It ’s Time for Congress to Give All Young People the Sexual Health Resources They Need to Thrive
All young people deserve high-quality sex education and sexual health care, yet not all of them have access to these vital resources. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 27, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

“We Kind of Met In‐Between”: A Qualitative Analysis of Young Couples’ Relationship Dynamics and Negotiations About Pregnancy Intentions
CONCLUSIONSThe relationship context is important in the formulation of prospective pregnancy intentions among young people. Counseling protocols, interventions and policies that attend to the complex factors that influence young couples ’ pregnancy decision making are needed to better help couples attain their reproductive goals. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 18, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Ten Things State Policymakers Can Do to Protect Access to Reproductive Health Care During the COVID-19 Pandemic
In response to the COVID-19 pandemic, every state has declared a state of emergency. In early May, some states started to lift restrictions on certain types of businesses; however, a majority of residents throughout the country are under stay-at-home orders and directives that affect access to health care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 18, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

COVID ‐19 Abortion Bans and Their Implications for Public Health
The American Public Health Association (APHA) has long recognized that access to abortion is a fundamental right and an important component of comprehensive sexual and reproductive health care.  However, under the guise of trying to protect the U.S. public during the COVID-19 pandemic, a number of states have called this right into question. Some politicians have attempted to exploit the current public health crisis to further prohibit or limit access to abortion care, claiming that it is nonessential and that medical resources and personal protective equipment (PPE) need to be redirected to other medical needs and pr...
Source: The Guttmacher Institute - May 16, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Modern Contraceptive Use Following an Unplanned Birth in Bangladesh: An Analysis of National Survey Data
CONCLUSIONSBangladeshi women who experience an unwanted pregnancy may have an elevated risk of subsequent unintended pregnancy. Broader coverage of family planning services, and integration of family planning with maternal health care, may increase modern contraceptive use following an unplanned birth. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 12, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Will the Supreme Court Let Unnecessary Admitting Privileges Requirements Imperil Abortion Access?
The U.S. Supreme Court heard oral arguments in June Medical Services v. Russo in March 2020 and its forthcoming decision in that case could have profound implications for abortion rights and access in Louisiana and other states. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 12, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Perceived Infertility Among Young Adults in Balaka, Malawi
CONCLUSIONSPerceived infertility was lower in Malawi than in the United States, although substantial among certain subgroups. Educational interventions aimed at increasing knowledge about pregnancy probabilities and the return of fertility after contraceptive discontinuation may reduce concerns around perceived infertility. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 6, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Exploring Conscientious Objection to Abortion Among Health Providers in Ghana
CONCLUSIONSThe findings highlight the need for further research on the consequences of conscientious objection, including stigma leading to refusals. Such research may ultimately help to restrict clinicians' misuse of the right to object and improve women's reproductive health care in Ghana. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 2, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Addressing Abortion Provider Stigma: A Pilot Implementation of the Providers Share Workshop in Sub-Saharan Africa and Latin America
CONCLUSIONSThe Providers Share Workshop is a promising intervention to support the abortion care workforce in Sub-Saharan African and Latin American settings. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 30, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Conservatives Are Using the Intersection of Immigration, Health Care and Reproductive Rights Policy to Undermine Them All
HIGHLIGHTS The Trump administration has escalated its attacks on the intersection of immigration and health care policy in a xenophobic and classist attempt to undermine both. Progressive legislation to expand health insurance coverage for immigrants is based on a competing vision that values, respects and supports people inclusive of citizenship, race, wealth or health. Public policies around immigration, health care and reproductive rights are inherently intertwined and must be addressed collectively. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 30, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Investigating the Early Impact of the Trump Administration ’s Global Gag Rule on Sexual and Reproductive Health Service Delivery in Uganda
CONCLUSIONSThe reduction in CHWs could reduce contraceptive use and increase unintended pregnancies in Uganda. The lack of other significant findings may not be surprising given the short post-GGR observation window. Rapid organizational responses and stopgap funding from foreign governments may have mitigated any immediate impacts on service delivery in the short term. The true impact may not be felt for many years, as stopgap funding potentially ebbs and service providers adapt to new funding environments. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 29, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Unprecedented Expansion of the Global Gag Rule: Trampling Rights, Health and Free Speech
HIGHLIGHTS The Trump administration has imposed an unprecedented and unjustified expansion of the “global gag rule,” as part of a weaponization of U.S. foreign assistance to systematically target global sexual and reproductive health and rights programs. New research from the Guttmacher Institute demons trates that the expanded global gag rule has already had a detrimental impact on clinical providers, community health workers and critical public health partners around the world. To reestablish U.S. leadership on global sexual and reproductive health and rights, Congress must permanently repeal th e global g...
Source: The Guttmacher Institute - April 29, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

COVID-19 could have a catastrophic effect on sexual and reproductive health in low- and middle-income countries
(Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 24, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Applying Inverse Probability Weighting to Measure Contraceptive Prevalence Using Data from a Community-Based Reproductive Health Intervention in Pakistan
CONCLUSIONIPW offers a powerful methodology for overcoming estimation challenges when using program data that are not representative of the population in settings where cost impedes collection of outcome data for an appropriate control group. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 21, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health in Low- and Middle-Income Countries
The novel coronavirus (SARS-CoV-2) that causes COVID-19 has spread rapidly since emerging in late 2019, leading the World Health Organization (WHO) to declare the disease a global pandemic on March 11, 2020. Governments around the world have had to quickly adapt and respond to curb transmission of the virus and to provide care for the many who have been infected. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 17, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Crisis on the Horizon: Devastating Losses for Global Reproductive Health Are Possible Due to COVID-19
Every year, nearly700 million women access modern contraceptive methods, over 90 million give birth in a health facility, and tens of millions access safe abortion services all around the world. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 17, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher Institute Legal Filings in Support of the Federal Birth Control Benefit
The Affordable Care Act ’s (ACA) contraceptive coverage guarantee, also known as the federal birth control benefit, has been the subject of numerous lawsuits. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 11, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pregnant Women & #039;s Reasons for and Experiences of Visiting Antiabortion Pregnancy Resource Centers
CONCLUSIONSPregnancy resource centers play a role in meeting the acute material and social needs of low ‐income pregnant women. However, the constraints on the resources the centers offer mean that this support cannot be part of a reliable system of care. Advocates and policymakers should take a nuanced approach to regulating these centers and consider the reasons women visit them, especially low‐ income women. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 10, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Acknowledgment to Reviewers
The editors wish to express their appreciation to the following peer reviewers for their expert evaluations of manuscripts for  Perspectives on Sexual and Reproductive Health in 2019. Their thoughtful and constructive reviews are essential to the journal's mission of publishing excellent policy‐relevant research and analysis.Joyce AbmaJennifer Amico (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 10, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Transmasculine people —those assigned female at birth and having a male or masculine gender identity—can experience unintended pregnancy, yet research on contraception among these individuals is scarce. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 10, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Driving distance to an abortion clinic in Texas would increase dramatically after a COVID-19 abortion ban
(Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 9, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Nine Things Congress Must Do to Safeguard Sexual and Reproductive Health in the Age of COVID-19
Even with the pandemicwreaking havoc on the U.S. and global health care systems and economies, reproductive health care needs and decisions cannot be put on hold during the COVID-19 crisis. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 8, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

COVID-19 Abortion Bans Would Greatly Increase Driving Distances for Those Seeking Care
As states around the country grapple with the COVID-19 pandemic, some antiabortion politicians are callously exploiting the current crisis to try to shut down access to essential and time-sensitive abortion care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 3, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Acknowledgment to Reviewers
The editors wish to express their appreciation to the following peer reviewers for their expert evaluations of manuscripts for  Perspectives on Sexual and Reproductive Health in 2019. Their thoughtful and constructive reviews are essential to the journal's mission of publishing excellent policy‐relevant research and analysis.Joyce AbmaJennifer Amico (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 2, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Transmasculine people —those assigned female at birth and having a male or masculine gender identity—can experience unintended pregnancy, yet research on contraception among these individuals is scarce. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 2, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Reducing STI Cases: Young People Deserve Better Sexual Health Information and Services
HIGHLIGHTS Adolescents and young adults are particularly susceptible to sexually transmitted infections (STIs), and cases of chlamydia, gonorrhea and syphilis have been rapidly increasing among young people in recent years. Young people face multiple roadblocks to obtaining high-quality sexual health inform ation and STI care that can help them avoid STIs or mitigate the effects of an infection. Advocates and policymakers addressing STIs among young people should support the needs of those most vulnerable to STIs through high-quality sex education programs, access to clinical care, preventive technolo gies and vaccines,...
Source: The Guttmacher Institute - April 2, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Anti-abortion Groups Are Making COVID-19 an Even Greater Public Health Threat
Those of us advancing scientific research and facts to protect the right to access essential health services, including abortion and other reproductive health care, have a lot of work ahead. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 1, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Comparing Prospective and Retrospective Reports of Pregnancy Intention in a Longitudinal Cohort of U.S. Women
CONCLUSIONSRetrospective measurement of pregnancy intentions may underestimate the frequency of unintended pregnancy, with such underestimation being greater among certain subgroups. Estimates based on retrospective reports thus may produce inaccurate impressions of intentionality. Further efforts to refine the measurement of pregnancy preferences are needed. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 20, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The First 10 Years of the ACA: We Must Protect and Build on Major Gains in Sexual and Reproductive Health
March 23 marks 10 years since President Obama signed the Affordable Care Act (ACA) into law. Over this decade, the law has dramatically reduced the number of uninsured people in the United States, eliminated many unfair private insurance practices, expanded the scope of what health insurance covers, instituted new patient protections, supported the U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 18, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The COVID-19 Outbreak: Potential Fallout for Sexual and Reproductive Health and Rights
The global epidemic of COVID-19 is wreaking havoc on a wide array of health, economic, social and personal decisions. However, what may be lost in the chaos among other effects and dangers is the specific impact on sexual and reproductive health and rights, both for people in the United States and around the world. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 11, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

By Funding Texas ’ Harmful Antiabortion Crusade, the Trump Administration Is Setting a Dangerous Precedent
Conservative policymakers in the Trump administration and Texas state government have colluded to undermine quality family planning care by denying patients access to Planned Parenthood affiliates and other health centers with a connection to abortion. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 11, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Contraceptive Use Behavior Change After an Unintended Birth in Colombia and Peru
CONCLUSIONSUnintended birth is associated with change in contraceptive behavior. Efforts to understand postpartum contraceptive choices of women who have had an unintended birth should take into account contraceptive behavior at more than one point in women's reproductive lives. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 4, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pregnant Women & #039;s Reasons for and Experiences of Visiting Antiabortion Pregnancy Resource Centers
CONCLUSIONSPregnancy resource centers play a role in meeting the acute material and social needs of low ‐income pregnant women. However, the constraints on the resources the centers offer mean that this support cannot be part of a reliable system of care. Advocates and policymakers should take a nuanced approach to regulating these centers and consider the reasons women visit them, especially low‐ income women. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 4, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Adolescents Obtaining Abortion Without Parental Consent: Their Reasons and Experiences of Social Support
CONCLUSIONSAbortion stigma influences adolescents ’ disclosure of their abortion decisions and limits their social support. Fears of disclosing their pregnancies and abortion decisions are justified, and policymakers should consider how laws requiring parental notification may harm adolescents. Further research is needed on adolescents’ experie nces with abortion stigma. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 4, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pregnancy Intendedness by Maternal Disability Status and Type in the United States
CONCLUSIONSFurther research is needed to understand differences in unintended pregnancy by type and extent of disability. People with disabilities should be fully included in sex education, and their routine care should incorporate discussion of reproductive planning. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 28, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Childhood Traumatic Experiences and Receptive Anal Intercourse Among Women
CONCLUSIONSWomen with a history of childhood trauma may be at increased risk of engaging in RAI, highlighting the importance of screening and trauma ‐informed education in sexual health settings. Pathways linking childhood trauma and RAI among women are complex and warrant further research. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 28, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Expanding the Scope of Sex Education and the Teen Pregnancy Prevention Program: A Work in Progress
On February 11, the Trump administration issuedfunding opportunity announcements for the Teen Pregnancy Prevention Program (TPPP) that indicate a step away from abstinence-only-until-marriage approaches that the administration has been pushing for years. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 27, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher Institute Selects Dr. Aletha Y. Akers as Vice President for Research
Dr. Herminia Palacio, President and CEO of the Guttmacher Institute, announced today that Dr. Aletha Y. Akers has been selected to serve as the Institute ’s new Vice President for Research, following a competitive and extensive search. Dr. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 27, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

“Parental Involvement” Mandates for Abortion Harm Young People, But Policymakers Can Fight Back
Young people deserve access to the full spectrum of sexual and reproductive health care, including abortion care. Yet, states have long imposed special barriers by forcing minors to involve their parents in their decision to have an abortion. These parental involvement mandates are unnecessary, deny young people ’s bodily autonomy, and can add logistical and financial burdens to abortion care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 20, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher Institute Now Accepting Applications for the 2020 Cory L. Richards Memorial Scholarship
The Guttmacher Institute is pleased to announce the 2020  cycle of theCory L. Richards Memorial Scholarship. The scholarship honors the legacy ofCory L. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 18, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

This Valentine & #039;s Day, Demand Better Sex Education For Kids
In classrooms around the country, young students are sharing Valentine ’s Day cards with their classmates and friends to mark relationships and connections and show care for one another. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 14, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In 2020, States Are Primed to Build on Recent Gains in Protecting and Expanding Abortion Rights
The year 2020 is shaping up to be a tumultuous one for abortion rights, as theU.S. Supreme Court hears a case that could seriously undermine them. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 14, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Louisiana Has Passed 89 Abortion Restrictions Since Roe: It & #039;s About Control, Not Health
The U.S. Supreme Court is going to hear arguments in March in June Medical Services v. Gee, a legal challenge to a Louisiana admitting privileges requirement for abortion providers that is identical to a Texas law thatthe Court struck down in 2016. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 12, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Estimating the Impact of Changes in the Title X Network on Patient Capacity
This memo presents key findings, methodological details and limitations for an analysis of the impact of the Trump administration ’s March 2019 overhaul of the regulations governing the Title X national family planning program, regulations collectively known as the “domestic gag rule.” The analysis draws primarily on information from the Office of Population Affairs’ (OPA) directories of Title X–supported clinic site s and data collected by the Guttmacher Institute as part of its 2015 census of publicly funded family planning clinics, supplemented by data from OPA’s 2018 Family Planning ...
Source: The Guttmacher Institute - February 6, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Trump Administration ’s Domestic Gag Rule Has Slashed the Title X Network’s Capacity by Half
New data from the Guttmacher Institute show that the Trump administration ’s domestic "gag rule" has slashed the Title X national family planning network’s patient capacity in half, jeopardizing care for over 1.6 million female patients nationwide. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 6, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Extended Role of Health Facility Cleaners in Maternity Care in Kenya
CONCLUSIONCleaners' direct involvement in maternity patients' care is an alarming symptom of overburdened health facilities, insufficient staffing and inadequate training. This key yet overlooked cadre of health care staff deserves appropriate support and further research to understand and alleviate health system shortcomings, and to improve the quality of maternity health care provision. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 28, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Contraceptive Beliefs, Decision Making and Care Experiences Among Transmasculine Young Adults: A Qualitative Analysis
CONCLUSIONSHealth care providers and facilities should provide transmasculine people with tailored contraceptive information and care that address their specific gender ‐affirmation needs and contraceptive preferences in safe, inclusive and supportive clinical settings. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 27, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

U.S. Insurance Coverage, 2018: The Affordable Care Act Is Still Under Threat and Still Vital for Reproductive-Age Women
Ten years after the enactment of the Affordable Care Act (ACA), several things are clear: The law ’s major expansions of Medicaid and private insurance coverage have drastically reduced the number of women of reproductive age who are uninsured. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 27, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The ACA ’s Birth Control Benefit Is Back Before the Supreme Court
The federal contraceptive coverage guarantee is back before the U.S. Supreme Court, with affordable access to birth control yet again threatened by policymakers and employers opposed to reproductive health and rights. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 24, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Sure, let & #039;s protect Roe v. Wade. But as abortion rights erode, we must do much more.
This spring, the U.S. Supreme Court will consider its first major abortion rights case since the  confirmations of Justices Neil Gorsuch and Brett Kavanaugh, and speculation about the future of abortion rights has reached new heights. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 21, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news