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YEAR 2018

Domain Score Overview

The U.S. government, including the White House, Congress, and relevant federal agencies, should engage in global health assistance in the domains of family planning, maternal and child health, and HIV and AIDS in ways that promote sexual and reproductive health and rights around the world. Data and documentation supporting these actions should be reasonably accessible to the public.

B

This is an average of the actor scores.

HIV & AIDS

The U.S. Government received an 86 (B) with transparency and a 90 (A-) without transparency for HIV and AIDS across all actors. This grade reflects the negative impact of the PLGHA FAQ and Six Month Review and the gender accommodating nature of issued guidance. This domain also had a low funding transparency score for some actors which led to a decrease in its grade. However, in spite of these negative actions, the domain grade for HIV and AIDS-related government work remains higher than the grades of the other domains.

A-
Department of State
B
US Agency for International Development
D+
Department of Health and Human Services
C-
Department of Defense
A
Congress
B+
White House
C-

This is an average of the actor scores.

Maternal and Child Health

The U.S. Government received a 70 (C-) with transparency and a 74 (C) without transparency for Maternal and Child Health across all actors due to the lower budget requests by the White House and Congress. This domain grade was further lowered due to the omittance of specific references to MCH programming in the PLGHA FAQ and Six Month Review documents, which indicates that the U.S. government is not considering the unique impact of the implementation of PLGHA on maternal and child health programs. Low transparency on policy and funding data related to maternal and child health also contributed to this score.

F
Department of State
C-
US Agency for International Development
D
Department of Health and Human Services
NA
Department of Defense
B+
Congress
D
White House
D

This is an average of the actor scores.

Family Planning

The U.S. Government received a 63 (D) with transparency and a 66 (D) without transparency for Family Planning across all actors. This reflects the negative impact of the PLGHA FAQ and Six Month Review documents as well as insufficient funding for key family planning providers, including UNFPA.

F
Department of State
D
US Agency for International Development
NA
Department of Health and Human Services
NA
Department of Defense
C
Congress
F
White House

C

Overall SRHR Score

The U.S. Government received a 73 (C) with transparency and a 77 (C+) without transparency for Sexual and Reproductive Health and Rights overall in 2018, primarily due to the negative impact of the PLGHA FAQ and Six Month Review documents across all domains, the defunding of UNFPA, a lack of gender transformative policies and low transparency of data across actors in some key SRHR domains.