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. 4, December

Achieving the Goal of the London Summit on Family Planning by Adhering to Voluntary, Rights-Based Family Planning: What Can We Learn from Past Experiences with Coercion?
The 2012 London Summit on Family Planning refocused attention on family planning, garnering much-needed support for the goal of reenergizing and expanding programs in 69 low- and medium-income countries "to enable 120 million more women ... to use...
Fertility among Orphans in Rural Malawi: Challenging Common Assumptions about Risk and Mechanisms
In Sub-Saharan Africa, millions of youth have lost one or both parents to the HIV epidemic. A parental death can have a profound impact on children and young adults, and practitioners and researchers alike have emphasized the adverse consequences of...
Gender-Based Power and Couples' HIV Risk in Uttar Pradesh and Uttarakhand, North India
In the context of the HIV epidemic, gender-based power refers to power differentials--such as women's subordination and men's control over decision making, including in sexual relationships--that directly or indirectly influence women's and men's susceptibility...
Greater Amounts of Financial Compensation Linked to Increased Uptake of Male Circumcision
Certain levels of financial incentive may be effective in increasing adult men's uptake of medical circumcision, according to a randomized trial conducted in western Kenya. (1) Among the 1,502 uncircumcised participants aged 25-49 randomly selected...
Home-Based HIV Care Linked to Increased Uptake of Antiretroviral Therapy
Having the option to start HIV care at home is associated with increased uptake of antiretroviral therapy among adults who make use of self-administered HIV tests, according to a randomized trial conducted in Blantyre, Malawi. (1) As part of the trial--the...
Increased Use of Facilities Helped Reduce Maternal Mortality in Bangladesh
A variety of factors--some related to health care provision and some not--have contributed to the recent dramatic decline in maternal mortality in Bangladesh, a wide-ranging analysis suggests. (1) Data from the Bangladesh Maternal Mortality Surveys...
In Nepal, Contraceptive Use Is Low and Discontinuation Common after Abortion
In Nepal, postabortion contraceptive use is low and characterized by high levels of discontinuation. (1) According to a study that used population-based data, only 56% of women who had had an abortion initiated contraceptive use in the 12 months following...
Men's Data Are Needed to Estimate Unmet Need among Couples
Estimates of unmet need for contraception calculated using only women's reported fertility intentions and contraceptive use may not be representative of couples' need. According to an analysis of Demographic and Health Survey (DHS) data from monogamous...
Risk for Coerced Sex among Female Youth in Ghana: Roles of Family Context, School Enrollment and Relationship Experience
High rates of sexual coercion and sexual violence against adolescent females have been consistently reported in Ghana and elsewhere in Sub-Saharan Africa. (1-4) Sexual victimization has been recognized as a violation of human rights, as well as a major...
Use of Misoprostol to Treat Incomplete Abortion Should Be Limited to the First 12 Weeks of Pregnancy
The use of misoprostol for incomplete abortion should be limited to pregnancies of up to 12 weeks, even if a relatively high dose is used, according to a study conducted in Benin. (1) Over a five-year period, the percentage of incomplete abortion cases...
Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal
Family planning services were introduced in Senegal in the early 1960s at the private Blue Cross Clinic in Dakar, but it was only in 1981 that the government developed an administrative structure capable of directing a national program and began to...
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