(I) Lack of access to basic HIV prevention 
information, education, and services, and lack 
of coordination with existing reproductive 
health services to reduce stigma and maximize 
coverage. 
(J) Lack of access to currently available 
female-controlled HIV prevention methods, such 
as the female condom, and lack of training on 
proper use of either male or female condoms. 
(K) High rates of other sexually trans-
mitted infections, unintended pregnancy, and 
complications during pregnancy and childbirth. 
(L) An absence of legal frameworks de-
signed to protect the rights of women and girls 
and the lack of accountable and effective en-
forcement of such frameworks, where they exist. 
(5) Efforts to increase women’s access to com-
prehensive prevention information and services, ad-
dress gender violence, increase women’s economic 
and social status, and foster equitable partnerships 
between women and men are all central to reducing 
the spread of HIV/AIDS worldwide and to enhanc-
ing the success of effective treatment and care pro-
grams supported by the United States. 
VerDate Aug 31 2005 
22:44 Jun 23, 2006
Jkt 049196
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H5674.IH
H5674
rwilkins on PROD1PC63 with BILLS
(6) The comprehensive, integrated, five-year 
strategy to combat global HIV/AIDS submitted to 
Congress on February 23, 2004, as required by sec-
tion 101 of the United States Leadership Against 
HIV/AIDS, Tuberculosis, and Malaria Act of 2003 
(Public Law 108–25; 22 U.S.C. 7611), does not 
adequately focus or provide sufficient details on how 
the United States Government plans to address the 
factors that lead to gender disparities in the rate of 
HIV infection in order to successfully prevent HIV 
infection among both married and unmarried women 
and girls. 
SEC. 3. STRATEGY TO PREVENT HIV INFECTIONS AMONG 
MARRIED AND UNMARRIED WOMEN AND 
GIRLS. 
(a) STATEMENT OF POLICY.—In order to meet the 
stated goal of preventing 7,000,000 new HIV infections 
worldwide, as announced by President George W. Bush 
in his address to Congress on January 28, 2003, it shall 
be the policy of the United States to pursue a global HIV 
prevention strategy that emphasizes the immediate and 
ongoing needs of married and unmarried women and girls 
and addresses the factors that lead to gender disparities 
in the rate of HIV infection. 
VerDate Aug 31 2005 
22:44 Jun 23, 2006
Jkt 049196
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H5674.IH
H5674
rwilkins on PROD1PC63 with BILLS
(b) STRATEGY.—Not later than 180 days after the 
date of the enactment of this Act, the President shall for-
mulate and submit to the appropriate congressional com-
mittees, and make available to the public, a comprehen-
sive, integrated, and culturally appropriate global HIV 
prevention strategy that addresses the vulnerabilities of 
married and unmarried women and girls to HIV infection 
and seeks to reduce the factors that lead to gender dispari-
ties in the rate of HIV infection. The strategy shall encom-
pass comprehensive health and HIV prevention education 
at the individual and population level beyond the ABC 
model (‘‘Abstain, Be faithful, use Condoms’’) as a means 
to reduce HIV infections and shall include the following 
strategies: 
(1) Empowering women and girls to avoid 
cross-generational sex and to decide when and whom 
to marry in order to reduce the incidence of early- 
or child-marriage. 
(2) Dramatically increasing access to currently 
available female-controlled prevention methods and 
including investments in training to increase the ef-
fective and consistent use of both male and female 
condoms. 
VerDate Aug 31 2005 
22:44 Jun 23, 2006
Jkt 049196
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H5674.IH
H5674
rwilkins on PROD1PC63 with BILLS
(3) Accelerating the destigmatization of HIV/ 
AIDS, as women are generally at a disadvantage in 
combating stigma. 
(4) Addressing gender based violence and rape 
against women and girls. 
(5) Promoting male attitudes and behavior that 
respect the human rights of women and girls and 
that support and foster gender equality. 
(6) Supporting the development of micro-enter-
prise initiatives, job training programs, and other 
such efforts to assist women in developing and re-
taining independent economic means. 
(7) Supporting expanded educational opportuni-
ties for women and girls. 
(8) Protecting the property and inheritance 
rights of women. 
(9) Coordinating HIV prevention information 
and education services with existing health care serv-
ices targeted to women and girls, such as family 
planning, comprehensive reproductive health serv-
ices, and programs to reduce the transmission of 
HIV between parents and children, and expanding 
the reach of such health services. 
(10) Promoting gender equality by supporting 
the development of civil society organizations focused 
VerDate Aug 31 2005 
22:44 Jun 23, 2006
Jkt 049196
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H5674.IH
H5674
rwilkins on PROD1PC63 with BILLS
on the needs of women and utilizing such organiza-
tions that are already empowering women and girls 
at the community level. 
(11) Encouraging the creation and effective en-
forcement of legal frameworks that guarantee 
women equal rights and equal protection under the 
law. 
(12) Responding to other economic and social 
factors that increase the vulnerability of women and 
girls to HIV infection. 
(c) COORDINATION.—In formulating and imple-
menting the global HIV prevention strategy pursuant to 
subsection (b), the President shall ensure that the United 
States coordinates its overall HIV/AIDS policy and pro-
grams with the national governments of the countries for 
which the United States provides assistance to combat 
HIV/AIDS and with international organizations, other 
donor countries and indigenous organizations, including 
specifically organizations focused on expanding and en-
forcing women’s rights, improving women’s health, and ex-
panding education for women and girls, and organizations 
advocating on behalf of individuals infected with and af-
fected by HIV/AIDS. 
(d) GUIDANCE.—The President shall provide clear 
guidance to field missions of the United States Govern-
VerDate Aug 31 2005 
22:44 Jun 23, 2006
Jkt 049196
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H5674.IH
H5674
rwilkins on PROD1PC63 with BILLS