This is an average of the three domain scores below.
The U.S. Government received a 71 (C-) with transparency and a 75 (C) without transparency for the Family Planning (FP) domain across all actors in 2021. Global FP efforts were not meaningfully included in most whole-of-government actions as well as key agency-level actions for both the Department of State and USAID in 2021. Most agency-level actions were gender accommodating as they reinforced a gender binary and did not use inclusive language such as “internal and external condoms.” The lack of data about global FP programs or activities in agency-level and whole-of-government actions reinforced the siloed nature of global health programs and did not support the implementation of integrated sexual and reproductive health (SRH) programming based in evidence and human rights. An inadequate funding request from the White House, a low level of appropriated funding by the U.S. Congress for global FP programs, and the disbursement of FP funds by USAID that was not responsive to need contributed to the low grade in this domain. Low transparency of actions graded in this domain across actors also lowered the overall FP domain grade 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.
Congress received a 75 (C) with transparency and a 80 (B-) without transparency in the Family Planning (FP) domain in 2021 because Congress appropriated inadequate funding for both the United Nations Population Fund (UNFPA) and USAID’s global FP programs. The low level of funding hindered the ability of U.S. global health assistance to fully support comprehensive FP programs that promoted SRHR. Though it was unclear if global FP programs were included in the additional funds appropriated by Congress for USAID’s global health programs, the American Rescue Plan Act moderately increased Congress’ grade in this domain because it appropriated additional global health assistance funds to respond to the impacts of COVID-19, which could include issues that are related to SRHR. Congress demonstrated a low level of transparency of policy data and high transparency of funding information related to FP globally in 2021.
The Department of State received a 56 (F) with transparency and a 61 (D-) without transparency in the Family Planning (FP) domain in 2021. This domain grade was raised by the meaningful inclusion of FP activities in the PEPFAR Core Program and Policy Priorities and the March 2021 updated DREAMS Guidance, which were both responsive to need, based in evidence, aligned with human rights norms, and gender transformative. The February 2021 COP/ROP Guidance and other COP/ROP-related materials did not promote SRHR in the FP domain because they did not include adequate information for partners to understand the revocation of PLGHA and adapt their programs accordingly. Though some actions mentioned integrated FP/HIV services, this domain grade was low overall because the actions did not adequately include data about the Department of State’s FP funding, programs, or activities, which reinforced the siloed nature of global health programs, negatively affected transparency, and hindered SRHR. In the budget evaluation, the Department of State allocated FP funds in such a way that was somewhat in accordance with unmet contraceptive need at the country level, which moderately promoted SRHR in the FP domain in 2021.
USAID received a 67 (D+) with transparency and a 71 (C-) without transparency in the Family Planning domain in 2021. This domain grade was raised by actions outlining the Agency’s response to the COVID-19 pandemic in a manner that promoted SRHR, such as the USAID Implementation Plan for the U.S. COVID-19 Global Response and Recovery Framework and Issues and Recommendations on Gender-Based Violence Prevention and Response in COVID-19 Programming. The decision to remove the PLGHA section in ADS Chapter 303 without offering additional information or guidance for partners to adapt their programs significantly hindered SRHR. Overall, transparency was low for many actions graded in this domain because USAID did not indicate which content had been updated in 2021 from previous versions. USAID had a high level of transparency of funding data but did not disburse FP funding in a manner that was responsive to need, which decreased this actor’s grade in this domain.