▁related ▁to ▁fund ing ▁initi atives ▁for ▁global ▁re product ive ▁health . ▁The ▁purpose ▁of ▁the ▁program ▁is ▁to ▁combat ▁the ▁global ▁H IV / A ID S ▁pan demic , ▁but ▁ag encies ▁such ▁as ▁the ▁Center ▁for ▁Health ▁and ▁G ender ▁Equ ity ▁( CH ANGE ) ▁have ▁called ▁its ▁methods ▁and ▁effect iveness ▁into ▁question . ▁ ▁Crit ics ▁say ▁that ▁it ▁gives ▁higher ▁priority ▁in ▁fund ing ▁distribution ▁to ▁faith - based ▁organizations , ▁including ▁some ▁" with ▁little ▁or ▁no ▁relevant ▁international ▁development ▁experience " ▁and ▁some ▁which ▁promote ▁ab st in ence ▁instead ▁of ▁util izing ▁effective ▁prevent ion ▁methods . ▁This ▁policy ▁approach , ▁which ▁has ▁been ▁nick named ▁the ▁ABC — Ab st in ence , ▁Be ▁faithful , ▁Cond om - use — ▁pos es ▁a ▁challenge ▁to ▁re product ive ▁justice . ▁Adv oc ates ▁hold ▁that ▁such ▁policies ▁marg inal ize ▁groups ▁of ▁people ▁such ▁as ▁L GB T Q ▁persons ▁who ▁may ▁be ▁disc rimin ated ▁against , ▁as ▁well ▁as ▁women ▁who ▁have ▁been ▁ra ped , ▁for ▁whom ▁" ab st ention ▁is ▁not ▁an ▁option ." ▁Although ▁these ▁organizations ▁recognize ▁the ▁g ains ▁made ▁by ▁US ▁aid ▁as ▁a ▁whole , ▁they ▁argue ▁that ▁the ▁rig id ▁structure ▁of ▁the ▁P E PF AR ▁fund ing ▁h ind ers ▁a ▁hol istic , ▁community - app ropri ate ▁strategy ▁to ▁reduce ▁H IV / A ID S ▁in fe ctions , ▁and ▁they ▁cont end ▁that ▁the