Society Reaps the Benefits When Women Enjoy Better Health Care
Weak political commitment, inadequate resources and persistent discrimination against women and girls: these are just some reasons that many countries still don ’t openly and comprehensively address sexual and reproductive health and rights.This is borne out by figures. Each year in developing countries, including those in Africa,  more than 30 million women don’t give birth at a health facility. More than 45 million have inadequate or no antenatal care. And over 200 million women want to avoid pregnancy but  don ’t have access to modern contraceptive methods.The United Nations &r...
Source: The Guttmacher Institute - July 13, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Bias in Contraceptive Provision to Young Women Among Private Health Care Providers in South West Nigeria
CONCLUSIONSProvider bias in the provision of contraceptives to adolescent and young adult women in South West Nigeria may affect quality of care and method choice. Interventions to reduce provider bias should go beyond technical training to address the underlying sociocultural beliefs that lead providers to impose restrictions that are not based on evidence. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 11, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Perceived Subfecundity and Contraceptive Use Among Young Adult U.S. Women
CONCLUSIONBecause few studies have investigated fecundity perceptions in their own right, more research is needed to understand how women evaluate their fecundity and to integrate these perceptions into broader frameworks describing women's perception of pregnancy risk. Such work may help identify potential levers to improve contraceptive use. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 10, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

There Might Be Blood: A Scoping Review on Women ’s Responses to Contraceptive-Induced Menstrual Bleeding Changes
ConclusionsSubstantial variability exists around how women respond to CIMBCs; these responses are shaped by individual and social influences. Despite variation in responses across contexts and sub-populations, CIMBCs can impact multiple aspects of women ’s lives. Women’s responses to CIMBCs should be recognized as a key issue in contraceptive research, counseling, and product development, but may be underappreciated, despite likely – and potentially substantial – impacts on contraceptive discontinuation and unmet need for modern contracepti on. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 10, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Correlates of Rapid Repeat Pregnancy Among Adolescents and Young Women in Uganda
CONCLUSIONSEfforts to reduce rapid repeat pregnancy among young women in Uganda should focus on rural areas. Strategies to reach women during antenatal care and the postpartum period after their first birth should be prioritized. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 29, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Barriers and Pathways to Providing Long ‐Acting Reversible Contraceptives in Massachusetts Community Health Centers: A Qualitative Exploration
CONCLUSIONSEfforts to improve LARC provision at community health centers should include the education of staff in how expeditious placement constitutes clinical best practice and the implementation of infrastructural changes to support staff in efficiently counseling patients, scheduling placements and procuring LARC devices regardless of patients ’ insurance coverage. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 27, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Addressing Sexual Harassment: A Joint Statement by Guttmacher Institute Board Chair Mary Shallenberger and President and CEO Ann Starrs
The Guttmacher Institute has a longstanding commitment to advancing sexual and reproductive health and rights for all. But within our own organization, we are confronting the reality that we have failed to protect our staff as we work toward that guiding principle. For that, we apologize. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 23, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

“It & #039;s a Race Against the Clock ”: A Qualitative Analysis of Barriers to Legal Abortion in Bogotá, Colombia
CONCLUSIONDissemination of accurate information regarding the availability of clinical and legal abortion is needed. Better training may help physicians, nurses and insurance company personnel understand their roles and legal responsibilities in abortion care and reduce delays in women's access to services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 22, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Increased use of maternal health care services can help to reduce maternal morbidity and mortality in countries with high rates of those adverse outcomes, such as Bangladesh. Thus, it is important to better understand the characteristics that are associated with women's use of such services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 22, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Jenny Higgins: The Pleasure Deficit
One of the foundational experiences in Jenny Higgins's career was reading a 1993 article by sociologist Ruth Dixon ‐Mueller, who posited that a visitor from another planet who relied on demographic and family planning journals for information would be “mystified about sexual behavior.” Higgins, who is associate professor in the Departments of Gender and Women's Studies and Obstetrics and Gynecol (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 21, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher Institute Announces Fifth Cory L. Richards Memorial Scholarship Recipient
The Guttmacher Institute is pleased to announce Omolola Olaleye as the recipient of the 2018 Cory L. Richards Memorial Scholarship. Ms. Olaleye, who was chosen from an exceptionally strong pool of over 200 candidates, will use the scholarship to complete a master ’s degree in public health at the Johns Hopkins Bloomberg School of Public Health. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 21, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Trump Administration Looks to Impose “Domestic Gag Rule,” Continuing Its Assault on Reproductive Health and Rights
Originally published inBMJ Opinion. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 21, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

A Domestic Gag Rule and More: The Administration ’s Proposed Changes to Title X
Originally published onHealth Affairs Blog. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Use of Health Insurance Among Clients Seeking Contraceptive Services at Title X –Funded Facilities in 2016
CONCLUSIONCoverage gaps persist among individuals seeking contraceptive care within the Title X network, despite evidence indicating increases in health insurance coverage among this population since implementation of the ACA. Future research should explore the impact of altering or eliminating the ACA both on the Title X provider network and on the individuals who rely on it. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 14, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Most Contraceptive Patients at Title X –Funded Health Centers in 2016 Had Insurance Coverage and Planned to Use It to Pay for Services
The majority (71%) of women aged 15 –44 who sought contraceptive services at Title X–funded health centers in 2016 had public or private health insurance coverage,according to a new analysis by Guttmacher researchers (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 14, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Los beneficios del acceso al aborto legal y seguro
Originalmente publicado porLa Naci ón. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 14, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

June 2018 Issue of Perspectives on Sexual and Reproductive Health
Volume 50, Number 2 (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 11, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

We Can & #039;t Advance Health Without Advancing Rights
Seventy years ago, amidst the rubble and ruin of the world wars ’ aftermath, world leaders proclaimed the Universal Declaration of Human Rights, affirming that we are all born equal in dignity and rights. It was the same year that the  World Health Organization was established. Seven decades on, the legacy of those decisions has meant tremendous progress globally.Today, the right to health is underpinned in law and understood to be indispensable to a life of dignity and well-being. In turn, universal human rights to nondiscrimination, information, participation, and consent are recognized broadly as ne...
Source: The Guttmacher Institute - June 8, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Child Marriage in the United States: How Common Is the Practice, And Which Children Are at Greatest Risk?
CONCLUSIONSChild marriage occurs throughout the country. Research on the social forces that perpetuate child marriage is needed to inform efforts to prevent it. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 8, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
One expected benefit of implementation of the Affordable Care Act was that publicly funded family planning providers would be seeing fewer uninsured patients and therefore would be able to obtain reimbursement for more of the services they render. Indeed, the proportion of patients at Title X –funded sites who have some kind of health insurance has grown since the act went into effect. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 8, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Carole Joffe: Inside George Tiller & #039;s Clinic
(Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 8, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Restrictions on Private Insurance Coverage of Abortion: A Danger to Abortion Access and Better U.S. Health Coverage
HIGHLIGHTS Antiabortion conservatives have long sought to eliminate private insurance coverage of abortion, and their main tactic in Congress has been to push for barring health plans from covering abortion if any part of the plan is paid for with federal dollars. Abortion coverage is already severely restricted and difficult to obtain in many parts of the United States, and further federal restrictions will make things worse for patients who need abortion care. The obsession with banning abortion coverage threatens broader efforts to expand and improve U.S. health insurance coverage and to make it more affordable. (Sour...
Source: The Guttmacher Institute - June 6, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Contraceptive Provision to Postpartum Women With Intellectual and Developmental Disabilities: A Population ‐Based Cohort Study
CONCLUSIONNonbarrier contraceptives may be the most appropriate methods for some women with intellectual and developmental disabilities. However, future research should investigate why women with such disabilities are more likely than others to receive injectable contraceptives, which have possible negative side effects, and surgical contraception, which is irreversible. Research also should investigate how these women perceive their participation in contraceptive decision making. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 1, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Gilda Sedgh: Restrictive Abortion Laws Hurt Women Worldwide
This article was originally published onBMJ Opinion. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 24, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Teen Pregnancy Prevention Program Was on the Right Track, Now It ’s Being Dismantled
This analysis was originally published on  Health Affairs  Blog.  (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 24, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

How Legal Restrictions on Abortion Are Harming Women All Over the World
This Friday  Ireland faces a historic vote on whether to reform the country's abortion laws, which are among the most restrictive  in Europe. Currently, women in Ireland who need an abortion are forced to travel abroad - usually England - or may resort to clandestine termination of their pregnancies. Worldwide, an estimated 25 million unsafe abortions occur each year, even though abortion is a simple and safe procedure when properly performed. Unsafe abortion occurs most frequently in countries with restrictive abortion laws. Banning abortion does not eliminate the procedure, but it does ...
Source: The Guttmacher Institute - May 23, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Supporting Women at the Time of Abortion: A Mixed ‐Methods Study of Male Partner Experiences and Perspectives
CONCLUSIONSPositive narratives regarding men's support for the abortion decisions of their partners provide a counterpoint to commonly held negative narratives. Future research should explore how supportive men who accompany partners at the time of an abortion may improve women's abortion experiences. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 23, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Expanding Method Choice in Africa with Long-Acting Methods: IUDs, Implants or Both?
The objective of this article is to review key components of LARC uptake in Sub-Saharan Africa with the aim of guiding policies and programs. We assess trends in access to the IUD and implant, including method knowledge and availability at facilities; examine trends in use, source of supply, discontinuation and characteristics of users; and discuss the prospects for expanding method choice by increasing the availability of LARCs in national programs and the policy implications of our results. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 23, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Acceptability of Contraceptive Self-Injection with DMPA-SC Among Adolescents in Gulu District, Uganda
CONCLUSIONSContraceptive self-injection has the potential to increase contraceptive access and use for adolescents in Uganda, and should be considered as a delivery modality in the context of adolescent-friendly contraceptive services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

A Deviance Approach to Understanding Use of Maternal Health Care Services in Bangladesh
CONCLUSIONUnderstanding associations between deviation from community norms and receipt of maternal health care may provide deeper understanding of variation within communities regarding whether women use services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Trump Administration ’s Irresponsible Use of Research in Pushing Its Abstinence-Only Agenda into Title X
The Trump administration ’s recent funding opportunity announcement for Title X family planning services grants seeks to advance anumber of long-standing socially conservative priorities. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 17, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In Bad Faith: How Conservatives Are Weaponizing “Religious Liberty” to Allow Institutions to Discriminate
HIGHLIGHTS Social conservatives have used the specter of religious discrimination against doctors and nurses as cover for powerful institutions to claim religious and moral exemptions from providing a wide array of services. Institutional refusals pose particularly serious dangers for society, because institutions have more power and reach than individuals, often have captive audiences or few or no competitors, and can use their power to undermine public programs and policies. Policymakers and advocates must take steps to mitigate the scope and abuse of institutional refusals and to ensure that they are appropriately bal...
Source: The Guttmacher Institute - May 17, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Carole Joffe: Inside George Tiller ’s Clinic
In May 2009, Dr. George Tiller, one of the few U.S. providers who performed third ‐trimester abortions, was assassinated at his church by an antiabortion activist. Dr. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 16, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Why it could cost less than R120 per year to save a life
This comment was first published in the  Bhekisisa Centre for Health Journalism (Mail& Guardian). (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 9, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher-Lancet Commission Proposes a Bold, New Agenda for Sexual and Reproductive Health and Rights
Johannesburg, South Africa —Today, theGuttmacher-Lancet Commission on Sexual and Reproductive Health and Rights—a collaboration of global health, development and human rights experts from around the world—called on national governments, international agencies, donors, civil society groups and other key stakeholders t (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 9, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Frances Althaus Retires as Executive Editor of International Perspectives on Sexual and Reproductive Health
Following 16 years of leadership,Frances Althaus is retiring from her position as Executive Editor of the Guttmacher Institute journal International Perspectives on Sexual and Reproductive Health (IPSRH), effective May 31. Ms. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - May 3, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher at the 2018 Population Association of America Annual Meeting
The Guttmacher Institute will be celebrating its 50th anniversary at the Population Association of America (PAA) annual meeting, held April 25 –28 at the Sheraton Denver Downtown in Denver, CO. The Institute, along with the Guttmacher Center for Population Research Innovation and Dissemination, will be exhibiting new research at booth #200. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 23, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Policy Trends in the States: First Quarter 2018
When state legislatures roared back into session in January 2018, sexual and reproductive health and rights were once again front-burner issues in capitols across the country. But this year ’s sessions are notable for a real focus on positive legislation. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 17, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Just the Numbers: The Impact of U.S. International Family Planning Assistance, 2018
The United States —through its Agency for International Development (USAID)—has long been a global leader in enabling women’s access to contraceptive services in the world’s poorest countries. Empowering women with control over their own fertility yields benefits for them, their children and their families. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 11, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Health Care Provider Perceptions of the Safety of IUDs for Women with HIV
CONCLUSIONSGreater use of evidence ‐based contraceptive guidance such as the U.S. MEC may help inform provider perceptions of IUD safety and hence contribute to increased contraceptive choice for women with HIV. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 3, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Intimate Partner Violence and Uptake of Antenatal Care: A Scoping Review of Low- and Middle-Income Country Studies
CONCLUSIONWomen in low-resource settings who experience IPV have a reduced likelihood of obtaining optimal antenatal care and may benefit from interventions to mitigate barriers to care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 27, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

March 2018 Issue of Perspectives on Sexual and Reproductive Health Now Available
Volume 50, Number 1 IN THIS ISSUE (a summary of articles in this issue of Perspectives) ARTICLES: (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 26, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Crack open the Champagne. With this issue, Perspectives on Sexual and Reproductive Health begins its 50th year of publication. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 23, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

How The Administration ’s Proposed ‘Conscience’ Rule Undermines Reproductive Health and Patient Care
This analysis was originally published on  Health Affairs Blog. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 21, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Abortion Worldwide 2017: Uneven Progress and Unequal Access
This study provides a comprehensive update to findings from the 2009 Abortion Worldwide: A Decade of Uneven Progress.  (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 21, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

New Report Highlights Worldwide Variations in Abortion Incidence and Safety
A comprehensive new report released today by the Guttmacher Institute highlights ongoing disparities in abortion rates and in access to safe abortion services in developing and developed regions. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 21, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

First Study on the Incidence of Abortion Among Ethiopian Adolescents Released
A new study finds that adolescent women have benefited greatly from the 2005 expansion of Ethiopia ’s abortion law that gave them access to safe, legal abortion services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 15, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Playing it Safe: Legal and Clandestine Abortions among Adolescents in Ethiopia
ConclusionsWe find no evidence that adolescents are more likely than older women to have clandestine abortions. However, the higher abortion and pregnancy rates among sexually active adolescents suggest that they face barriers in access to and use of contraceptive services. Further work is needed to address the persistence of clandestine abortions among adolescents in a context where safe and legal abortion is available. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 15, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Title X –Funded Health Center Staff Members & #039; Perspectives on Barriers to Insurance Use For Confidential Family Planning Services
CONCLUSIONSTitle X –funded health centers face several barriers to their ability to bill patients’ health insurance while maintaining confidentiality protections. As a result, they are likely to continue relying on Title X funds to cover services for some insured patients despite the expansion of health insurance under the ACA. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 8, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Four Big Threats To The Title X Family Planning Program: Examining The Administration ’s New Funding Opportunity Announcement
This analysis was originally published onHealth A (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 5, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news