Welcome to the Publication Archives of USAID-funded Health Policy Projects.

Browse POLICY Project (1995-2006) Materials

↑ top

Files will load from www.policyproject.com.

List entries are alphabetical by title and contain the title, abstract, language, and then the filename which is hyperlinked and will open in a new browser window. Many files are PDFs but some of the older ones are Word documents.

2003

  • English
    ARH_Bangladesh.pdf

  • English
    ARH_Cambodia.pdf

  • English
    ARH_Egypt.pdf

  • English
    ARH_India.pdf

  • English
    ARH_Indonesia.pdf

  • English
    ARH_Jordan.pdf

  • English
    ARH_Morocco.pdf

  • English
    ARH_Nepal.pdf

  • English
    ARH_Pakistan.pdf

  • English
    ARH_Philippines.pdf

  • English
    ARH_Sri_Lanka.pdf

  • English
    ARH_Vietnam.pdf

  • English
    ARH_Yemen.pdf

  • The POLICY Project conducted assessments of adolescent and youth reproductive health in 13 countries in the Asia and Near East (ANE) region that represent diverse population sizes and geographical, cultural, and socioeconomic settings. The countries included Egypt, Jordan, Morocco, and Yemen in the Near East; Bangladesh, India, Nepal, Pakistan, and Sri Lanka in South Asia; and Cambodia, Indonesia, the Philippines, and Vietnam in Southeast Asia. In 2000, there were 354 million young people ages 15–24 in these 13 countries combined. The purpose of the assessments was to highlight the reproductive health status of adolescents and youth in each country within the context of the lives of young males and females.
    English
    arh.cfm

  • There is a growing literature that discusses the impact of HIV/AIDS on prospects for development (Barnett and Whiteside, 2002, provides an excellent overview). Less attention has been paid to the impact of development on the spread of HIV/AIDS. The process of development often leads to rural–urban migration, increased trade and transport, and the attenuation of family relations due to physical separation. These processes pose challenges in the fight against HIV/AIDS. On balance, economic growth and development support the fight against AIDS, yet the process of development must be managed effectively to assure that economic development and the fight against AIDS work together to benefit sub-Saharan Africa. Workplace programs are cost-effective. AGOA factories provide ideal environments for implementation of HIV/AIDS prevention, care, and treatment programs that are mutually beneficial for the companies and societies.
    English
    AGOA2003_1.pdf

  • AGOA representatives met late in 2001, again in 2002, and now for a third time in December 2003. Background papers from previous meetings suggested a number of actions that AGOA member countries could consider to enhance the effectiveness of responses to the threat of HIV/AIDS. This paper summarizes a few issues and actions, linking the actions specifically to (1) finance and planning ministries, (2) trade, labor, and commerce ministries, (3) the business sector, and (4) donors and assistance agencies. The delegates could discuss which key actions they would like to monitor and possibly report on at the next AGOA forum. They are welcome to recommend fresh approaches to maximize the benefits that can derive from a results-oriented, cooperative effort in the fight against HIV/AIDS.
    English
    AGOA2003_2.pdf

  • The accompanying tables provide background data on health spending in AGOA countries; background data on successful applications for grants from the Global Fund to Fights AIDS, Tuberculosis and Malaria and grants received by AGOA countries under the World Bank Multisectoral AIDS Program (MAP) for Africa; and background data on HIV/AIDS prevalence. These data may help orient and clarify discussion of progress and objectives.
    English
    AGOA2003_3.pdf

  • Twenty parliamentarians from Benin, Burkina Faso, Chad, Guinea, Mali, and Senegal and 15 of their close allies in the public and nongovernmental sector convened in Conakry, Guinea, June 2–6, 2003, and adopted legislative agendas and strategies to improve family planning and reproductive health (FP/RH) programs in their respective countries.
    English
    Conakry_Summary.pdf

  • This paper identifies eight interventions for HIV/AIDS prevention, care, and treatment of construction workers. Where prevalence is low, cost of the eight interventions is 0.14 percent of the cost of a major construction project. With high prevalence levels of ten percent of the workforce, costs of the package of interventions would still fall below one percent of total project costs. These percentages are low enough to permit contractors to include the costs of such services among the indirect costs for worker injury protection, insurance and emergency care without substantially increasing total project costs. Economics of AIDS and Access to HIV/AIDS Care in Developing Countries, Issues and Challenges The following series of documents (in PDF) are the chapters of this book, which was assembled by ANRS in June 2003. This paper is part of a book which contributes to the debate on expanding access to HIV/AIDS treatment in developing countries. It presents an important and innovative aspect of the work of the ANRS (Agence Nationale de Recherches sur le Sida), one of the few agencies to have initiated research in this field. Its aim is to increase the engagement of the economic and social science perspective so as to clarify international and national discussions about the best way to overcome the scandalous inequality in access to HIV/AIDS treatment between poor and rich region of the world. For more information on the book follow this link: http://www.iaen.org/papers/anrs.php/
    English
    McGreevey.pdf

  • A primary goal of reproductive health and family planning programs is to ensure that people can choose, obtain, and use a wide range of high-quality, affordable contraceptive methods and condoms for STI/HIV prevention. Referred to as contraceptive security, this goal requires sustainable strategies to ensure and maintain access to and availability of supplies. This wall chart presents a tool developed to measure a country's level of contraceptive security and to monitor it over time. The tool uses a set of indicators covering the primary components of contraceptive security to measure the level of contraceptive security in countries. These indicators can be used separately to monitor progress in each component. They are also aggregated to establish a composite index, which can be used to compare countries at a point in time or to monitor progress over time within a country.
    English
    CS_Wallchart.pdf

  • This study was designed to document the extent to which Kenya has managed both its family planning/reproductive health (FP/RH) and HIV/AIDS programs in the context of the high HIV prevalence (14%) the country is experiencing. In order to gain further insights on the dynamics of the FP program (FPP) in the country, interviews were conducted with 16 key informants from relevant government ministries/departments, NGOs, collaborating agencies, and donors. Questions touched on specific issues of FP/RH and HIV/AIDS regarding funding levels, staffing/personnel issues, integration and role of nongovernmental organizations (NGOs) and the private sector in FP/RH and HIV/AIDS programs. The background information for the study was obtained from several policy documents and other related official documents such as strategic plans, relevant survey results/reports, development plans, and statistical abstracts.
    English
    Ken_FPHIV.pdf

  • This study forms part of an investigation by the POLICY Project on how countries have been managing family planning in the face of high HIV/AIDS prevalence. This report describes recent trends in family planning/reproductive health (FP/RH) and HIV/AIDS service delivery in Zambia. The study was conducted in two parts. First, the desk review of documents on FP/RH and HIV/AIDS was carried out. The second part involved in-depth interviews with selected stakeholders in FP/RH and HIV/AIDS service delivery. Respondents included representatives from the Ministry of Health/Central Board of Health (MOH/CBOH), National AIDS Council (NAC), donor agencies, nongovernmental organizations (NGOs), and cooperating partners as well as public and private service providers. Questions were asked about the FP/RH and HIV/AIDS programs with regard to the status of the programs, funding levels, staffing and personal issues, the role of NGOs and the private sector, and health sector reform.
    English
    Zam_FPHIV.pdf

  • An overview of the HIV/AIDS situation and policy advocacy in Latin America, this guide serves as a tool to develop strategies to advocate for sexual health policies, particularly for men who have sex with men.
    Portuguese
    LAC_ASICALguide_Portuguese.pdf

  • A report from a workshop held by the East-Central Division of the Seventh Day Adventist Church, bringing together people from five continents to put forth a united front in the battle against the spread of HIV/AIDS. The workshop sensitized church leaders to the issues of HIV/AIDS, identified priority actions and put forth policy reccomendations to the church Executive Committee.
    English
    ken_ecd_sdaps.pdf

  • A technical working group organized by the National AIDS Commission has used the latest sentinel surveillance results for 2003 to estimate national HIV prevalence in Malawi. This report describes the methodology, assumptions and results of that work.
    English
    MALNatEst2003.doc

  • Le nouveau module de planification familiale (FamPlan, Version 4) intègre un certain nombre de changements proposés par des utilisateurs des versions précédentes de Target et FamPlan et des changements nécessaires pour répondre aux nouveaux besoins des programmes de santé de la reproduction suite aux directives de la CIPD. Premièrement, il comprend un certain nombre de nouvelles options pour fixer les objectifs des programmes (répondre aux besoins non-satisfaits, atteindre le niveau de fécondité désirée). Deuxièmement, il contient certaines modifications des équations des déterminants proches de la fécondité qui ont été mises au point grâce à toutes les nouvelles informations issues des enquêtes démographiques et de santé réalisées depuis la mise au point du cadre original. Troisièmement, le programme comprend de nouvelles options qui le rendent plus souple (par exemple, les calculs selon des âges cumulés ou des âges spécifiques) et, enfin, a été reécrit dans Windows et intégré au système Spectrum des modèles de politiques dans le cadre du Projet POLICY.
    French
    FampmanF1.pdf

  • El nuevo módulo de planificación familiar (FamPlan, Versión 4) incorpora diversos cambios sugeridos por los usuarios de versiones anteriores de Target y FamPlan, así como cambios necesarios para satisfacer las necesidades nuevas de los programas de salud reproductora de acuerdo con las pautas ICPD. En primer lugar, incluye diversas opciones nuevas para fijar las metas del programa (satisfacer una necesidad sin satisfacer, lograr la fecundidad deseada). En segundo lugar, contiene ciertas modificaciones de las ecuaciones de los factores determinantes inmediatos de fecundidad que se han desarrollado de la abundante información nueva de derivada de Demographic and Health Surveys [Encuestas Demográficas y de Salud] desde que se desarrolló el diseño original. En tercer lugar, el programa incluye algunas opciones nuevas para que sea más flexible (por ejemplo, el cálculo en base a edad total o edad específica). Por último, el programa ha sido redactado de nuevo en Windows e integrado en el sistema Spectrum de modelos de política bajo el Proyecto POLICY.
    Spanish
    FampmanS.pdf

  • Booklet describing the steps involved in HIV/AIDS strategic planning for the Church.
    English
    ANGLICAN_AIDS_BOOK.pdf

  • Goals is intended for use by national programs to explore the effects of different funding levels and patterns on national goals. It is generally implemented by a multi-disciplinary team composed of participants with various areas of expertise (demography, epidemiology, health finance, planning) representing different aspects of society (government, civil society, private sector, donors). A technical team works together to implement the model for the first time. Then the model is used in interactive workshops with planners and stakeholders to explore the effects of different program configurations on the provision of care and support and the prevention of new HIV infections. Through this interaction participants gain a better understanding of the dynamics of funding and impact. This prepares them to develop realistic budgets and goals that reflect their priorities.
    English
    Goals.pdf

  • An overview of the HIV/AIDS situation and policy advocacy in Latin America, this guide serves as a tool to develop strategies to advocate for sexual health policies, particularly for men who have sex with men.
    Spanish
    GUIA_HSHps.pdf

  • This report presents the latest estimates of the extent of the HIV/AIDS epidemic in Malawi and discusses some of the implications. The report is based on the results of an AIDS Impact Model application.
    English
    MAL_AIDS.pdf

  • This publication provides a concise overview of the current situation; analyzes the future course and impact of HIV/AIDS in the region; outlines recommendations for responding to the epidemic; and highlights promising programs that are already underway. Importantly, the report is designed as a user-friendly tool to help both government policymakers and civil society advocates encourage policy dialogue and commitment to address HIV/AIDS throughout the region. Focusing on the HIV/AIDS situation in Cambodia, the People's Democratic Republic of Laos, Thailand, and Viet Nam, the report also draws attention to six issues that are of particular concern in the region: 1) Women and HIV/AIDS, 2) Children Affected by HIV/AIDS, 3) Health Care Delivery and Costs, 4) Implications for Development, 5) Cross-border Issues, and 6) HIV/AIDS and Tuberculosis. Promoting an enabling policy environment, responding to the entire continuum of care (including prevention, care, and mitigation), and empowering vulnerable groups are among the strategies that are noted as central to an effective HIV/AIDS response in the Mekong Region.
    English
    HIV_Mekong.pdf

  • The purpose of this paper is to outline the international and national legal instruments that apply to HIV/AIDS in Vietnam and to examine those instruments, as well as government policies, from a human rights perspective.
    English
    VIE_HumanRights_HIV.pdf

  • This collection of stories highlights HIV-related advocacy work in communities around the world. This manual begins a process of documenting HIV/AIDS policy advocacy stories as a means of preserving them and making them available to others as more and more people become involved in HIV/AIDS advocacy issues. In all, 16 advocacy organizations are profiled in "Moments in Time." Although the stories focus on HIV/AIDS, the advocacy models are applicable to other settings and other issues. In fact, the developments in HIV/AIDS advocacy over the past 20 years can be helpful to other advocacy issues, just as other advocacy issues have been instrumental in the development of HIV/AIDS advocacy.
    French
    MomentsFR.pdf

  • Executive summary of the First South African National Home/Community Based Care Conference held 18 - 21 September 2002. The conference aimed to provide strategic direction for the delivery of care and support services through HCBC programmes in South Africa, and also to focus on strengthening their impact. An overview of the specific aims, objectives and expected outputs are contained in the section “The HCBC Conference at a glance” on page 5. Debates and presentations were structured around four tracks, and focused on issues that have been identified as critical barriers to developing HCBC ser vices. The tracks of the conference were: Context for Care, Continuum of Care, Par tners for Care, and Living Positively.
    English
    Khomanani_ExecSum.pdf

  • Spanish-language version of the GOALS brochure.
    English
    GFlyer-Spanish.pdf

  • English
    learning.cfm

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    French
    Benin_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    Spanish
    Bolivia_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    Spanish
    Ecuador_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    English
    Guatemala_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    French
    Guinea_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    French
    Haiti_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    French
    Mali_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    Spanish
    Mexico_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    Spanish
    Paraguay_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    English
    Peru_MNPI.pdf

  • Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
    French
    Senegal_MNPI.pdf

  • Results from a 2003 survey of six regions in Russia using the Maternal and Neonatal Program Effort Index. Includes discussion of the MNPI, results by region, and priority action areas.
    English
    MNPI_RUS_6Reg.pdf

  • In October 2002, under the slogan "South African Men Care Enough to Act", a National Men's Imbizo was held bringing some 400 men together from around the country to bring awareness to the need for men's involvement in HIV/AIDS. At this meeting, an Interim National Task Team was elected as a first organizational step towards the formation of a broad-based countrywide men's forum. Coordinating the responses of the men's sector is considered paramount to developing effective strategies in the four priority areas identified in the HIV/AIDS and STD Strategic Plan for South Africa (2000-2005): • Prevention • Treatment, care and support • Human and legal rights, and • Research, monitoring and evaluation In February 2003, following the Imbizo, a meeting was held between the Government AIDS Action Plan (national and provincial structures), the USAID-funded POLICY Project and the men’s sector national working group to plan the next steps. Based on outcomes of the Imbizo (see South African Men Care Enough to Act: Report on the National Men's Imbizo on HIV/AIDS, 2002) the decision was made to further engage the men's sector through a series of consultative workshops at the provincial level. These would follow on from provincial report-back meetings held after the Imbizo, strengthening the involvement of men in HIV/AIDS activities. The workshops would, as part of the government's broader Partnership Against AIDS programme, create a solid platform for discussion and collaboration in the men's sector. Through the establishment of provincially-coordinated men's networks, it is hoped this crucial sector will begin to play a more constructive, holistic and influential role in rising to the social and cultural challenges presented by HIV/AIDS. Provincial workshops would provide the men with an opportunity to develop coherent plans to guide their actions as individuals, as groups, and as partners with other sectors. This report documents the process and outcomes of these provincial meetings.
    English
    SA_mensprovince.pdf

  • This collection of stories highlights HIV-related advocacy work in communities around the world. This manual begins a process of documenting HIV/AIDS policy advocacy stories as a means of preserving them and making them available to others as more and more people become involved in HIV/AIDS advocacy issues. In all, 16 advocacy organizations are profiled in "Moments in Time." Although the stories focus on HIV/AIDS, the advocacy models are applicable to other settings and other issues. In fact, the developments in HIV/AIDS advocacy over the past 20 years can be helpful to other advocacy issues, just as other advocacy issues have been instrumental in the development of HIV/AIDS advocacy.
    English
    MomentsFULL.pdf

  • Final report of a study to investigate mechanisms to maximize the greater involvement of people living with HIV/AIDS (GIPA) within the HIV/AIDS policy and program development, implementation and evaluation process in Vietnam.
    English
    VIE_FinalGIPA.pdf

  • 32-page booklet summarizing the Malawi National HIV/AIDS Policy developed and printed with assistance from the USAID-funded POLICY Project, UNDP, and UNAIDS.
    English
    NationalHIVpolicySummary.pdf

  • This document serves as a supplement to Networking for Policy Change: An Advocacy Training Manual, a resource for trainers of family planning and reproductive health advocacy issues worldwide. The training manual includes information on networking, communications, and policy environments; exercises on conceptualizing, implementing, monitoring, and evaluating advocacy campaigns; and relevant materials for advocates working in any area of reproductive health. Trainers can use the training techniques employed in the manual in various contexts, including when maternal health is the focus of advocacy. In creating this series of supplements and training modules, the POLICY Project recognizes that certain reproductive health topics require specific information that goes beyond the examples and materials included in the original manual. Maternal health is one of those issues. As with any area, there are special concerns that must be addressed when talking about advocacy for maternal health. The goal of maternal health is to ensure that every woman has access to a full range of high-quality, affordable sexual and reproductive health services especially maternal care and treatment of obstetric emergencies to reduce deaths and disabilities. Issues surrounding pregnancy, childbirth, and the postpartum period are integrally related to the status of women, and their ability to seek health care. Maternal health is a human right and must be underpinned by laws and policies that support effective action to increase women’s access to basic education, adequate nutrition, economic resources, as well as appropriate health services.
    English
    MH_FULL.pdf

  • Global demand for family planning services continues to increase rapidly. By 2015, the number of women using modern contraceptives is expected to nearly double (Ross and Bulatao, 2001). This dramatic growth is due in part to an increase in the number of women of reproductive age. It also stems from the fact that national family planning programs are doing a better job of both reaching out to women in need of family planning products and removing barriers to family planning services. Demand for condoms is rising even faster as a “dual-use” product, protecting against unwanted pregnancies as well as against sexually transmitted infections (STI), including HIV. New challenges for family planning programs have arisen from their success. In many family planning programs operated by the public sector, resources are falling short of growth in demand for services. At the same time, individuals with unmet need for family planning services are increasingly concentrated among hard-to-reach groups. Moreover, as low-cost public services come to dominate the family planning market, they compete with and crowd out the private sector. This brief explores one potential solution—targeting—to meet these challenges, alleviating barriers to the expansion and use of family planning services.
    Spanish
    PF3_Sp.pdf

  • Global demand for family planning services continues to increase rapidly. By 2015, the number of women using modern contraceptives is expected to nearly double (Ross and Bulatao, 2001). This dramatic growth is due in part to an increase in the number of women of reproductive age. It also stems from the fact that national family planning programs are doing a better job of both reaching out to women in need of family planning products and removing barriers to family planning services. Demand for condoms is rising even faster as a “dual-use” product, protecting against unwanted pregnancies as well as against sexually transmitted infections (STI), including HIV. New challenges for family planning programs have arisen from their success. In many family planning programs operated by the public sector, resources are falling short of growth in demand for services. At the same time, individuals with unmet need for family planning services are increasingly concentrated among hard-to-reach groups. Moreover, as low-cost public services come to dominate the family planning market, they compete with and crowd out the private sector. This brief explores one potential solution—targeting—to meet these challenges, alleviating barriers to the expansion and use of family planning services.
    French
    PF3_Fr.pdf

  • Global demand for family planning services continues to increase rapidly. By 2015, the number of women using modern contraceptives is expected to nearly double (Ross and Bulatao, 2001). This dramatic growth is due in part to an increase in the number of women of reproductive age. It also stems from the fact that national family planning programs are doing a better job of both reaching out to women in need of family planning products and removing barriers to family planning services. Demand for condoms is rising even faster as a “dual-use” product, protecting against unwanted pregnancies as well as against sexually transmitted infections (STI), including HIV. New challenges for family planning programs have arisen from their success. In many family planning programs operated by the public sector, resources are falling short of growth in demand for services. At the same time, individuals with unmet need for family planning services are increasingly concentrated among hard-to-reach groups. Moreover, as low-cost public services come to dominate the family planning market, they compete with and crowd out the private sector. This brief explores one potential solution—targeting—to meet these challenges, alleviating barriers to the expansion and use of family planning services.
    English
    PF3_Eng.pdf

  • Other
    UKR_PolBrief_(u).pdf

  • English
    RU_AdFlyer.pdf

  • This document presents a summary of the global OVC situation and identifies policy-level gaps in national responses to the growing crisis. Importantly, the report proposes a country-level OVC "policy package" and offers recommendations to guide future policy dialogue and action. Adopting laws that protect the rights of all children, encouraging multisectoral collaboration, placing a special emphasis on educational opportunities, and establishing systems to identify the most vulnerable children are all crucial aspects of a comprehensive OVC policy response.
    English
    OVC_Policies.pdf

  • This document presents a summary of the global OVC situation and identifies policy-level gaps in national responses to the growing crisis. Importantly, the report proposes a country-level OVC "policy package" and offers recommendations to guide future policy dialogue and action. Adopting laws that protect the rights of all children, encouraging multisectoral collaboration, placing a special emphasis on educational opportunities, and establishing systems to identify the most vulnerable children are all crucial aspects of a comprehensive OVC policy response.
    French
    OVC_PoliciesFr.pdf

  • Concerns about ensuring an uninterrupted supply of contraceptives around the world has lead to a multi-agency effort called The Strategic Pathway to Reproductive Health Commodity Security (SPARHCS.) In August of 2002 the SPARHCS approach was field tested in Nigeria. A technical advisory group was established to use the FAMPLAN model to determine the country’s contraceptive commodity needs for five years (2003 – 2007). This document includes the results of the FAMPLAN application.
    English
    NIG_FAMPLAN.pdf

  • A workshop report summarizing the skills government employees learned to effectively implement HIV/AIDS programs at the department level.
    English
    SA_DPSAIndabaIII.pdf

  • The purpose of this study was to provide the Population Development Group with evidence that operational policy barriers result in inefficient resource use in reproductive health care in Ukraine and to recommend solutions. The analysis will serve as the foundations for recommendations that the MOH will make to the Cabinet of Ministers on ways to remove the existing operational policy barriers. The specific objectives of this study were to understand, analyze, and recommend solutions to the following problems: -Inefficiencies at the facility level in the areas of staff time use, bed capacity and use, and availability and use of supplies and equipment; -Infelxibility in allocating funds for health care from local budget and financial decision making at the facility level; -The shadow economy in health care from the client perspective (and its relationship to inefficiencies in financial resource allocation); and -Poor quality of care from the client perspective (and its relationship to inefficiencies in health care facilities).
    English
    UKR_RH_Efficiency.pdf

  • The purpose of this report is to identify laws considered impediments to HIV/AIDS prevention and care, suggest law reforms considered necessary to advance HIV/AIDS prevention and care, and suggest enactment of laws considered necessary to advance HIV/AIDS prevention and care in Tanzania. The information in the report is presented in three parts, constituting fifteen chapters, references, and annexes.
    English
    TZlawreview.pdf

  • This collection of stories highlights HIV-related advocacy work in communities around the world. This manual begins a process of documenting HIV/AIDS policy advocacy stories as a means of preserving them and making them available to others as more and more people become involved in HIV/AIDS advocacy issues. In all, 16 advocacy organizations are profiled in "Moments in Time." Although the stories focus on HIV/AIDS, the advocacy models are applicable to other settings and other issues. In fact, the developments in HIV/AIDS advocacy over the past 20 years can be helpful to other advocacy issues, just as other advocacy issues have been instrumental in the development of HIV/AIDS advocacy.
    Spanish
    MomentsSP.pdf

  • Spanish
    GUA_SitFin_Educacion.pdf

  • Spanish
    GUA_SitFin_Salud.pdf

  • Part of the Siyam'kela Project, which aims to pave the way for stigma-mitigation by developing well-researched indicators of HIV/AIDS stigma and discrimination. This document presents the findings that informed the development of indicators for internal and external stigma and the findings which informed guidelines for stigma intervention. This document is also a qualitative exploration of stigma experiences and perceptions in focus groups.
    English
    SA_Siyam_fieldwork.pdf

  • Part of the Siyam'kela Project, which aims to pave the way for stigma-mitigation by developing well-researched indicators of HIV/AIDS stigma and discrimination. This document presents findings of research related to HIV/AIDS and the media and reccomendations.
    English
    SA_Siyam_mediaguide.pdf

  • Part of the Siyam'kela Project, which aims to pave the way for stigma-mitigation by developing well-researched indicators of HIV/AIDS stigma and discrimination. This document presents findings of research related to HIV/AIDS and faith based organizations and recommendations for FBOs working in the field of HIV/AIDS.
    English
    SA_Siyam_FBO.pdf

  • Part of the Siyam'kela Project, which aims to pave the way for stigma-mitigation by developing well-researched indicators of HIV/AIDS stigma and discrimination. This document presents findings of research related to HIV/AIDS and the workplace and recommendations for work-place policy.
    English
    SA_Siyam_workplaceguide.pdf

  • English
    POLICY_FBO_and_HIV_Factsheet.pdf

  • UNAIDS, USAID, and the POLICY Project developed the AIDS Program Effort Index (API) to measure program effort in the response to the HIV/AIDS epidemic. The index is designed to provide a current profile of national effort and a measure of change over time. The API was applied to 40 countries in 2000; a revised index was applied in 54 countries in early 2003. The results show that program effort is relatively high in the areas of political support, policies, and planning with average scores above 70 percent of the maximum effort. Prevention programs and the legal and regulatory environment are the next most highly rated components with scores between 60 and 70 percent. The human rights component received the lowest score. Respondents reported that legal structures are in place to protect human rights but that resources and enforcement efforts are lacking. Resource availability and mitigation effort also received low scores. By region, Eastern and Southern Africa has the highest overall scores. West and Central Africa and Asia also scored relatively high, with Latin America and the Caribbean and Eastern Europe somewhat lower. The average score for all countries increased slightly from 56 percent in 2000 to 59 percent in 2003. The largest increases were for political support, resources, and care and treatment. The API survey shows clearly that all countries have some organized effort to combat the HIV/AIDS epidemic. Most countries have good policies and organizational structures in place. The weakest areas are in the implementation of the policies and plans. Countries with the strongest effort, such as Brazil, Senegal, Thailand, and Uganda, all have strong political commitment and a national consensus that lead to significant effort to implement comprehensive programs.
    English
    API2003.pdf

  • Prior to 2002, two rounds of the PES had been fielded in Jamaica, the first in 1999 and the second in 2000. These rounds were conducted by the POLICY Project on behalf of USAID/Kingston (McClure et al., 2000; Strachan et al., 2001). Those rounds of the PES included four components of reproductive health, namely family planning, safe pregnancy, STDs/AIDS, and adolescents. This 2002 round of the PES, conducted jointly by Youth.now and the POLICY Project, focuses exclusively on adolescents. Called the Expanded ARH PES, the 2002 round included the same questions regarding adolescent reproductive health (ARH) that were used in 2000 and 1999 (hereafter referred to as the “original” ARH PES) and also included a number of additional questions to more accurately reflect the policy environment for ARH in Jamaica in 2002, given policy and program activities undertaken over the past few years (hereafter referred to as the “expanded” ARH PES). The 2002 Expanded ARH PES included the seven components of political support, policy formulation, organizational structure, legal and regulatory, program resources, program components, and evaluation and research. To measure change in the policy environment, respondents were asked to rate each item twice—once to reflect the current status in 2002, as well as once to indicate the status one year earlier in 2001.
    English
    JAM_PES2003.pdf

  • The Policy Environment Score (PES) has been designed to measure the overall status of the policy environment in a particular country, evaluating changes in the policy environment over time, and identifying those areas most in need of improvement with particular focus on access to high quality reproductive health services including family planning, adolescent reproductive health and HIV/AIDS, safe motherhood and post-abortion care. The PES is designed to provide a quick assessment of the policy environment at low cost. It necessarily contains a number of items that depend on the judgment of experts. It is not designed to provide a comprehensive assessment of the policy environment, but to be part of a system for measuring the impact of policy activities. The policy environment score was first undertaken in Nigeria in 2000 by the POLICY Project. Though the report was not officially published the results were used to inform the review of the National Population Policy. This 2002 assessment of the policy environment in Nigeria in the year 2002 is being carried out by the Department of Community Development and Population Activities with the technical assistance of the POLICY Project, Nigeria. The knowledge gained will be used in informing future planning for reproductive health activities in the areas of family planning (FP), STI/HIV/AIDS and Adolescent Reproductive Health (ARH). It will also reveal areas of the policy environment that will also need improvement through advocacy and planning.
    English
    NIG_PES2002.pdf

  • Several countries bordering Viet Nam have experienced rapid increases in HIV infection rates in the last few years. During the 1990s, the HIV/AIDS epidemic also expanded quickly in Viet Nam. As of April 2003, Viet Nam had recorded 64,801 people infected with HIV, although estimates put the figure more realistically between 150,000 to 200,000. Major factors contributing the epidemic include a thriving commercial sex industry in which condom use is not the norm and sex workers are targeted with punitive actions rather than monitored for health problems; frequent population migration; injecting drug use; substantial sexual links between drug users and other communities; limited public discussion of HIV/AIDS; and pervasive stigma. The HIV/AIDS epidemic in Viet Nam is still in the “concentrated epidemic” stage. The disease has spread rapidly in specific subpopulations, particularly among injecting drug users (IDUs), sex workers, and males who have sex with males (MSM); however, it is not yet well established in the general population. However, the current status of the epidemic does not mean that it is compartmentalized or restricted to these groups. The active networks of risk within and among these subpopulations and the general population will determine the epidemic’s future course.
    English
    VIET_SEI.pdf

  • Synthesis of the Socioeconomic Impact study.
    English
    VIET_SEI_BP.pdf

  • To the Other Side of the Mountain is a toolkit written for and to be used by those living with and affected by HIV and AIDS. It includes five modules focused on disclosure, the rights of people living with HIV, effective communication and facilitation, and advocacy. The goals of the toolkit are to share lessons and experiences and build the capacity of PLHIV to actively participate in the response to HIV.
    English
    Other side of the mtn_toolkit.pdf

  • This one page flyer highlights the accomplishments of POLICY's multisectoral citizen's groups in Mexico.
    English
    MCGOct03.pdf

  • Malawi has one of the highest national HIV prevalence rates in the world. The National AIDS Commission (NAC) estimates that the country has an adult (15-49) HIV prevalence rate of 15 percent. There are about one million Malawians who are HIV positive and over 265,000 reported cumulative cases of AIDS. By 1999, approximately 250 Malawians became infected with HIV on a daily basis and 40 percent of all new reported AIDS cases occurred in people under the age of 30. Stigma and discrimination surrounding HIV/AIDS serve as barriers to the proper care, treatment, and support of people living with HIV/AIDS (PLWHA); discourage people from seeking voluntary counselling and testing (VCT) – an important aspect of prevention efforts and an entry point into care and the facilitation of positive living among PLWHA; and hinder the development of an enabling environment that promotes disclosure and living openly with HIV/AIDS. These results have consequences at the individual, family, community, and national levels as all efforts to prevent HIV transmission and mitigate the impacts of the HIV/AIDS epidemic are undermined by stigma and discrimination. This qualitative research study is based on data collected through focus group discussions (FGDs) with PLWHA in Malawi. It is part of a broader National HIV/AIDS Advocacy Project being executed by the Malawi Network of People Living with HIV/AIDS (MANET+) in fulfilment of the objective of advocating for the integration of stigma and discrimination-related issues into the National HIV/AIDS Policy. It emphasises three areas: care, treatment, and support services by PLWHA; VCT services; and disclosure of sero-status (by self and others). This report also explores the importance of greater involvement of PLWHA. The purpose of the National HIV/AIDS Advocacy Project is to catalyse the formulation of supportive HIV/AIDS policies, laws, and regulations.
    English
    MALA_MANET_FGD.pdf

  • This study was commissioned by CARE Cambodia and the Policy Project, and is intended to provide NGOs and the public sector with an overview of the current situation regarding voluntary confidential counselling and testing (VCCT) in Cambodia as well as to highlight some options for developing greater NGO/government interaction on VCCT. Both CARE and the Policy Project are committed to services that are built on a rights-based approach, and for this reason a key focus of the study is to identify ways of increasing the involvement of people living with HIV/AIDS (PLHA) in the design, development and monitoring of services.
    English
    CAMB_VCT.pdf

  • Worldwide, about 500,000 women and girls die of complications related to pregnancy and childbirth each year; and over 99 percent of these deaths occur in developing countries. The tragedy – and opportunity – is that most maternal deaths could be prevented with cost-effective health care services. Facing a range of competing priorities and limited resources, policymakers and program planners are in need of concise information on programs that are both effective and feasible. The POLICY Project is pleased to have the opportunity to make a significant contribution to the maternal health field with the launch of a new resource that documents safe motherhood interventions that work. This publication – the first in a series entitled “What Works: A Policy and Program Guide to the Evidence on Family Planning, Safe Motherhood, and STI/HIV/AIDS Interventions” – presents a comprehensive review of the interventions (with supporting evidence) that have been shown to enhance maternal health in developing countries. Importantly, this document helps public health officials and decision makers answer the question “What should we do?” when trying to figure out how to improve maternal health. It is also a tool to help maternal health advocates demonstrate that safe motherhood programs save lives, benefit societies and communities, and are effective and feasible, even in resource-constrained settings. The Safe Motherhood Module brings together the best available evidence on a range of interventions and packages it in one convenient source, covering topics such as Labor and Delivery, Postnatal Care, Care During Pregnancy, Pre-pregnancy Care, and Policy and Program Issues. It also provides guidance on programs that have not been shown to work, programs that should be avoided, and programs for which more evidence is needed. Additional sections provide a summary of safe motherhood interventions and present resources for program designers. The Safe Motherhood Module has been reviewed by some of the world’s leading maternal health experts, including those from the United Nations Population Fund (UNFPA), World Health Organization (WHO), International Center for Research on Women (ICRW), JHPIEGO, Pan American Health Organization (PAHO), U.S. Agency for International Development (USAID), and others. Forthcoming modules in the series will focus on addressing STIs/HIV/AIDS and reducing unintended pregnancies.
    English
    SM_WhatWorksps2.pdf

  • This flyer describes Policy Builder, a software program that is being developed to help guide companies through this challenge of developing an HIV/AIDS policy for the workplace.
    English
    PolicyBuilder.pdf