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. 2, June

Decline in Unmet Need Is Not Main Reason for Rise in Contraceptive Prevalence
Although contraceptive prevalence has increased substantially in Sub-Saharan Africa during the past two decades, for the most part the gains have not been driven by a decline in unmet need, according to an analysis of Demographic and Health Survey...
Dynamic Relationships between Parental Monitoring, Peer Risk Involvement and Sexual Risk Behavior among Bahamian Mid-Adolescents
Although several prospective studies have examined reciprocal relationships between parental monitoring or knowledge and adolescent problem behavior (especially delinquency), (1-3) they did not account for the interplay between parental and peer influences...
In Pakistan, Poor and Rural Women Must Travel Farther to Give Birth in a Facility
Poor and rural women in Pakistan are disadvantaged in terms of their access to institutional delivery services, according to a geographic analysis of data from nine districts. (1) On average, married women who reported giving birth within the past...
Is Unwanted Birth Associated with Child Malnutrition in Bangladesh?
Despite the substantial progress made during the past decade in reducing its prevalence, child malnutrition is still a major public health problem, especially in resource-poor countries. Malnutrition is related to macronutrient deficiency and is characterized...
Minimum Marriage Age Laws and the Prevalence of Child Marriage and Adolescent Birth: Evidence from Sub-Saharan Africa
Child marriage is widely acknowledged to be a harmful sociocultural practice that is both a cause and an outcome of human rights violations. (1,2) Defined as marriage or cohabitation before age 18, (3,4) child marriage undermines a girl's rights to...
Nurses in Mexico Provide Safe, Successful Medication Abortions
Nurses can provide early medication abortion as well as physicians, according to a randomized controlled noninferiority trial conducted at three Ministry of Health facilities in Mexico City. (1) Virtually all of the medication abortions provided by...
Parental HIV Status Linked to Sexual Debut in Sub-Saharan Africa
Adolescents in Sub-Saharan Africa who live in HIV-affected households are more likely than their peers to initiate sexual activity. (1) According to an analysis of Demographic and Health Survey (DHS) data collected in 2003-2008 from 19 countries, adolescents...
Poor User Adherence May Explain Lack of Efficacy in HIV Prophylaxis Trial
Daily prophylactic treatment with one of three tenofovir-based regimens did not reduce the risk of HIV acquisition among women at high risk for the infection, according to a randomized, placebo-controlled trial conducted in South Africa, Uganda and...
Quality of Care and Contraceptive Use in Urban Kenya
Family planning plays an important role in reproductive rights and the protection of maternal health, yet is underutilized in many parts of Sub-Saharan Africa. In the region, approximately 20% of married women currently use a modern method of contraception,...
Removal of User Fees Associated with Increases in Delivery at Facilities
The removal of user fees in Kenya, Ghana and Senegal resulted in 3.1 additional facility-based deliveries per 100 live births, representing a 5% increase, according to an analysis of Demographic and Health Survey (DHS) data from an array of Sub-Saharan...
Sexual Pleasure, Partner Dynamics and Contraceptive Use in Malawi
The surprisingly low level of attention given to sexuality and sexual pleasure in the field of reproductive health is well documented. Philpott, Knerr and Maher comment on the absence of concern for sexual pleasure in HIV and STI programming and highlight...
Two-Pronged Intervention Increases Uptake of Circumcision among Men in Zambia
A sexual risk reduction intervention increased demand for male adult circumcision, according to a cluster randomized controlled trial conducted in 2012-2014 in Zambia. (1) Men who participated in a program designed to increase the supply of and demand...
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