Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California 94105, USA.
J Womens Health (Larchmt). 2010 Nov;19(11):2125-32. doi: 10.1089/jwh.2010.2061. Epub 2010 Oct 8.
This article reviews the unique historic and contemporary role of U.S. philanthropies in supporting international family planning and reproductive health (FPRH) programs, including how priorities are set, strategies developed, and activities funded. We then discuss the FPRH situation in sub-Saharan Africa today, where needs are the most urgent and where, increasingly, foundations are focusing their resources. We describe one case study exhibiting good philanthropic practice and conclude with thoughts about what the future holds for foundations in international FPRH. We find that as leaders in the field of FPRH, foundations have the ability to stay committed to their goals of championing the reproductive health and rights of individuals under dynamic circumstances. Although every policy environment offers opportunities and constraints, foundations, with their grantee partners, have a range of tools to foster and guide social change. As circumstances change, foundations have to be willing and able both to reassess where they provide added value and to take risks through innovative strategies.
本文回顾了美国慈善机构在支持国际计划生育和生殖健康（FPRH）项目方面的独特历史和当代作用，包括如何设定优先事项、制定战略和资助活动。然后，我们讨论了撒哈拉以南非洲地区目前的 FPRH 情况，那里的需求最为紧迫，越来越多的基金会正在集中资源。我们描述了一个展示良好慈善实践的案例研究，并最后思考基金会在国际 FPRH 领域的未来前景。我们发现，作为 FPRH 领域的领导者，基金会有能力在动态环境中坚持其倡导个人生殖健康和权利的目标。尽管每个政策环境都提供了机会和限制，但基金会及其受赠伙伴拥有一系列工具，可以促进和引导社会变革。随着环境的变化，基金会不仅要愿意而且能够重新评估自己提供附加值的地方，还要通过创新战略承担风险。
