Domain Score Overview

The U.S. Government received an 86 (B) with transparency and an 88 (B+) without transparency for HIV and AIDS in 2017. This grade reflects the expansion of the Global Gag Rule (GGR) via Presidential Memorandum which substantially hindered sexual and reproductive health and rights (SRHR). The grade also considered guidance documents issued in 2017 by the President’s Emergency Plan for AIDS Relief (PEPFAR) that moderately promoted SRHR. The domain grade for HIV and AIDS-related funding and policies remained higher than the grades of the other domains across actors.

The U.S. Government received a 77 (C+) with transparency and a 79 (C+) without transparency for Maternal and Child Health in 2017 due to the expansion of the GGR, which substantially hindered SRHR, as well as relatively low transparency of policy and funding data related to maternal and child health. Maternal and child health funds were not spent in a way that was responsive to need in 2017 which lowered the government’s grade in this domain.

The U.S. Government received a 65 (D) with transparency and a 67 (D+) without transparency for Family Planning in 2017 due to the negative impact of the expansion of the GGR and the White House defunding UNFPA. Family planning policies and funding also had low transparency in 2017.