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. 40, No. 3, September

A Fourth of Married African Women Have an Unmet Need for Contraception
A global analysis of Demographic and Health Survey (DHS) data suggests that in Africa, one in four married women of reproductive age have an unmet need for contraception. (1) On average, in the 31 African countries included in the study, 24% of married...
Continuation and Pregnancy Rates Are Similar for Continuous, Cyclic Pill
Women are similarly likely to continue taking oral contraceptives and to avoid pregnancy whether they use a continuous regimen or a cyclic regimen of pills, finds a randomized trial conducted in the Dominican Republic. (1) A year after starting their...
Contraceptive Method Skew and Shifts in Method Mix in Low-And Middle-Income Countries
Over the 20-year period following the 1994 International Conference on Population and Development (ICPD) in Cairo, family planning has waned as a priority on the global health agenda, (1,2) although some signs of renewed interest and investment have...
Disability Linked to Increased HIV Risk in Meta-Analysis
Disabled individuals in Sub-Saharan Africa may have an elevated risk of HIV infection, according to a recent meta-analysis. (1) When data from the 13 studies included in the analysis were pooled, the risk of HIV among persons with disabilities was...
Fertility Decisions and Contraceptive Use at Different Stages of Relationships: Windows of Risk among Men and Women in Accra
In Ghana, fertility has declined steadily over several decades, from 6.5 children per woman in 1979 to 4.0 in 2008.1 Current modern contraceptive use among married women, however, has risen slowly, from 13% in 1998 to 17% in 2008. (1,2) Ever-use of...
In Malawi, HIV Prevalence Elevated among Men Coerced into Having Sex
Men who are coerced into having sex by their long-term female partner have a dramatically increased likelihood of being or believing themselves to be HIV-positive, according to a study conducted in rural Malawi. (1) While the likelihood of HIV infection...
Postabortion Contraceptive Services in Nepal Leave Room for Improvement
Greater efforts are needed to improve contraceptive counseling and provision after abortion in Nepal, finds a prospective cohort study conducted in 2011, a decade after the country legalized the procedure. (1) Overall, one-third of the women who underwent...
Pregnancy Termination in Matlab, Bangladesh: Maternal Mortality Risks Associated with Menstrual Regulation and Abortion
Although maternal mortality rates in developing countries have declined in recent years, they remain unacceptably high. (1) Achieving Millennium Development Goal 5--the reduction of maternal mortality by three-quarters between 1990 and 2015--remains...
Pregnancy Termination in Matlab, Bangladesh: Trends and Correlates of Use of Safer and Less-Safe Methods
As the preceding article in this issue shows, in Matlab, Bangladesh, the risk of maternal mortality is lower among women who terminate pregnancies by menstrual regulation (MR) or dilation and curettage (D&C) than it is among those who do so by...
Repeat Use of Emergency Contraceptive Pills in Urban Kenya and Nigeria
When taken after unprotected sexual intercourse, emergency contraceptive pills reduce the risk of pregnancy. These pills were designed for occasional use over indefinite periods of time and, because they are less effective than other hormonal and long-acting...
The Need for Contraception to Delay First Pregnancy in India Is High
Among young married women in India, the demand for contraception to delay first pregnancy is high but largely unmet. (1) According to a study conducted in six states, 51% of women aged 15-24 who had been married for five or fewer years had delayed...
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