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. 2, June

Acceptability and Feasibility of Mifepristone-Misoprostol for Menstrual Regulation in Bangladesh
CONTEXT: Annually, more than 700,000 women turn to menstrual regulation, or uterine evacuation with vacuum aspiration; many more resort to unsafe abortion. Using pills for the evacuation of the uterus could increase women's access to safe menstrual...
Breast-Feeding Changes Levels of HIV in Milk
The amount of HIV in a mother's breast milk varies with the frequency with which she breast-feeds, according to a study of 958 pregnant HIV-positive women in Lusaka, Zambia, who were recruited between 2001 and 2004 and were not receiving antiretroviral...
Child Marriage Associated with Suboptimal Reproductive Health
Child marriage is associated with unintended pregnancy, low levels of contraceptive use early in marriage and limited use of maternal health services, according to an analysis of Demographic and Health Survey data from Bangladesh, India, Nepal and...
Global Levels of Contraceptive Use by Married Women Have Risen, Especially in Developing Countries
The proportion of reproductive-age married women who use a modern or traditional contraceptive method rose from 55% to 63% between 1990 and 2010, according to a global analysis. (2) Most of the increase was due to a 10-percentage-point rise in contraceptive...
Guidelines for Authors
International Perspectives on Sexual and Reproductive Health is a peer-reviewed research journal serving researchers, policymakers, program administrators and service providers in developing countries. The journal invites submissions based on qualitative...
HIV Linked to Many Pregnancy-Related Deaths in Sub-Saharan Africa
About one in four pregnancy-related deaths in Sub-Saharan Africa are attributable to HIV, according to an analysis of demographic and surveillance data collected from 1989 to 2012) Seventeen percent of pregnant women in the study areas were infected...
In This Issue
As we approach 2015--the Millennium Development Goal deadline for a 75% reduction in maternal mortality since 1990--Sub-Saharan Africa lags behind other regions, in part because of low use of maternal health care in many countries. In a study including...
Low-Dose Mifepristone Regimens Are Effective and Safe for Early Abortion
Medication abortion regimens consisting of 200 mg of mifepristone followed by misoprostol are highly effective and safe during early pregnancy, according to an analysis of pooled data from 87 prospective trials. (1) Treatment failure occurred in 5%...
Nine in 10 Abortion Patients in Mexico City Receive Contraceptive Counseling after Their Procedure
The vast majority of women who obtained a public-sector legal abortion in Mexico City received contraceptive counseling after their procedure and decided on a method to use, according to a survey conducted at three public health facilities. (1) Women...
The Incidence of Induced Abortion in Malawi
CONTEXT: Abortion is legally restricted in Malawi, and no data are available on the incidence of the procedure. METHODS: The Abortion Incidence Complications Methodology was used to estimate levels of induced abortion in Malawi in 2009. Data on...
The Influence of Intrafamilial Power on Maternal Health Care in Mali: Perspectives of Women, Men and Mothers-in-Law
CONTEXT: Evidence from diverse settings suggests that women often have limited control over their own reproductive health decisions. To increase uptake of preventive services and behaviors, it is important to understand how intrafamilial power dynamics...
The Mystery of Missing Female Children in the Caucasus: An Analysis of Sex Ratios by Birth Order
CONTEXT: Official data on sex ratios at birth suggest a rise in sex-selective abortions in some post-Soviet states following the introduction of ultrasonography. However, questions remain about the validity of official data in these nations as well...
Use of Dual Protection among Female Sex Workers in Swaziland
CONTEXT: Female sex workers are at heightened risk of both HIV infection and unwanted pregnancy. Nonbarrier modern contraceptives are highly effective at preventing pregnancy, but offer no HIV protection. A better understanding of sex workers' use...
Young Men Who Feel That Wife Beating Is Sometimes Acceptable Have Elevated Fertility Desires
In a study of gender attitudes and ideal family size in five high-fertility East African countries, 15-24-year-old males who believed that wife beating is sometimes justified wanted 0.2-0.7 more children than did their counterparts who did not justify...
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