International Family Planning Assistance: USAID Has Faced Implementation Challenges Related to U.S. Policy and COVID-19, Accessible Version, Report to Congressional Requesters [open pdf - 8MB]
From the Highlights: "According to USAID [U.S. Agency for International Development], the U.S. is the largest donor of bilateral FP/RH [family planning and reproductive health] assistance to increase opportunities for voluntary healthy timing and spacing of pregnancies. This assistance also contributes to several other positive development outcomes, including reducing maternal and child mortality and HIV transmission, according to USAID. However, in a 2020 report, GAO [Government Accountability Office] identified instances in which FP/RH implementing partners declined the PLGHA [Protecting Life in Global Health Assistance] terms and conditions and, as a result, stopped receiving planned funding that was not yet obligated under their awards. In addition, the World Health Organization and the United Nations Population Fund warned that the COVID-19 [coronavirus disease 2019] pandemic could severely disrupt access to FP/RH services for millions of women. GAO was asked to review USAID's international FP/RH assistance. This report describes (1) the FP/RH assistance USAID provided in fiscal years 2018 through 2020, (2) the PLGHA policy's effects on the implementation of FP/RH assistance as well as actions USAID and its implementing partners reported taking to mitigate adverse effects, and (3) implementation challenges caused by the COVID-19 pandemic as well as steps USAID and its implementing partners took to address them. GAO analyzed USAID funding data. GAO also reviewed USAID and implementing partner documents for FP/RH assistance in Senegal and Uganda and in the West Africa region, through USAID's West Africa Regional Program. In addition, GAO interviewed USAID officials, implementing partners, and other donors and reviewed studies of family planning assistance."
Government Accountability Office: https://www.gao.gov/