International Perspectives on Sexual and Reproductive Health

Founded in 1975, International Perspectives on Sexual and Reproductive Health, formerly International Family Planning Perspectives, is a peer-reviewed journal published quarterly by Guttmacher Institute. Articles include information about sexual and reproductive health in Africa, Latin America, the Caribbean and Asia.

Articles from Vol. 36, No. 2, June

Abortion Experiences of Unmarried Young Women in India: Evidence from a Facility-Based Study in Bihar and Jharkhand
CONTEXT: Little is known about the experiences of unmarried young women in India who seek to terminate an unintended pregnancy. METHODS: A survey was conducted among 549 unmarried women aged 15-24 who had obtained an abortion in 2007-2008 at one...
Benefits of Routine Laboratory Testing for HIV Patients Receiving Antiretroviral Therapy May Be "Small"
Patients receiving antiretroviral therapy (ART) for HIV typically undergo routine blood tests to ensure that the drugs are working and not causing toxic side effects. However, according to a randomized trial conducted in two Sub-Saharan African countries,...
Contraception Matters: Two Approaches to Analyzing Evidence of the Abortion Decline in Georgia
CONTEXT: The abortion rate in the republic of Georgia is the highest documented in the world. Analyses using reliable data are needed to inform programs for preventing unintended pregnancy and abortion. METHODS: Data from two large national household...
Global Maternal Mortality Drops between 1980 and 2008
The global rate of maternal mortality declined substantially over the past three decades, although decreases did not occur in all regions or countries, according to an analysis of pregnancy-related deaths among women aged 15-49 from 181 countries....
Household Wealth, Travel Associated with Having Multiple Partners among Sub-Saharan African Men
The likelihood that a man will have multiple sex partners--a key factor promoting the spread of HIV--may be mediated by his financial resources and his exposure to social control mechanisms, such as monitoring by village elders and family members....
In Asia, Cesarean Section Associated with Increased Risk of Neonatal Mortality
In Asia, women who give birth via cesarean section may be at an increased risk for negative health consequences. (1) According to an observational study conducted by the World Health Organization (WHO) in nine Asian countries, women who undergo an...
In the Short Term, Childbearing Desires Remain Relatively Stable among Women in Ghana
Ghanaian women's fertility preferences are generally stable in the short term, according to a study that repeatedly assessed such preferences over a five-year period. (1) Among fecund women, 81% of those who said in a given survey round that they did...
In This Issue
Even in countries where abortion is legal, obtaining the procedure early in pregnancy can be difficult, especially for young, unmarried women. India is a case in point. In a study conducted by Shveta Kalyanwala and colleagues in two northern states,...
Participatory Women's Groups Linked to Improved Neonatal Outcomes in India, but Not Bangladesh
Women's groups that meet monthly to discuss, identify and address factors that contribute to poor maternal and neonatal health may improve birth outcomes in rural, low-resource settings--at least in some circumstances. A pair of randomized trials conducted...
Pelvic Pain and Associated Characteristics among Women in Northern Mexico
CONTEXT: Until recently, the reproductive health agenda has focused on a restricted number of morbidity indicators, particularly those associated with life-threatening diseases. However, gynecologic morbidities that are a source of pelvic pain, although...
STI Levels Decline among Sex Workers in India after Program Implementation
Levels of HIV and other STIs declined, and condom use increased, among female sex workers in southern India in the three years following the initiation of a large-scale HIV-prevention program. (1) Compared with female sex workers surveyed 7-19 months...
STI Treatment-Seeking Behaviors among Youth in Nigeria: Are There Gender Differences?
CONTEXT: There is little research on STIs among young people in Nigeria. It is important to determine gender differences in health-seeking behaviors among youth with self-reported STI symptoms. METHODS: Data from 538 males and females aged 15-24...
The Role of Abortion in the Last Stage of Fertility Decline in Vietnam
CONTEXT: Vietnam has experienced a rapid fertility decline over the last three decades, yet fertility rates vary considerably across the country's 54 ethnic groups. METHODS: Data were drawn from the 2001 Vietnam National Health Survey, which collected...
Three Leading Causes of Child Death in China
Pneumonia, birth asphyxia and complications of preterm birth were the three leading causes of deaths among children younger than five in China in 2008, according to an analysis of public data on child mortality from 1990 to 2008. (1) During the study...

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