Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Bull World Health Organ. 2009 Nov;87(11):816-23. doi: 10.2471/blt.08.059147.
To assess the sexual and reproductive health interventions included by countries in HIV-related proposals approved by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund).
We examined the Global Fund database for elements and indicators of sexual and reproductive health in all approved HIV-related proposals (214) submitted by 134 countries, from rounds 1 to 7, and in an illustrative sample of 35 grant agreements.
At least 70% of the HIV-related proposals included one or more of the four broad elements: sexual and reproductive health information, education and communication; condom promotion/distribution; diagnosis and treatment of sexually transmitted infections; and prevention of mother-to-child transmission of HIV. Between 20% and 30% included sexual health counselling, gender-based violence, and the linking of voluntary counselling and testing for HIV with sexual and reproductive health services. Less than 20% focused on adolescent sexual and reproductive health, the rights and needs of people living with HIV, or safe abortion services. All these elements were rarely featured, if at all, in the grant agreements reviewed. Overall, however, sexual and reproductive health indicators did appear in most HIV-related proposals and in more than 80% of the grant agreements.
Country coordinating mechanisms and national-level stakeholders see in funding for sexual and reproductive health a means to address the problem of HIV infection in their respective national settings. However, we highlight some missed opportunities for linking HIV and sexual and reproductive health services.
评估全球抗击艾滋病、结核病和疟疾基金（全球基金）批准的与艾滋病毒相关提案中包含的性健康和生殖健康干预措施。
我们检查了全球基金数据库中所有经批准的与艾滋病毒相关提案（134 个国家提交的 214 份提案）中与性健康和生殖健康有关的内容和指标，这些提案来自第 1 至第 7 轮，以及在 35 份赠款协议的示例中。
至少 70%的与艾滋病毒相关的提案包括以下四个广泛要素中的一个或多个：性健康和生殖健康信息、教育和交流；推广/分发避孕套；诊断和治疗性传播感染；预防艾滋病毒母婴传播。20%至 30%的提案包括性健康咨询、基于性别的暴力，以及将艾滋病毒自愿咨询和检测与性健康和生殖健康服务联系起来。不到 20%的提案关注青少年性健康和生殖健康、艾滋病毒感染者的权利和需求，或安全堕胎服务。所有这些要素在审查的赠款协议中很少出现，如果有的话。然而，总体而言，性健康和生殖健康指标确实出现在大多数与艾滋病毒相关的提案中，以及超过 80%的赠款协议中。
国家协调机制和国家一级的利益攸关方认为，为性健康和生殖健康提供资金是解决各自国家艾滋病毒感染问题的一种手段。然而，我们强调了在将艾滋病毒和性健康与生殖健康服务联系起来方面存在一些错失的机会。
