United States Agency for International Development
Bureau for Global Health
Office of Population and Reproductive Health
Policy Update
Organization of Session
Use of Population Funds Voluntarism and family planning Abortion-related restrictions Gender-related policy developments
Use of Population Funds
Rationale Guiding Principles
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Direct impact
Optimal use
Operational synergy
Co-funding requirements
Use of Population Funds: Principal Categories
Support family planning activities Strengthen health systems that provide family planning services Family planning enhancement
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Related reproductive health activities Other health and non-health activities
Use of Population Funds Matrix
A ctivity G u id in g ca teg- P rin cip les o ry
F a m ily P la n n in g D irect Im p act O p tim al U se
Illu stra tive A ctivities
Cofu n d in g
E x p an d in g access C o n tracep tiv e S u p p ly E n h an cin g q u ality
N ot req u ired
Use of Population Funds Matrix
A ctivity G u id in g Illu stra tive ca tego ry P rin cip les A ctivities C ofu n d in g
S ystem s D irect stren gth Im pact -en in g O ptim al U se
N ot F oster conditions to required institutionalize fp S ustainability
Use of Population Funds Matrix
A c tiv ity c a te g o ry G u id in g Illu stra tiv e P rin c ip le s A c tiv itie s C ofu n d in g
F a m ily P la n n in g E n h an ce m e n t: R e la te d RH
D ire c t im p a c t O p tim a l u se O p e ra tio n a l sy n e rg y
PAC H IV in te g ra tio n M CH in te g ra tio n
E n c o u raged but not re q u ire d
Use of Population Funds Matrix
A ctivity ca teg o ry G u id in g Illu stra tive P rin cip les A ctivities C ofu n d in g
F a m ily P la n n in g E n h a n ce m en t: N onh ea lth
D irect im p act O p tim al u se O p eratio n al sy n erg y
R eq u ir M icro ed * fin an ce activ itie s fo r m ark et w o m en sellin g co n d o m s
Voluntarism and Family Planning: Agency Policy
USAID supports the freedom of individuals to choose voluntarily the number and spacing of their children.
Guiding principles for assistance:
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Voluntary decisions based on free choice and not obtained by any special inducements or forms of coercion Informed choice including effective access to information on family planning choices
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Voluntarism and Sterilization: Agency Policy
Permanent nature of sterilization has required safeguards to protect against potential abuse
Agency policy requirements:
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Informed consent must be given prior to procedure Informed consent must be specifically documented by the client
Voluntarism and Family Planning: Legal Requirements
Statutes and Agency policy are generally mutually reinforcing Statutory protections against coercion
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Kemp-Kasten Tiahrt
Informed choice requirements
Tiahrt Amendment Requirements
(1) No quotas or targets (2) No incentives or financial awards (3) No denial of rights or benefits (4) Provide comprehensible information on health benefits and risks, inadvisable conditions and adverse side effects (5) Experimental contraceptive methods
Key Abortion-related Restrictions
Prohibition of the use of foreign operations funding to pay for performance of abortion or to motivate or coerce any person to practice abortion [Helms] Family planning assistance restricted to FNGOs that certify they do not perform or promote abortion [Mexico City]
Implementation of Requirements
Agreements with contractors and recipients set forth requirements protecting informed choice and voluntarism
Routine monitoring of compliance with requirements by cooperating agency and USAID staff:
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field visits, audits, evaluations
Programmatic initiatives to encourage voluntarism and informed choice Mechanisms for registering and responding to feedback
Gender Integration in the ADS 200 & 300 Series
Strengthened USAID Commitment to Gender as a Key Development Issue Increased Capacity to Address Gender in All Programs
Improved Monitoring and Evaluation of Program Impact on Women and Men
ADS Guidance on Gender Integration
Technical Analyses
and Strategic Planning
(201.3.4.11) Monitoring Systems for Strategic Objectives and Intermediate Results (ADS 201.3.4.13)
Activity Performance
Design (201.3.6.2)
Activity Approval
Issuing
Documents (201.3.6.3)
Requests for Proposals (302.5.14) and Requests for Applications (303.5.5b)
Technical Analysis for Strategic Plans ADS 201.3.4.11)
Gender analysis is a required component of technical analyses conducted for strategic planning and development of results frameworks.
How
will gender relations affect the achievement of sustainable results? How will proposed results affect the relative status of women?
Planning for Performance Monitoring (ADS 201.3.4.13)
The ADS requires that indicators and evaluations reflect gender considerations when technical analyses performed as part of the strategic planning process demonstrate that:
The context, activity or its anticipated results will involve or affect women and men differently and/or This difference is potentially significant for managing towards sustainable program impact.
Activity Design (ADS 201.3.6.2)
When designing activities, technical analyses may be necessary to determine the most desirable outputs. Each type of analysis should specifically and appropriately address relevant gender issues.
Competitive Solicitations (ADS 302. 5.14)
Contracting Officers must ensure that SO Teams:
Incorporate into the RFP a statement outlining gender issues or confirm that the SO/Results Package Team completed the rationale for not specifying gender issues as part of the activity approval; and Include in the RFP an appropriately weighted technical evaluation criterion addressing the gender considerations specified in the statement, if applicable.
Grants and Cooperative Agreements (ADS 303.5.5b)
EVALUATION CRITERIA
USAID policy requires that gender issues be addressed as appropriate in all USAID-funded activities, for example:
A statement outlining gender issues or a rationale for not including such a statement must be included in the competitive RFA or APS Whenever gender issues are to be incorporated into the activity, the RFA or APS announcement must state the requirement.
Thank You