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. 42, No. 1, March

Adoption of the Contraceptive Implant Is Not Associated with a Reduction in Condom Use
Initiation of the contraceptive implant does not appear to reduce women's use of condoms, at least in the short term. According to a randomized controlled trial conducted among female clinic clients in Jamaica, condom use--as objectively measured by...
Free Pregnancy Testing Is Linked to Uptake of Hormonal Contraceptives
Providing community health workers (CHWs) with pregnancy testing kits appears to be an effective way to increase their distribution of hormonal contraceptives, according to an evaluation of a 2013 intervention conducted in rural Madagascar. (1) Compared...
Global Burden of Stillbirth Has Declined in Recent Years, but Remains Generally High
Ongoing efforts to reduce stillbirth around the world have had some impact, but the burden remains high, especially in less well-off parts of the world, a new analysis suggests. (1) Between 2000 and 2015, the stillbirth rate fell by roughly one-fourth,...
Global Trends in Family Planning Programs, 1999-2014
CONTEXT: Since 1972, the Family Planning Effort Index has measured national family planning program activities in developing countries and provided a longitudinal perspective on a standardized set of program characteristics. METHODS: In 2014, experts...
Knowledge Is Key to Willingness to Pay for Voluntary Medical Male Circumcision
An individual's knowledge of the health benefits of voluntary medical male circumcision appears to be more important than financial status in regard to his or her willingness to pay for the procedure, according to a cross-sectional household survey...
Place, Time and Experience: Barriers to Universalization of Institutional Child Delivery in Rural Mozambique
CONTEXT: Although institutional coverage of childbirth is increasing in the developing world, a substantial minority of births in rural Mozambique still occur outside of health facilities. Identifying the remaining barriers to safe professional delivery...
Pregnancies among Malawian Women Taking Antiretroviral Medication Are Often Unintended
Among pregnant HIV-positive women receiving antiretroviral therapy (ART) in Malawi, most report that their current pregnancy was unintended. (1) According to a cross-sectional survey conducted in 2014, 75% of respondents characterized their pregnancies...
The Relationship Context of Adolescent Fertility in Southeastern Ghana
CONTEXT: Little is known about relationship types and processes linked to adolescent pregnancy and childbearing in Sub-Saharan Africa. A greater understanding of the role of relationships could help in the design of interventions to reduce adolescent...
Understanding Early Marriage and Transactional Sex in the Context of Armed Conflict: Protection at a Price
Approximately 1.5 billion people in about 40 countries currently live in states considered to have active armed conflict, and thus face significant threats. (1) Young women in such situations are particularly vulnerable to threats to their sexual and...
Understanding Female Condom Use and Negotiation among Young Women in Cape Town, South Africa
CONTEXT: In most countries, female condoms are not widely available and uptake has been slow. More information is needed on how women and men successfully negotiate female condom use. METHODS: In-depth interviews were conducted at two sites in Cape...
Women's Group Intervention Is Tied to Lower Neonatal Mortality in Rural Communities in India
An intervention involving participatory women's groups facilitated by government-approved social workers was associated with reduced neonatal mortality in rural communities in eastern India, according to a cluster-randomized controlled trial conducted...
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