Fòs Feminista | International Alliance for Sexual and Reproductive Health, Rights, and Justice
TRANSPARENCY SCORE
The transparency grade represents the expectation that the federal government should make data about U.S. global health assistance available, accessible, and informative. To see the transparency grade, toggle below.

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TRANSPARENCY SCORE
The transparency grade represents the expectation that the federal government should make data about U.S. global health assistance available, accessible, and informative. To see the transparency grade, toggle below.

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Fòs Feminista | International Alliance for Sexual and Reproductive Health, Rights, and Justice
B+

This is an average of the three domain scores below.

YEAR 2022

Congress

Congress received an 89 (B+) with transparency and a 92 (A-) without transparency in 2022. Congress appropriated full funding for HIV and AIDS, significant funding for maternal and child health (MCH), but inadequate funding for family planning (FP). Congress passed the Consolidated Appropriations Act – (H.R.2617) which enabled U.S. global health assistance to support efforts to address the impacts of the war in Ukraine, which could include the impacts of the pandemic on sexual and reproductive health and rights (SRHR). It also renewed funding to the United Nations Population Fund (UNFPA). In all three domains, Congress demonstrated moderate transparency across actions and high transparency across funding data.

A
A+

HIV & AIDS

 

Congress received a 96 (A) with transparency and a 99 (A+) without transparency in the HIV and AIDS domain in 2022. Congress appropriated full funding for the President’s Emergency Plan for AIDS Relief (PEPFAR) and The Global Fund to Fight AIDS, Tuberculosis and Malaria. Congress demonstrated high levels of action and funding transparency related to HIV and AIDS globally in 2022.

The Fòs Feminista data index grades government agencies on policies and funding impacting family planning, maternal and child health, and HIV & AIDS foreign assistance.

Selecting a document will download the file
2022_Consolidated Appropriations Act (H.R.2617)
This Act provided appropriations to federal agencies for the remainder of fiscal year (FY) 2023, and included supplemental appropriations for disaster relief and support to Ukraine. Commitments included funding for the Centers for Disease Control and Prevention (CDC) international HIV programming and UNFPA, as well as funds to promote gender equality and address gender-based violence (GBV) more broadly. The action was based in evidence and responsive to need. It was gender accomodating, as it focused on gender equality rather than equity and did not acknowledge the importance of working with lesbian, gay, bisexual, and transgender, queer, intersex, and asexual (LGBTQIA+) communities and other key populations. This Act neither promoted nor hindered SRHR in the HIV and AIDS domain.
2022_Global Malnutrition Prevention and Treatment Act of 2021 (H.R.4693)
This Act provided appropriations to federal agencies for the remainder of fiscal year (FY) 2023, and included supplemental appropriations for disaster relief and support to Ukraine. Commitments included funding for the Centers for Disease Control and Prevention (CDC) international HIV programming and UNFPA, as well as funds to promote gender equality and address gender-based violence (GBV) more broadly. The action was based in evidence and responsive to need. It was gender accomodating, as it focused on gender equality rather than equity and did not acknowledge the importance of working with lesbian, gay, bisexual, and transgender, queer, intersex, and asexual (LGBTQIA+) communities and other key populations. This Act neither promoted nor hindered SRHR in the HIV and AIDS domain.
A
A

Maternal and Child Health (MCH)

 

Congress received a 94 (A) with transparency and a 96 (A+) without transparency in the Maternal and Child Health (MCH) domain in 2022. Congress appropriated adequate levels of funding for the United Nations Children’s Emergency Fund (UNICEF), UNIFEM (now UN Women), and global MCH programs implemented by the United States Agency for International Development (USAID). Congress demonstrated a moderate level of transparency with regard to actions and high transparency of funding information related to MCH globally in 2022.

The Fòs Feminista data index grades government agencies on policies and funding impacting family planning, maternal and child health, and HIV & AIDS foreign assistance.

Selecting a document will download the file
2022_Consolidated Appropriations Act (H.R.2617)
This Act provided appropriations to federal agencies for the remainder of FY2023, and included supplemental appropriations for disaster relief and support to Ukraine. The action was responsive to need. It is difficult to assess If it was aligned with human rights principles or based in evidence, as it outlined allocations without clarifying the rationales for those allocations. Most of the MCH-related efforts were domestically focused, but cross-cutting efforts such as specific funding for gender equality and countering GBV were also included. The Act neither promoted nor hindered SRHR in the MCH domain.
2022_Global Malnutrition Prevention and Treatment Act of 2021 (H.R.4693)
The Act directed USAID to conduct activities to prevent and treat malnutrition globally. Specific information was provided about available resources to address malnutrition through the Global Nutrition Coordination Plan. Instructions were provided to inform effective targeting of those resources based on country-wide indicators. The Act was responsive to need and based in evidence. The Act used gendered language (e.g., ‘pregnant and lactating women’ rather than people), but outlined support for MCH activities through specific resource allocations for prenatal nutrient supplements and breastfeeding support. The emphasis on stronger community health systems will have cascading impacts on MCH outcomes broadly. The Act moderately promoted SRHR in the MCH domain.
C+
B-

Family Planning (FP)

 

Congress received a 77 (C+) with transparency and an 81 (B-) without transparency in the FP domain in 2022. Congress appropriated inadequate funding for the UNFPA and USAID global FP programs, which hindered the ability of U.S. global health assistance to fully support comprehensive FP programs that promoted SRHR. However, it was unclear if global FP programs were included in the additional funds appropriated by Congress through the Consolidated Appropriations Act (H.R.2617). Congress demonstrated a moderate level of transparency with regard to actions and high transparency of funding information related to FP globally in 2022.

The Fòs Feminista data index grades government agencies on policies and funding impacting family planning, maternal and child health, and HIV & AIDS foreign assistance.

Selecting a document will download the file
2022_Consolidated Appropriations Act (H.R.2617)
This Act provided appropriations to federal agencies for the remainder of FY 2023, and supplemental appropriations for disaster relief and support to Ukraine. The action was responsive to need. It was difficult to assess if it was aligned with human rights principles or based in evidence, as it outlined allocations without clarifying the rationales for those allocations. Most of the FP-related efforts were domestically focused, but it did reference allocations to FP activities as part of continued commitment to HIV management through bilateral funding. The Act neither promoted nor hindered SRHR in the FP domain.
2022_Global Malnutrition Prevention and Treatment Act of 2021 (H.R.4693)
The Act directed USAID to conduct activities to prevent and treat malnutrition globally. Specific information was provided about available resources to address malnutrition through the Global Nutrition Coordination Plan. Instructions were provided to inform effective targeting of those resources based on country-wide indicators. The Act was responsive to need and based in evidence. The document was only gender accomodating and retained a focus on ‘pregnant and lactating women’ rather than people, and did not account for populations besides women and children in programming. While the Act did not specifically reference FP, the emphasis on building stronger community health systems will have a cascading impact on the delivery of FP services. The Act moderately promoted SRHR in the FP domain.