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Trump administration's record on reproductive health criticized in study

The US government's global work on sexual and reproductive health and rights declined during the first year ...

Posted: Dec 13, 2018 2:23 AM
Updated: Dec 13, 2018 2:23 AM

The US government's global work on sexual and reproductive health and rights declined during the first year of the Trump administration, according to a newly released study.

The SRHR Index was compiled by the Center for Health and Gender Equity, a women's rights organization, in partnership with the George Washington University Global Women's Institute. The index assigned rankings to the White House, the State Department, the Department of Health and Human Services, the US Agency for International Development, the Department of Defense and Congress. It assigned ratings for 2016 and 2017 based on their budgets and policies on three main issues relating to global health assistance for sexual and reproductive health and rights: family planning, maternal and child health, and HIV and AIDS.

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"In order to capture the breadth of SRHR, we developed cross-cutting issues. So each internal policy and budget from those actors ... we grade each internal policy to see: Is this evidence based? Is it based in rights? Is it gender transformative? And is it situated within internationally recognized human rights norms?" Bergen Cooper, the Center for Health and Gender Equity's director of policy research, explained to CNN.

The index found that overall global health assistance on sexual and reproductive health and rights declined from 2016 to 2017 from a B to a C. All of the actors, with the exception of USAID, had a dip in grades. The most stark decline, according to the index, was from the White House, which went from an A- to a C-. The index attributes this drop to changes in maternal and child health and family planning. The White House did, however, receive a consistently high score (A-) for HIV/AIDS policy and budget priorities both years.

"The changes that the White House enacted in 2017 were harmful to both policy lines and budget lines," Cooper said. She said the White House's decision to withhold funding to the United Nations Population Fund and its reinstatement of the "Mexico City policy" factored into their scoring. In January 2017, President Donald Trump signed an executive action reinstating that policy, also known as the "Global Gag Rule," which prevents international nongovernmental organizations that perform or promote abortions from receiving US government funding.

The Department of Health and Human Services received a D+ in 2016 and 2017 because of what the index described as "low transparency in policy and funding data."

"We recognize that a lack of available or insufficient data is not necessarily a reflection of malfeasance or a lack of political will on the part of the government," Cooper said.

USAID was the only agency with an increased score from 2016 to 2017, going from a B+ to an A-.

"USAID received a 91.5 (A-) because it released a positive new 'Acting on the Call' policy document regarding maternal and child health, and also is spending money in a way that is highly responsive to global need," the index said.

Cooper told CNN that the center hopes the index will be "a road map for this government and future governments on how to successfully implement sexual and reproductive health and rights through our global health assistance programs."

Mississippi Coronavirus Cases

Data is updated nightly.

Cases: 253932

Reported Deaths: 5524
CountyCasesDeaths
DeSoto17120175
Hinds16207322
Harrison13353193
Rankin10689211
Jackson10303183
Lee8796141
Madison8232162
Jones6288110
Forrest5949119
Lauderdale5847180
Lowndes5355116
Lafayette494292
Lamar484165
Washington4777123
Bolivar3966108
Oktibbeha392480
Panola368378
Pontotoc362853
Monroe3533105
Warren348498
Union343060
Marshall341665
Neshoba3370152
Pearl River327899
Leflore3002105
Lincoln297085
Sunflower282669
Tate270862
Hancock266559
Alcorn263253
Itawamba262459
Pike262077
Scott246245
Prentiss245052
Yazoo244355
Copiah240849
Tippah240450
Simpson234867
Leake230564
Coahoma230054
Grenada217770
Covington211371
Marion210672
Adams204670
Winston200164
Wayne199630
George199038
Attala193559
Newton191342
Tishomingo184459
Chickasaw183644
Jasper169735
Holmes168567
Clay159033
Stone142320
Tallahatchie140134
Clarke138660
Calhoun135721
Smith120123
Yalobusha116534
Walthall111836
Noxubee110322
Greene109729
Montgomery109434
Carroll104221
Lawrence102417
Perry101631
Amite97725
Webster92224
Tunica86321
Claiborne86125
Jefferson Davis84125
Humphreys82924
Benton81523
Kemper77120
Quitman6888
Franklin66415
Choctaw60313
Wilkinson58325
Jefferson53819
Sharkey42717
Issaquena1596
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Alabama Coronavirus Cases

Cases: 422598

Reported Deaths: 6120
CountyCasesDeaths
Jefferson62039921
Mobile30225548
Madison27052186
Tuscaloosa20728267
Montgomery18978305
Shelby18504114
Baldwin16251182
Lee12465101
Morgan12233113
Etowah11735168
Calhoun11122200
Marshall10191107
Houston8598148
Cullman8023105
Limestone800274
Elmore7836101
DeKalb768397
Lauderdale754683
St. Clair7535120
Talladega6166108
Walker5897174
Jackson580341
Colbert532073
Blount530483
Autauga518455
Coffee441056
Dale396181
Franklin366248
Chilton336165
Russell330310
Covington327268
Escambia316842
Dallas303196
Chambers282769
Clarke281433
Tallapoosa2616107
Pike248729
Marion245650
Lawrence243647
Winston226635
Bibb215147
Geneva201435
Marengo199029
Pickens196531
Hale175842
Barbour172936
Butler169658
Fayette168226
Cherokee160330
Henry153621
Monroe145217
Randolph139835
Washington137626
Clay126145
Crenshaw118744
Lamar118019
Cleburne117423
Macon114735
Lowndes110335
Wilcox103121
Bullock99028
Perry97419
Conecuh94420
Sumter89026
Greene76023
Coosa60515
Choctaw51224
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