The primary purpose of this revised Manual is to offer organizations an updated resource on how to integrate a gender equity approach into the design and implementation of RH programs. Such an approach aims to maximize access and quality, support individual decision making about reproductive health, increase sustainability, and put into practice commitments the U.S. government has made to international agreements. This Manual aims to help program implementers: Improve the quality of RH services; More effectively meet the needs of program participants; Improve program sustainability; Better inform and empower clients; Improve couple communication; Improve utilization of services; and Broaden development impacts and enhance synergies across sectors.