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. 39, No. 1, March

Cost-Effectiveness of HIV Messages Varies by Medium in Benin
In a 2009 cost-effectiveness analysis of various behavior change communication (BCC) methods directed at the prevention of HIV transmission among youths, truck drivers and sex workers in Benin, the most cost-effective methods of promoting consistent...
Early Marriage, Marital Relations and Intimate Partner Violence in Ethiopia
CONTEXT: A considerable proportion of women worldwide are married during childhood. Although many studies have examined early marriage (before age 18), few have compared outcomes or correlates among girls married during different stages of adolescence...
Education and Gender Equality Are Inconsistently Associated with HIV Testing in Eastern Africa
In a study that assessed education, gender equality and HIV testing in nationally representative samples of married or cohabiting women in Kenya, Zambia and Zimbabwe, 15-24-year-olds had an elevated likelihood of having ever had an HIV test or having...
Having HIV Linked to Reduced Fertility Desires in Uganda
HIV-positive women are less likely than their uninfected peers to want to have a child in the future, according to a study conducted in Mbarara, Uganda. (1) Although almost all of the HIV-positive women in the clinic-based sample were receiving antiretroviral...
In Malawi, Polygamy Is Associated with Reduced Contraceptive Use
In Malawi, women in polygamous marriages are less likely than their counterparts in monogamous marriages to use modern contraceptives, surveillance data from more than 2,500 couples indicate.' The proportion of women who wanted to stop childbearing...
International Family Planning Fellowship Program: Advanced Training in Family Planning to Reduce Unsafe Abortion
Maternal mortality remains a huge problem in the developing world, especially in Sub-Saharan Africa. (1) According to the World Health Organization, efforts intended to decrease maternal deaths need to recognize and address unsafe abortions as a significant...
Predictors of Sexual Debut among Young Adolescents in Nairobi's Informal Settlements
CONTEXT: There is a need to better understand the various social, psychosocial and behavioral factors associated with sexual activity among young adolescents in various settings in Sub-Saharan Africa. METHODS: Data were drawn from Wave 1 (2007-2008)...
Social Desirability Bias in Sexual Behavior Reporting: Evidence from an Interview Mode Experiment in Rural Malawi
CONTEXT: Social desirability bias is problematic in studies that rely on self-reported sexual behavior data. Where gender norms create different expectations about socially acceptable behavior, males and females face distinct pressures in reporting...
Understanding Global Trends in Maternal Mortality
CONTEXT: Despite the fact that most maternal deaths are preventable, maternal mortality remains high in many developing countries. Target A of Millennium Development Goal (MDG) 5 calls for a three-quarters reduction in the maternal mortality ratio...
Voucher Program in Kenya Is Associated with Increases in Skilled Birth Attendance and Facility Deliveries
Two recent studies conducted in Kenya suggest that voucher programs designed to subsidize poor women's access to maternal health care are associated with increases in facility-based deliveries and in skilled attendance at delivery, though not in other...
Youth, Poverty Linked to Unsafe Abortion among Women in Ghana
Many Ghanaian women, particularly those who are young or poor, continue to obtain unsafe, illegal abortions, despite Ghana's relatively moderate abortion law, a nationally representative study indicates. (1) About one in 10 women surveyed in 2007 said...
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