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. 4, December

Changing China's Contraceptive Policy
An intervention launched by the Chinese government and the United Nations Population Fund that changed the contraceptive policy in 30 counties to allow local service providers to offer a wider range of contraceptives and individuals to make an informed...
Community-Level Gender Equity and Extramarital Sexual Risk-Taking among Married Men in Eight African Countries
CONTEXT: In many parts of Africa, women are most likely to become infected with HIV by having unprotected sex with their husbands, who may have acquired the virus through extramarital sex. However, the ways in which aspects of community environments--particularly...
Health System Costs of Menstrual Regulation and Care for Abortion Complications in Bangladesh
CONTEXT: Treatment of complications of unsafe abortion can be a significant financial drain on health system resources, particularly in developing countries. In Bangladesh, menstrual regulation is provided by the government as a backup to contraception....
Highly Active Antiretroviral Therapy Regimens Protect against HIV Transmission during Breast-Feeding
Three regimens of highly active antiretroviral therapy (HAART) were equally effective in suppressing HIV-1 during pregnancy and breast-feeding, according to a randomized trial in Botswana. (1) The regimens, which were administered beginning no later...
In China, Sexual Debut Linked to Demographic and Social Factors
School type, socioeconomic status and family structure are important predictors of sexual debut among Chinese youth, according to a national survey. (1) Five percent of youth in grades 10-12 had had sex, and a third of that group reported having had...
In Sub-Saharan Africa, HIV-Serodiscordant Couples Often Use Condoms-But Not Other Forms of Contraceptives
While African women whose partner's HIV status does not match their own generally use condoms, they do not typically use other forms of contraceptives consistently, according to data from a multinational trial testing an antiviral drug. (1) By the...
In This Issue
Maternal mortality remains unacceptably high in developing countries, especially those in which abortion is highly restricted or access to safe abortion or to obstetric and delivery care is poor. Lowering maternal mortality would not only result in...
Making the List: The Role of Essential Medicines Lists in Reproductive Health
After immunization for common childhood illnesses, appropriate use of essential medicines is one of the most cost-effective components of modern health care. (1) Many interventions for communicable and noncommunicable diseases and conditions that threaten...
Psychological Abuse during Pregnancy Linked to Depression in Brazil
Psychological abuse by an intimate partner during pregnancy is associated with postpartum depression among Brazilian women, according to a population-based study conducted in the northeastern state of Pernambuco. (1) Compared with women who had not...
Rates of Recent Sexual Activity Lessened among South African Youth in Risk-Reduction Program
A school-based HIV and STI risk-reduction intervention was effective in reducing sexual risk-taking behaviors among sixth-grade students in South Africa, according to a randomized controlled trial. (1) Pooled data from three follow-up assessments revealed...
Rates of Sexual Violence Are High in Democratic Republic of the Congo
Two in five women and one in four men in the war-torn eastern region of the Democratic Republic of the Congo (DRC) report that they have been victims of sexual violence, according to a cross-sectional, population-based study. (1) These rates are significantly...
The Integration of Family Planning with Other Health Services: A Literature Review
CONTEXT: Integrating family planning services with other health services may be an effective way to reduce unmet need. However, greater understanding of the evidence on integration is needed. METHODS: Studies that evaluated the integration of family...
The Role of Pregnancy Outcomes in the Maternal Mortality Rates of Two Areas in Matlab, Bangladesh
CONTEXT: The Motlab Maternal Child Health-Family Planning (MCH-FP) project provides maternity care as part of its reproductive health services. It is important to assess whether this project has reduced maternal mortality and, if so, whether this was...
Why Is Kenya's Fertility Rate Still High? HIV Epidemic May Be a Factor
The HIV epidemic may have contributed to the lack of decline in Kenya's fertility rates, primarily through its associations with elevated child mortality and reduced duration of breast-feeding, according to an analysis of Demographic and Health Survey...
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