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A Practical Guide to Integrating Reproductive Health and HIV/AIDS into Grant Proposals to the Global Fund

August 28, 2009

Integrating RH and HIV can greatly contribute to mitigating the AIDS pandemic by reducing unintended pregnancy; preventing perinatal transmission; expanding to more target groups; reducing gender based violence; meeting the needs of people living with HIV and providing our youth with the knowledge and services they need. Whether to integrate, how to integrate and exactly what to integrate will depend on a country's epidemiological profile, policies and program structures.Experience with implementation of integration initiatives in countries around the world shows that scale up and sustainability requires attention to policy and program operations issues. This document, with links to a range of resources, will help CCMs, civil society organizations and others developing proposals for the Global Fund that contribute to preventing HIV and mitigating the effects of the AIDS pandemic through programs that link and integrate RH and HIV/AIDS.

Evaluation of The MacArthur Foundation’s Work in Mexico to Reduce Maternal Mortality, 2002-2008

April 1, 2009

From 2002 – 2008, The John D. and Catherine T. MacArthur Foundation invested US $5,000,000 in Mexico to contribute to a reduction in maternal mortality. Grant recipients included civil society organizations (CSOs) working at local, state and national levels in selected states with high maternal mortality ratios. Recipients also included CSOs based in Mexico City that have worked to address one specific cause of maternal mortality, unsafe abortion, which is a highly stigmatized cause of women dying throughout Mexico. Grant recipients advocated for improved public policies and health sector practices; conducted research to inform public policy; and monitored and publicized budget allocations to ensure that public sector resources were dedicated to addressing maternal mortality. Grantees focused their work on the needs of uninsured, low income and indigenous women in three states of high need- Chiapas, Guerrero, and Oaxaca- as well as on changing state and national level policies.Researchers Jill Gay and Deborah Billings traveled to Mexico from September 22 – October 7, 2008 and conducted 60 interviews with grantees and stakeholders, including Ministry of Health officials, representatives of CSOs and researchers in Guerrero, Chiapas and Oaxaca. We also conducted interviews with leaders of US-based organizations active in work on maternal health in Mexico. We made site visits to clinics, hospitals and maternity homes, where women receive care during pregnancy, labor and postpartum, and to CSO offices. We traveled to one rural community in Chiapas and one semi-urban community in Guerrero to better understand the conditions in which women live and the challenges they face in seeking maternal health services.