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Taking Stock of Year One of the Trump Administration ’s Harmful Agenda Against Reproductive Health and Rights
Throughout President Trump ’s first year in office, social conservatives in the administration and Congress mounted an all-out assault on people’s ability to obtain comprehensive reproductive health care in the United States and abroad. Despite coming up short in many respects, policymakers did considerable harm while als o signaling their intentions for further attacks in the years ahead. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Dramatic Gains in Insurance Coverage for Women of Reproductive Age Are Now in Jeopardy
The proportion of women of reproductive age (15 –44) who were uninsured dropped by 41% between 2013 and 2016, over the first three years of the Affordable Care Act’s (ACA) major expansions to Medicaid and private insurance coverage. This considerable decline in the uninsured rate, calculated by the Guttmacher Institute using data from the U.S . (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Differences in Abortion Service Delivery in Hostile, Middle-ground and Supportive States in 2014
Conclusions  The distribution of abortion services, the type of facility in which they are provided, and the amount a facility charges all vary according to the abortion policy climate. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 17, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Abortion Policy Landscape Shapes the Type of Care Available in U.S. States
State policies shape the landscape for abortion service provision and access,according to a new analysis by Guttmacher researchersRachel Jones, (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 17, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Reported Contraceptive Use in the Month of Becoming Pregnant among U.S. Abortion Patients in 2000 and 2014
ObjectivesTo determine whether types of contraceptive methods used by abortion patients in the month they became pregnant changed between 2000 and 2014. Study DesignWe used secondary data from the 2000 (n=10,015) and 2014 (8177) Abortion Patient Surveys. Patients were asked which contraceptive methods they had last used and when they had stopped or if they were still using them. The main outcome variable was type of contraceptive method used in the month the pregnancy began. We used bivariate logistic regressions to assess changes in the demographic and contraceptive use profiles of abortion patients. ResultsIn...
Source: The Guttmacher Institute - January 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

About Half of U.S. Abortion Patients Report Using Contraception in the Month They Became Pregnant
In 2014, about half (51%) of abortion patients in the United States reported that they had used a contraceptive method in the month they became pregnant,according to a new analysis by Guttmacher researcher (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

High Schoolers Are Waiting Longer To Have Sex — Let’s Give Them the Information They Need
On January 5, the Centers for Disease Control and Prevention (CDC)released a new report showing that between 2005 and 2015, more high school students are waiting longer to have sex for the first time. This delay resulted in fewer students reporting ever having sex among 9th and 10th graders overall, Hispanic 9th-11th graders, and Black students in 9th-12th grade.The report does not, however, provide answers as to the underlying causes for this delay, saying that more research is needed to understand what ’s driving the change. So what are we to make of all this?  (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 11, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Unbiased Information on and Referral for All Pregnancy Options Are Essential to Informed Consent in Reproductive Health Care
HIGHLIGHTS One aspect of ensuring informed consent in reproductive health care requires that women be offered complete, accurate and unbiased information on all pregnancy options —including parenting, adoption and abortion—and referrals for additional services as needed. The right to provide informed consent has long been threatened by antiabortion policymakers and advocates seeking to keep women from receiving factual information about abortion and referral for abortion services. Restricting comprehensive counseling and referrals for all pregnancy options seriously jeopardizes women’s health and well-bei...
Source: The Guttmacher Institute - January 10, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Policy Trends in the States, 2017
States continued their assault on abortion in 2017, with 19 states adopting 63 new restrictions on abortion rights and access. That total is the largest number of abortion restrictions enacted in a year since 2013. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 3, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

December 2017 Issue of Perspectives on Sexual and Reproductive Health Now Available
Volume 49, Number 4 IN THIS ISSUE (a summary of articles in this issue of Perspectives) ARTICLES: (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 13, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Abortion Knowledge and Experiences Among U.S. Servicewomen: A Qualitative Study
CONCLUSIONSPolicy recommendations to better meet the needs of servicewomen include wider dissemination of the military's abortion policy, establishing abortion referral and support guidelines, and improving confidentiality in military health services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Contraceptive use in the United States has been examined for decades, but attempts to place the U.S. picture in a global perspective have been rare. Brittni N. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

National Estimate of Abortion in India Released
According to the first national study of the incidence of abortion and unintended pregnancy in India, an estimated 15.6 million abortions were performed in the country in 2015. This translates to an abortion rate of 47 per 1,000 women aged 15 –49, which is similar to the abortion rate in neighboring South Asian countries. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Incidence of Abortion and Unintended Pregnancy in India, 2015
BackgroundReliable information on the incidence of induced abortion in India is lacking. Official statistics and national surveys provide incomplete coverage. Since the early 2000s, medication abortion has become increasingly available, improving the way women obtain abortions. The aim of this study was to estimate the national incidence of abortion and unintended pregnancy for 2015.MethodsNational abortion incidence was estimated through three separate components: abortions (medication and surgical) in facilities (including private sector, public sector, and non-governmental organisations [NGOs]); medication abortions out...
Source: The Guttmacher Institute - December 12, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Despite New Branding, Abstinence-Only Programs Have Same Old Problems
Abstinence outside of marriage has long been U.S. social conservatives ’ battle cry. Now their allies in Congress and the Trump administration are moving aggressively to reshape policy accordingly, whether it’s by cancelling evidence-based adolescent pregnancy prevention efforts or rebranding discredited abstinence-only programs.These policy shifts away from evidence and toward an ideological agenda would mean fewer federal dollars available for programs that can support sex health education. Not only would this restrict information about contraception, but would also prevent education and skill-building around...
Source: The Guttmacher Institute - December 6, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

New Issue of International Perspectives on Sexual and Reproductive Health Now Available
Volume 43, Number 2IN THIS ISSUE (a summary of articles in this issue of International Perspectives)ARTICLES (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 4, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Longitudinal Evaluation of the Tupange Urban Family Planning Program in Kenya
CONCLUSIONSUrban reproductive health programs seeking to increase use of modern family planning methods in Kenya and other Sub-Saharan African settings should consider multicomponent approaches that include CHW activities, local radio programming and improvements to the supply environment. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 2, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Many developing countries have created public-sector family planning programs to reduce unintended pregnancies and improve sexual and reproductive health. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 2, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Contraceptive Choice and Use of Dual Protection Among Women Living with HIV in Canada: Priorities for Integrated Care
CONCLUSIONSFuture research should explore how sustained ART and broader contraceptive options can support women's sexual and reproductive health care needs. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 1, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Confidentiality Concerns May Deter U.S. Adolescents and Young Adults from Obtaining Contraceptive Care
One in ten (9%) young adults aged 18 –25 on their parents’ health insurance and nearly one in five (18%) of all adolescents aged 15–17 reported that they would not seek sexual and reproductive health care services because of concerns that their parents might find out, (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 30, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Adolescents & #039; and Young Adults & #039; Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services
ConclusionsGreater efforts are needed to support young Americans in receiving confidential care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 29, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Confidentiality Concerns May Deter Adolescents and Young Adults from Obtaining Contraceptive Care
One in ten (9%) young adults aged 18 –25 on their parents’ health insurance and nearly one in five (18%) of all adolescents aged 15–17 reported that they would not seek sexual and reproductive health care services because of concerns that their parents might find out, (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 29, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Estimating Abortion Provision and Abortion Referrals Among United States Obstetrician-Gynecologists in Private Practice
Conclusions Only a small proportion of all obstetrician-gynecologists in private practice settings provide abortions. Among non-providers, a substantial minority do not offer abortion referrals.Implications Particularly in geographic areas with few abortion providers, continued efforts are needed to equip medical professionals with information and training to make direct referrals. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 28, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Most U.S. Obstetrician-Gynecologists in Private Practice Do Not Provide Abortions and Many Also Fail to Provide Referrals
Only 7% of U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 28, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Men & #039;s Roles in Women & #039;s Abortion Trajectories in Urban Zambia
CONCLUSIONSIncreasing knowledge about the legality and availability of safe abortion is vital not only among sexually active women, but also among those they confide in, including men. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 15, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Abortion Knowledge and Experiences Among U.S. Servicewomen: A Qualitative Study
CONCLUSIONSPolicy recommendations to better meet the needs of servicewomen include wider dissemination of the military's abortion policy, establishing abortion referral and support guidelines, and improving confidentiality in military health services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 15, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Does Contraceptive Use in the United States Meet Global Goals?
CONCLUSIONSThere is a need to continue efforts to expand access to contraceptive care in the United States, and to monitor the SDG indicators so that improvement can be tracked over time. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 10, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Sexual Orientation Concordance And (Un)Happiness About Births
CONCLUSIONSTo help ensure optimal reproductive health care for all women, research should explore whether providers take into account all dimensions of individuals ’ sexual orientation. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 9, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Insurance-Related Practices at Title X-Funded Family Planning Centers under the Affordable Care Act: Survey and Interview Findings
Conclusions Providers are trying to understand how insurance programs in their area knit together. Regardless of how U.S. health policies and delivery systems may change in the coming years, it is imperative that publicly funded family planning centers continue to work with health plans and maximize their third-party revenue to provide services to those in need. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 8, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Most Title X –Funded Family Planning Centers Work with A Range of Health Insurance Plans to Ensure Access to Affordable Contraceptive Services
The vast majority (83%) of Title X –funded family planning clinics in the United States have one or more established contracts with public and private health insurance plan issuers in their area,according to a new analysis by Guttmacher expertsMia Zolna (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 8, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Unintended pregnancy in Kinshasa, 2016
(Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 7, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Clandestine Abortion Is Common in Kinshasa, and Procedures Are Often Unsafe
An estimated 146,700 abortions were performed in 2016 in Kinshasa, the capital of the Democratic Republic of Congo (DRC), according to a newstudy conducted by researchers at the University of Kinshasa and theGuttmacher Institute. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 7, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Why Family Planning Policy and Practice Must Guarantee a True Choice of Contraceptive Methods
HIGHLIGHTS The ability to choose from among the full range of contraceptive methods encourages consistent and effective contraceptive use and leads to positive outcomes. Protecting the right of all people to choose the contraceptive methods they prefer —or no method at all—is necessary to prevent reproductive coercion. Federal policies and programs have long promoted and required contraceptive choice in multiple ways and must expand on those assurances, not diminish them. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 1, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

College Students ’ Sexual Consent Communication And Perceptions of Sexual Double Standards: A Qualitative Investigation
CONCLUSIONSCollege students ’ consent communication may be influenced by gender norms that challenge assumptions of affirmative consent standards. Cultural shifts in students’ views of sexuality may be necessary for affirmative consent policies to be effective. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 1, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

New Tool Measures Impact of Government Family Planning Programs on Meeting Contraceptive Demand
A new research approach provides evidence that can be used to hold governments accountable for the success of public programs in satisfying demand for family planning, according to “The Role of Public-Sector Family Planning Programs in Meeting the Demand for C (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 30, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Role of Public-Sector Family Planning Programs in Meeting the Demand for Contraception in Sub-Saharan Africa
CONCLUSIONSPFPI provides a useful addition to the indicators currently used to assess progress in reproductive health and family planning programs. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 30, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher at the IUSSP 2017 International Population Conference
The Guttmacher Institute is excited to participate in the2017 International Population Conference (IPC), which will bring together scientists, policymakers and practitioners in the global population community to discuss recent research on population trends and policy responses to current challenges. Hosted once every four years by theInternational Union for the Scientific Study of Population, the conference is being held in Cape Town, South Africa from October 29 to November 4, 2017.You can find us atBooth #7 in Exhibition Hall 2 next to the coffee station. Stop by to meet Guttmacher experts and learn more about our work. ...
Source: The Guttmacher Institute - October 25, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Publicly Funded Family Planning Under Unprecedented Attack
Never in its history has the nation ’s family planning safety net been in such jeopardy as it is today. The policy agendas of the Trump administration, Congress, and many states are being shaped by leaders adamant in their ideological opposition to—and intent to dismantle—the funding streams and providers that have long constitu ted the US publicly funded family planning effort. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 24, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Abortion Is a Common Experience for U.S. Women, Despite Dramatic Declines in Rates
Nearly one in four women in the United States (23.7%) will have an abortion by age 45,according to a new analysis by Guttmacher Institute researchersRachel Jones and (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 19, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Population Group Abortion Rates and Lifetime Incidence of Abortion: United States, 2008 –2014
ConclusionsThe decline in abortion was not uniform across all population groups. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 19, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

What Are Women Told When Requesting Family Planning Services at Clinics Associated with Catholic Hospitals? A Mystery Caller Study
CONCLUSIONSAdherence to church directives is inconsistent at Catholic-associated clinics. Women visiting such clinics who want highly effective methods may need to rely on less effective methods or delay method uptake while seeking services elsewhere. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 18, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Contraceptive method use in the United States: Trends and characteristics between 2008, 2012 and 2014
Conclusion Most shifts in recent contraceptive use have occurred among the most effective methods —sterilization and LARCs. Differences in method-specific user characteristics underscore the importance of ensuring full access to the broad range of methods available.   Implications The lack of change in the overall use of contraceptives among women at risk for unintended pregnancy may have implications for the extent to which further declines in national rates of unintended pregnancy can be expected. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 17, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Despite Leaving Key Questions Unanswered, New Contraceptive Coverage Exemptions Will Do Clear Harm
On October 6, the Trump administration released an overhaul of federal regulations governing religious objections to the Affordable Care Act ’s (ACA) contraceptive coverage guarantee. The move had been long expected. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 17, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Overall Contraceptive Use in the United States Remained Steady from 2008 to 2014
The overall proportion of U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 17, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Guttmacher Institute Honors Angel Foster with the 2017 Darroch Award
The Guttmacher Institute is pleased to announce that Angel M. Foster, associate professor in the School of Interdisciplinary Health Sciences at the University of Ottawa, is the 2017 recipient of the Darroch Award for Excellence in Sexual and Reproductive Health Research. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 17, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Service Delivery Correlates of Choosing Short-Acting Contraceptives at the Time of Uterine Evacuation in Bangladesh
CONCLUSIONSUterine evacuation service delivery characteristics may act as barriers to women's choosing a contraceptive method following an abortion. Training and monitoring providers may help ensure that all uterine evacuation clients have access to the full range of contraceptive information and services and that their choices, rather than service delivery factors, drive postabortion contraceptive use. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 11, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Impact of Family Planning and Business Trainings on Private-Sector Health Care Providers in Nigeria
CONCLUSIONTargeted training programs can be effective tools to improve the provision of family planning services through private providers. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 11, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Efforts to Transform the Nature of Medicaid Could Undermine Access to Reproductive Health Care
HIGHLIGHTS Conservative policymakers are pursuing unprecedented changes to Medicaid, such as adding work requirements, time limits and mandatory drug testing. The conservative vision for Medicaid runs counter to the program ’s role as a pillar of the health insurance system designed around the health needs and economic reality of low-income U.S. residents. New limits on, and barriers to, Medicaid coverage would interfere with people’s ability to access reproductive health care and take care of themselves and their families. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 5, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Disparities and Change over Time in Distance Needed to Travel to Access an Abortion in the USA: A Spatial Analysis
BackgroundAbortion can help women to control their fertility and is an important component of health care for women. Although women in the USA who live further from an abortion clinic are less likely to obtain an abortion than women who live closer to an abortion clinic, no national study has examined inequality in access to abortion and whether inequality has increased as the number of abortion clinics has declined. MethodsFor this analysis, we obtained data on abortion clinics for 2000, 2011, and 2014 from the Guttmacher Institute ’s Abortion Provider Census. Block groups and the percentage of women aged 15–4...
Source: The Guttmacher Institute - October 4, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Although Many U.S. Women of Reproductive Age Live Close to an Abortion Clinic, A Substantial Minority Would Need to Travel Far to Access Services
Many women in the United States would not have to travel long distances to reach the nearest abortion clinic,according to a new analysis by Guttmacher Institute researchersJonathan Bearak (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 4, 2017 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news