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. 41, No. 1, March

Bivalent HPV Vaccine Is Efficacious among Women Older Than 25
The bivalent human papillomavirus (HPV) vaccine, which generates immunity to the cancer-causing types 16 and 18 of the virus, appears to be effective in protecting women older than 25 against infection and precancerous cervical lesions, according to...
Delayed Fertility Transition among Indigenous Women in the Ecuadorian Amazon
Much of the fertility research in recent decades has focused on below-replacement fertility (1-4) and associated concerns with dependency ratios and social cohesion. (5,6) Few populations in the developing world have not begun the transition to lower...
Estimates of the Incidence of Induced Abortion and Consequences of Unsafe Abortion in Senegal
Global and regional estimates of abortion incidence indicate that the procedure is no less common in settings with restrictive laws than in those with liberal laws. (1) However, because most illegal abortions are clandestine, studying the circumstances...
Gains in Education May Explain Decline in HIV among Ugandan Girls
Trends in HIV incidence among youth in Rakai, Uganda, during a recent 12-year period varied substantially by sex and age, according to a prospective population-based cohort study. (1) Among women aged 15-19, the rate of new infections declined by more...
Higher Levels of Education Associated with Greater Access to Safe Abortion in Brazil
In Brazil, women with higher levels of education are more likely to terminate a pregnancy, and less likely to experience complications after the termination, than those with less education, according to a cross-sectional study conducted among female...
Integrating Family Planning Promotion into the Work of Environmental Volunteers: A Population, Health and Environment Initiative in Kenya
Voluntary use of family planning is instrumental to the health and social well-being of women, families and communities. (1,2) Although contraceptive use in Sub-Saharan Africa is increasing, (3) unmet need for family planning remains high. (4) Even...
Longer Use of Combination Antiretroviral Therapy Associated with Reduced Risk of Cervical HPV
Women infected with HIV may have a lower risk of testing positive for cervical human papillomavirus (HPV) if they have been taking combination antiretroviral therapy (cART) for a longer period of time, according to a prospective cohort study conducted...
Low Levels of Sexual and Reproductive Health Knowledge Found among Students in Sri Lanka
A survey conducted in Sri Lanka reveals low levels of sexual and reproductive health knowledge among students aged 16-19. (1) For example, only one in 10 could correctly identify a method of contraception, and fewer than 1% correctly answered all four...
Male Circumcision Linked to Reduction in Risk of Syphilis
Circumcision may protect both men and their partners from syphilis, according to an analysis of data from an HIV prevention trial conducted in Uganda and Kenya. (1) During the study's three-year follow-up period, the risk of a new syphilis infection...
Pakistani Study Finds High Abortion Rate and Low Level of Contraceptive Use
Despite legal restrictions that limit women's access to abortion, the incidence of the procedure in Pakistan is high, and the abortion rate has increased during the past decade. (1) According to a recent national study, women in Pakistan had an estimated...
The Case for Addressing Gender and Power in Sexuality and HIV Education: A Comprehensive Review of Evaluation Studies
Globally, young people are at elevated risk of STIs, HIV and unintended pregnancy. Notable gender and racial disparities exist. In the United States, for example, 2013 chlamydia rates were more than four times as high among 15-19-year-old females as...
The Effect of Access to Contraceptive Services on Injectable Use and Demand for Family Planning in Malawi
According to the World Bank, "Every day, nearly 800 women across the globe die due to complications during pregnancy and childbirth; 99% of these deaths occur in developing countries." (1) Although the global maternal mortality rate fell by nearly...
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