aids policy and HIV prevention and CHANGE's recommendations to reform specific elements.
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