This is an average of the three domain scores below.
The White House received an 82 (B-) with transparency and an 86 (B) without transparency in 2021. This grade was the result of multiple actions that significantly or moderately promoted sexual and reproductive health and rights (SRHR) globally across all three domains, including the Executive Order on Establishment of the White House Gender Policy Council, the Executive Order on Preventing and Combatting Discrimination on the Basis of Gender Identity or Sexual Orientation, and the Memorandum on Protecting Women’s Health at Home and Abroad. In addition to immediately revoking Protecting Life in Global Health Assistance (PLGHA) (also known as the Global Gag Rule [GGR]), the latter action included an affirmative statement from the White House that confirmed the Biden administration’s commitment to supporting SRHR domestically and globally. This was the first time a U.S. administration has explicitly supported SRHR at the presidential level. The White House requested an adequate funding amount for both global HIV and AIDS and maternal and child health (MCH) efforts, but the proposed budget for family planning (FP) was low, which negatively affected the grade in this domain. Transparency was moderately high for all actions and budget data across the three domains in 2021.
President’s Budget Request: Fiscal Year 2022
2021_President’s Budget Request_FY2022
The White House received a 90 (A-) with transparency and a 94 (A) without transparency in the HIV and AIDS domain in 2021. The White House requested full funding for global HIV and AIDS programs through the Global Fund to Fight AIDS, Tuberculosis and Malaria as well as the President’s Emergency Plan for AIDS Relief (PEPFAR). Generally, actions graded in this domain meaningfully prioritized global HIV and AIDS programs, which supported the ability of U.S. global health assistance to promote SRHR in the HIV and AIDS domain. The White House demonstrated moderate levels of transparency across actions and funding information in this domain. As in previous years, HIV and AIDS was the White House’s highest scoring domain in 2021.
The White House received an 80 (B-) with transparency and an 85 (B) without transparency in the Maternal and Child Health (MCH) domain in 2021. The White House requested adequate funding for USAID’s global MCH programs, UNIFEM (now UN Women), and the United Nations Children’s Emergency Fund (UNICEF). Generally, actions graded in this domain meaningfully referenced global MCH programs, which supported the ability of U.S. global health assistance to promote SRHR through the MCH domain. The National Strategy on Gender Equity and Equality meaningfully included issues across MCH, including global investments in the SDGs, client-centered services, integrating obstetric care with other SRH services, and the impact of climate change on pregnant people. The White House demonstrated a moderate level of transparency of MCH policies but a low level of transparency for the availability of funding information in this domain in 2021.
The White House received a 75 (C) with transparency and a 79 (C+) without transparency in the Family Planning (FP) domain in 2021. This grade was positively affected by the resumption of funding for the UNFPA and negatively affected by the inadequate funding amount for USAID’s FP programming in the President’s proposed budget. The latter budgetary determination significantly hindered the ability of U.S. global health assistance to support comprehensive FP programs. Generally, actions graded in this domain meaningfully referenced global FP programs, which supported the ability of U.S. global health assistance to promote SRHR through this domain. The White House demonstrated moderate levels of transparency across actions and funding information in the FP domain in 2021.