title: Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria.
abstract: OBJECTIVE
  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).
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland. lustinarasimhanm@who.int
authors.forename: Manjula
authors.initials: M
authors.lastname: Lusti-Narasimhan
authors.forename: Camille
authors.initials: C
authors.lastname: Collin
authors.forename: Michael
authors.initials: M
authors.lastname: Mbizvo
mesh_terms: D017280:Condoms / Q000600:supply & distribution; D003376:Counseling; D005381:Financing, Organized / Q000458:organization & administration* / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy*; D006266:Health Education / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D007391:International Cooperation; D034121:Reproductive Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D013179:Spouse Abuse