Guttmacher Globalt Policyprojekt 2021-22 Guttmacher Global Policy Project 2021-22 Guttmacher Institute har ansökt om finansiering från Sida  på 6 miljoner kronor för att genomföra "The Global Policy Project" under perioden 2021-22.

I överensstämmelse med "the Guttmacher-Lancet Commision on SRHR" (GLC) är detta projekts yttersta mål brett och inkluderande och baserat på mänskliga rättighetsprinciper. Genom detta projekt kommer GI att arbeta för att främja kommissionens vision om en ”värld där alla människor kan uppnå sexuell och reproduktiv hälsa och förverkliga sina sexuella och reproduktiva rättigheter.” GI kommer att göra det genom att förespråka GLC:s omfattande och inkluderande vision för SRHR som erkänner mänskliga rättigheter för alla individer, inklusive de från utsatta eller stigmatiserade befolkningar och samhällen, samt genom att främja progressiv inkludering av GLC:s helhetsvision för SRHR i UHC .

Delmål 1: Bedriva globalt påverkansarbete för antagandet av GLC:s omfattande definition av SRHR och grundläggande paket med insatser genom att producera evidensbaserat påverkansmaterial och tillhandahålla teknisk support och expertis till medlemsstaterna och multilaterala institutioner.

Delmål 2: Främja progressiv inkludering av 'GLC essential package of interventions' med särskild uppmärksamhet åt UHC-planering, antagande och genomförande i Afrika söder om Sahara, Sydasien och Latinamerika med fokus på utvalda kroniskt försummade SRHR åtgärder och insatser.

Genomågende i båda målen kommer GI att arbeta med globala och regionala organisationer och flera fokusländer för att ta tillvara politiska möjligheter för att främja SRHR. GI kommer att använda evidens från en rad källor inklusive resultat och rekommendationer i kommissionens rapport, Guttmacher-publicerad forskning, liksom annan relevant evidens som WHO:s riktlinjer och standarder, relaterade studier i peer-reviewed tidskrifter och data som publicerats av globala och regionala byråer. Projektet kommer också att fungera som ett tillfälle att identifiera forskningsbrister för att kunna åtgärda dessa inom andra program och forskningsinitiativ. Dessutom kommer de landfallstudier (under mål 2) som kommer att genomföras i samarbete med nationella partners att ge en mekanism för lärande bland partner över länder och regioner att erbjuda sammanfattningar av erfarenheter av deras gemensamma arbete för politisk förändring, inklusive vilken evidens befanns vara inflytelserika och under vilka omständigheter, vad som inte verkade fungera och skäl till varför inte; vilka metoder för att kommunicera evidens och för att få uppmärksamhet och handling hos relevanta beslutsfattare fungerade bra och vilka mindre bra, och de särskilda omständigheterna och skälen för detta. Sammantaget kommer dessa resurser som samlats och genererats i samarbete med partners att resultera i en mängd kunskap för det bredare SRHR-samhället och en kritisk möjlighet för Syd-Syd-lärande och samarbete.

Projektets totala budget är 3,1 MUSD (ca 25,8 miljoner kronor), varav 1,2 MUSD (ca 9,9 miljoner kronor) är bidrag från England och Nederländerna. Cirka 3,7 miljoner kronor (450 000 USD) av den totala budgeten kommer att vidareförmedlas från Guttmacher Institutet till partnerorganisationer i programländerna inklusive IPPF-AULO i Etiopien, det regionala CLACAI konsortiumet i Latin Amerika, Balance i Mexico, och CREHPA i Nepal. Guttmacher Institute have applied to Sida for funding of 6 MSEK to carry out "The Global Policy Project" during the period 2021-22

Consistent with the GLC, this project’s ultimate goal is broad and inclusive and based in human rights principles. Through this project we will seek to advance the Commission’s vision of a “world in which all people are able to achieve sexual and reproductive health and realize their sexual and reproductive rights.” We will do so by advocating for the GLC's comprehensive and inclusive vision for SRHR that recognizes the human rights of all individuals, including those from vulnerable or stigmatized populations and communities, as well as by promoting progressive inclusion of the GLC’s holistic vision for SRHR in UHC.

Objective 1: Advocate globally for the adoption of the GLC comprehensive definition of SRHR and essential package of interventions by producing evidence-based advocacy materials and providing technical support and expertise to Member States and multilateral institutions; and

Objective 2: Promote progressive inclusion of the GLC essential package of interventions with particular attention to UHC planning, adoption and implementation in Sub-Saharan Africa, South Asia and Latin America focusing on selected chronically neglected interventions.

Across both objectives, GI will work with global and regional organizations and several focus countries to seize policy opportunities for the advancement of SRHR. To inform this work, GI will use evidence from a range of sources including findings and recommendations in the Commission’s report, Guttmacher-published research, as well as other relevant evidence such as WHO guidelines and standards, related studies in peer-reviewed journals and data published by global and regional agencies. The project will also serve as an opportunity to identify research gaps and bring them to the attention of others at the GI and in the field more broadly. Furthermore, the country case studies (under Objective 2) that will be completed in collaboration with country partners will provide a mechanism for learnings among partners across countries and regions: they will offer summaries of experiences covering our joint work towards policy change, including what evidence was found to be influential and in what circumstances, what did not appear to work and reasons why not; what approaches for communicating evidence and for obtaining attention and action of relevant policymakers worked well and which did not, and the particular circumstances and reasons. Collectively, these resources gathered and generated in collaboration with our partners in LMICs will result in a wealth of knowledge for the wider SRHR community and a critical opportunity for South-South learning and cooperation.

The total budget of the project is 3.1 MUSD (approximately 25.8 MSEK), out of which approximately 1.2 MUSD (approximately 9.9 MSEK) is contributed by FCDO and the Netherlands. Approxiamtely 3.7 MSEK (450 000 USD) of the intervention budget will be forwarded by Guttmacher Institute to partner organizations in programme countries including IPPF-AULO in Ethiopia, the regional CLACAI consortium in Latin America, Balance in Mexico, and CREHPA in Nepal. Guttmacher Institute (GI) has been a solid and trusted partner of Sida. The last agreement between Sida and GI ended in 2018 and was highly successful resulting in the Guttmacher Lancet Commission (GLC) and its expanded SRHR-definition and identification of a comprehensive package of services and interventions, which has become widely recognised and appreciated.

The main intention and objectives of this contribution is to continue the work that was started with the GLC, i.e. advocating for a comprehensive approach to SRHR. However, with a specific focus on 'neglected areas' of SRHR such as safe abortion, infertility/ fertility, reproductive cancers and GBV. Advocacy will target global processes including declarations and statements at the UN, but also advocacy at the regional and national level for the adoption of the GLC definition and intervention package into national plans and strategies, particularly in the framework of UHC.

The contribution supports the institute's work on Global Advocacy with the primary focus on furthering the advocacy work of the GLC and to more efficiently translate research findings into advocacy and policy at global, regional and national levels in close partnership with organizations active in the respective countries and regions.

The Sida contribution to Guttmacher is therefore called the Global Policy Project and has the following project goal, outcomes and objectives:

Consistent with the GLC, this projects ultimate goal is broad and inclusive and based in human rights principles. Through this project GI will seek to advance the Commissions vision of a world in which all people are able to achieve sexual and reproductive health and realize their sexual and reproductive rights. GI will do so by advocating for the GLC's comprehensive and inclusive vision for SRHR that recognizes the human rights of all individuals, including those from vulnerable or stigmatized populations and communities, as well as by promoting progressive inclusion of the GLCs holistic vision for SRHR in UHC.

Objective 1: Advocate globally for the adoption of the GLC comprehensive definition of SRHR and essential package of interventions by producing evidence-based advocacy materials and providing technical support and expertise to Member States and multilateral institutions; and

Objective 2: Promote progressive inclusion of the GLC essential package of interventions with particular attention to UHC planning, adoption and implementation in Sub-Saharan Africa, South Asia and Latin America focusing on selected chronically neglected interventions.

Across both objectives, GI will work with global and regional organizations and several focus countries to seize policy opportunities for the advancement of SRHR. To inform this work, GI will use evidence from a range of sources including findings and recommendations in the Commissions report, Guttmacher-published research, as well as other relevant evidence such as WHO guidelines and standards, related studies in peer-reviewed journals and data published by global and regional agencies. The project will also serve as an opportunity to identify research gaps and bring them to the attention of others at the GI and in the field more broadly. Furthermore, the country case studies (under Objective 2) that will be completed in collaboration with country partners will provide a mechanism for learnings among partners across countries and regions: they will offer summaries of experiences covering the joint work towards policy change, including what evidence was found to be influential and in what circumstances, what did not appear to work and reasons why not; what approaches for communicating evidence and for obtaining attention and action of relevant policymakers worked well and which did not, and the particular circumstances and reasons. Collectively, these resources gathered and generated in collaboration with GI's partners in LMICs will result in a wealth of knowledge for the wider SRHR community and a critical opportunity for South-South learning and cooperation.

The Program is fully in line with the Strategy for Swedens Global Development Cooperation in Sustainable Social Development 20182022. The Program especially relates to the strategic goal 'Increased Access to SRHR, including freedom from GBV' with a dedicated focus on often neglected areas of the SRHR definition such as safe abortion care, prevention and treatment of GBV, infertility/ fertility and reproductive cancers.

It also relates to the strategic goals of 'Strengthened and Sustainable Systems of Good Quality for Health' through its work on SRHR in UHC, and Strenghtened Capacity for Living Healthy Lives through its focus on advocacy related to reproductive cancers and infertility/ fertility.

In line with priorities as set out in the operationalisation GI focus on normative policy development and advocacy within the area of SRHR, honing on in abortion, gender based violence, fertility/ infertility and reproductive cancers. These are areas, except for abortion, that have been identified as weak in the portfolio, and therefore offers a unique added value to the existing contributions. Furthermore it complements the current efforts on safe abortion care and Sida's work on Achieving Universal Health Coverage for all, which of course must include SRHR.