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. 38, No. 1, March

A Third of Kenyans Have Genital Herpes, Including Most of Those with HIV
More than a third of Kenyan men and women are infected with herpes simplex virus type 2 (HSV-2), as are eight in 10 individuals with HIV-1, according to a nationally representative household study. (1) Furthermore, among HSV-2-infected individuals,...
Fertility Differences among Developing Countries: Are They Still Related to Family Planning Program Efforts and Social Settings?
CONTEXT: In many developing countries, fertility has declined steadily in recent decades, while the average strength of family planning programs has increased and social conditions have improved. However, it is unclear whether the synergistic effect...
Global Abortion Rate Stabilizes, but Unsafe Procedures Remain the Norm in Developing Countries
The worldwide abortion rate was essentially stable between 2003 and 2008, after having declined during the previous eight years, a new analysis indicates. (1) About 44 million abortions were performed in 2008, which translates to 28 per 1,000 women...
HPV Tests More Sensitive Than Pap Tests for Cervical Cancer Detection
Human papillomavirus (HPV) tests that use self-collected vaginal samples are more sensitive than clinically performed Pap smears for detecting precancerous cervical lesions and invasive cervical cancer, a population-based randomized trial conducted...
Medication Abortion Linked with Increased Risk of Vaginal Bleeding in Subsequent Pregnancy
Among first-time expectant mothers, the risk of vaginal bleeding early in pregnancy is greater for those who have had a medication abortion than for those who have never had any type of abortion, according to a prospective cohort study of Chinese women.'...
Multiple Deprivations and Maternal Care in India
CONTEXT: Research on inequalities in the utilization of maternal health care services is often confined to only the economic domain. Individuals and families living in acute poverty may simultaneously experience multiple dimensions of deprivation,...
Nurses and Doctors Are Equally Capable Abortion Providers, Indian Study Indicates
Nurses and physicians are equally capable of assessing a woman's eligibility for manual vacuum aspiration (MVA), performing the procedure safely and effectively, and determining its completeness, according to a prospective study conducted in India....
Providers' Knowledge of Medication Abortion Is Lacking in Guatemala
Awareness of medication abortion is almost universal among obstetrician-gynecologists in Guatemala, but far smaller proportions know the recommended regimens or have adequate knowledge of the country's abortion laws. (1) More than 90% of the obstetrician-gynecologists...
Rates of Unsafe Sex Vary by Gender among HIV-Positive Hondurans
A study examining unsafe sexual behaviors among HIV-positive adults in Honduras found that unprotected sex is common, especially among women, individuals with a recent HIV diagnosis, those who have difficulty obtaining condoms and those who have experienced...
Spousal Separation and Interpretation of Contraceptive Use and Unmet Need in Rural Nepal
Nepal has made considerable progress in improving the health of its population over the last two decades and is one of the few countries on track to meet Millennium Development Goals 4 and 5, which seek to reduce child mortality and improve maternal...
Stability and Change in Fertility Preferences among Young Women in Malawi
CONTEXT: Although studies have demonstrated change in fertility preferences over time, there is a lack of definitive knowledge about the level and direction of change among individuals, especially young and unmarried women. Furthermore, little is known...
Women's Empowerment and Choice of Contraceptive Methods in Selected African Countries
CONTEXT: It is generally believed that women's lack of decision-making power may restrict their use of modern contraceptives. However, few studies have examined the different dimensions of women's empowerment and contraceptive use in African countries....
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