Radical Attempts to Ban Abortion Dominate State Policy Trends in the First Quarter of 2019
Abortion rights took center stage in state legislatures during the first three months of 2019. While a number of states took steps to protect abortion access, these efforts were overshadowed by attempts to restrict abortion access. Indeed, antiabortion policymakers wasted no time revealing their true agenda: banning abortion. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 4, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Just the Numbers: The Impact of U.S. International Family Planning Assistance, 2019
Investments in sexual and reproductive health and rights have profound and measurable benefits. Addressing the full range of sexual and reproductive health needs and rights of all people at all stages of their lives is essential for maternal, newborn, child and adolescent health; gender equality and women ’s well-being; and economic development and environmental sustainability.   (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - April 3, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

A Surge in Bans on Abortion as Early as Six Weeks, Before Most People Know They Are Pregnant
Antiabortion activists and politicians have kicked their decades-long agenda to ban abortion in America into high gear through a series of increasingly radical and dangerous state-level laws. Between January 1, 2019 and March 20, 2019, 304 abortion restrictions were introduced in states across the country. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 28, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher Institute Declaration Filed in the U.S. District Court for the Eastern District of Washington: National Family Planning & amp; Reproductive Health Association, et al. v. Alex M. Azar II, et. al
The Trump administration ’s 2019 final regulatory changes to the Title X national family planning program (commonly referred to as the Title X or domestic gag rule) aims to fundamentally subvert the core purpose of the program by reshaping the scope of services and network of entities supported by Title X funds. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 25, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Title X Under Attack —Our Comprehensive Guide
In the wake of the 2016 elections, the Trump administration and social conservatives in Congress ramped up attempts to undermine the Title X national family planning program as part of their larger ideological agenda attacking sexual and reproductive health and rights. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 25, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

A Surge in Bans on Abortion Before Most People Know They Are Even Pregnant
Antiabortion activists and politicians have kicked their decades-long agenda to ban abortion in America into high gear through a series of increasingly radical and dangerous state-level laws. Between January 1, 2019 and March 20, 2019, 304 abortion restrictions were introduced in states across the country. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 23, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

March 2019 issue of Perspectives on Sexual and Reproductive Health now available
IN THIS ISSUE (a summary of articles in this issue of Perspectives) Acknowledgment to Reviewers ARTICLES: (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 21, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Numerous measures of pregnancy ambivalence have been developed to capture the nuances and complexities that are often overlooked by conventional, binary measures of pregnancy intention. Yet the concept of ambivalence varies widely and, in particular, may not adequately account for young people ’s experiences. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 19, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Acknowledgment to Reviewers
The editors wish to express their appreciation to the following reviewers for their assistance in evaluating material for Perspectives on Sexual and Reproductive Health in 2018:Joyce AbmaKafuli AgbemenuAbigail AikenDavid BellJennifer Bello KottenstetteAntonia BiggsMarion CarterAnjani Chandra (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 19, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Greater Investments in Modern Contraception and Maternal and Newborn Health Care in Nepal Would Reduce Unintended Pregnancies, Abortions and Maternal Deaths
Access to modern contraceptives and maternal and newborn health care is essential for promoting the well-being of Nepali women and their children, but anew report published by the Guttmacher Institute and the Center for Research on Environment, Health and Population Activities (CREHPA) in Nepal s (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 19, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Adding It Up: Costs and Benefits of Meeting the Contraceptive and Maternal and Newborn Health Needs of Women in Nepal
This report examines the need for and costs and benefits of expanding sexual and reproductive health services in Nepal in two key areas: modern contraceptive services and maternal and newborn health care. Estimates are presented at both the national and subnational levels. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 19, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In Uganda, Sexual and Reproductive Health Services and Information Fall Short for Adolescents
The ability to achieve sexual and reproductive health and rights, including being able to decide when and whether to have children, is critical for the health and well-being of all women. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 19, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

EACH Woman Act Offers Bold Path Toward Equitable Abortion Coverage
On March 12, Reps. Barbara Lee (D-CA), Jan Schakowsky (D-IL) and Diana DeGette (D-CO) reintroduced the Equal Access to Abortion Coverage in Health Insurance (EACH Woman) Act along with 106  cosponsors. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 13, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Improvements in Sexual and Reproductive Health Should Remain Priorities in Ethiopia
New estimates published by the Guttmacher Institute reveal critical gaps in sexual and reproductive health services for women of reproductive age in Ethiopia. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 9, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

U.S. Health Care Reform Proposals: How They Address Sexual and Reproductive Health Care
As policymakers, advocates and health care analysts contemplate the future of the U.S. health care system, the Guttmacher Institute is evaluating how sexual and reproductive health and rights fit into future health care reform efforts. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 6, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Middle-Aged Iranian Women & #039;s Accounts of Their Sexual Health Care Practices: A Conventional Content Analysis
CONCLUSIONSTo meet the needs of middle-aged Iranian women, health care providers should become familiar with such women's sexual health care and self-care practices. Socioculturally sensitive policies and interventions should be developed to improve the sexual and reproductive health care conditions of middle-aged women. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 6, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

What the Trump Administration ’s Final Regulatory Changes Mean for Title X
Originally published onHealth Affairs Blog. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 4, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Country ‐Level Gender Equality and Adolescents’ Contraceptive Use in Europe, Canada and Israel: Findings from 33 Countries
CONCLUSIONSMore research is needed to identify potential causal pathways and mechanisms through which gender equality and adolescents ’ contraceptive use may influence one another. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - March 1, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In Kenya, Reproductive Health Services Fall Short of Adolescents ’ Needs
Empowering adolescents to achieve sexual and reproductive health and rights —including preventing unintended pregnancy—is critical to their overall health and well-being. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 28, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Dangerous and Coercive Title X Gag Rule Released
On February 26, the Trump administration posted its final rule imposing sweeping and destructive changes to the Title X national family planning programto the Federal Register, four days after the text was initially released on the Office of Population (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 27, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Manufactured Outrage about Abortion Masks the Real Agenda
Abortion in the News: What You Should Know (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 21, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Misclassification of Ambivalence in Pregnancy Intentions: A Mixed ‐Methods Analysis
CONCLUSIONSCurrent approaches to measuring pregnancy ambivalence may fail to capture the intricacies of pregnancy intentions and may be ineffective if they do not account for young people's experiences, especially when used to inform clinical practice, programs and policy. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 21, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Association Between Women & #039;s Social Position and the Medicalization of Female Genital Cutting in Egypt
CONCLUSIONSA woman's social position in Egypt is associated with medicalization of her daughter's genital cutting. Research is needed to explore the social meaning attributed to medicalized genital cutting, which may inform campaigns that could decrease the prevalence of the procedure. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 21, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Human Papillomavirus Risk Perceptions Among Young Adult Sexual Minority Cisgender Women and Nonbinary Individuals Assigned Female at Birth
CONCLUSIONInterventions providing sexual minority AFAB individuals with comprehensive, accurate and tailored information about HPV risk are needed. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 14, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Global HER Act Would Repeal the Harmful Global Gag Rule
Today reproductive health and rights champions in the U.S. Congress, led by Sen. Jeanne Shaheen (D-NH) and Rep. Nita Lowey (D-NY),  introduced the Global Health Empowerment and Rights (HER) Act. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 7, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher Institute Now Accepting Applications for the 2019 Cory L. Richards Memorial Scholarship
The Guttmacher Institute is pleased to announce the 2019  cycle of theCory L. Richards Memorial Scholarship to support emerging leaders in the field of sexual and reproductive health and rights. The scholarship honors the legacy ofCory L. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 7, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pharmacy Provision of Medication Abortion in Nepal: Pharmacy Owner and Worker Perspectives
CONCLUSIONSIntegration of pharmacies into the legal abortion provision system could aid in regulation and training. Consideration of pharmacy workers' perspectives can help to ensure the sustainability and success of safe abortion programs. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 5, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Study Explores Role of Pharmacy Workers in Expanding Provision of Medication Abortion in Nepal
Nepali pharmacy owners and staff who participated in a study on medication abortion provision in pharmacy contexts expressed confidence that they can deliver safe and effective services to their clients, and that they offer an important alternative in regions where women have limited access to clinic-based abortion care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - February 5, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Call for Nominations: The Darroch Award for Excellence in Sexual and Reproductive Health Research
Nomination deadline: Friday, May 17, 2019The Darroch Award, sponsored by the Guttmacher Institute, recognizes an emerging leader in the field of sexual and reproductive health research, where scientific evidence is essential to guiding the policies and programs of the future. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 30, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Process of Becoming a Sexual Black Woman: A Grounded Theory Study
CONCLUSIONInterventions at multiple levels of the social ecology throughout the life course may help reduce STD/HIV risk among black women in the United States. Future research should include examination of the experiences of black females younger than 18 and evaluation of the protective strategies employed by older black females. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 23, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Trends in Receipt of Contraceptive Services: Young Women in the U.S., 2002 –2015
Conclusions Private providers now provide the bulk of contraceptive services to adolescent girls and young women, with reduced reliance on publicly funded clinics. Supporting private practices in providing confidential and comprehensive family planning services must be a priority. Publicly funded clinics remain an important safety-net provider of contraceptive care for adolescent girls and young women. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 18, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pathways to Abortion at a Tertiary Care Hospital: Examining Obesity and Delays
CONCLUSIONSFuture research is needed to determine whether obese women seeking abortions are being referred despite evidence that they do not require hospital ‐based care. If obese women are suffering delays because of referral, strategies to help overcome delay should also be explored. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 16, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Ensuring Access to Abortion at the State Level: Selected Examples and Lessons
HIGHLIGHTS Access to abortion care in the United States—including the Roe v. Wade decision itself—is under sustained attack. States should take action to protect and expand access to abortion, and existing examples of supportive state policies can serve as a useful starting point for policymakers and ad vocates interested in shoring up access. States can also mitigate harm by lifting existing restrictions and taking other actions to create supportive policy environments for the full range of safe and effective options for abortion care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 9, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

State Policy Trends 2018: With Roe v. Wade in Jeopardy, States Continued to Add New Abortion Restrictions
Please note: All counts of enacted laws are current as of January 2, 2019. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 3, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

State Abortion Policy Landscape: From Hostile to Supportive
Please note: All counts of enacted laws are current as of January 2, 2019.   (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 3, 2019 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

What Congress Can Do to Restore U.S. Leadership on Global Sexual and Reproductive Health and Rights
HIGHLIGHTS The Trump administration is undermining long-held U.S. global leadership by pushing a coercive and ideological agenda that threatens sexual and reproductive health and rights. Congress should act to restore the United States as a global leader by increasing investments in programs that support se xual and reproductive health and rights, reversing restrictive policies and exerting oversight authority to hold the administration accountable for its abdication of leadership. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 20, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

New Study Examines Characteristics of Women Seeking Abortion in Mexico City
Women who come from outside of Mexico City to obtain legal abortions are better educated, on average, than abortion seekers residing in the city and, to an even greater extent, than the residents of the communities from which they come. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Dore Hollander Retires as Executive Editor of Perspectives on Sexual and Reproductive Health
Following 17 years of stellar leadership,Dore Hollander is retiring from her position as Executive Editor of the Guttmacher journalPerspectives on Sexual and Reproductive Health (PSRH), effective December 31, 2018. Ms. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Elective abortion is legal in Mexico City but highly restricted elsewhere in Mexico —a situation that forces women from around the country to journey to the capital if they wish to safely terminate an unwanted pregnancy. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 14, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Education, Place of Residence and Utilization of Legal Abortion Services in Mexico City, 2013 –2015
CONCLUSIONS:These findings, in conjunction with the literature on unsafe abortion in Mexico, suggest that women from outside Mexico City who have low levels of education may be less likely than their more educated peers to benefit from the safe abortion services provided in the city. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 14, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

December 2018 issue of Perspectives on Sexual and Reproductive Health now available
IN THIS ISSUE (a summary of articles in this issue of Perspectives)  From the EditorDore Hollander (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 14, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

From the Editor
In the fall of 1978, having recently decided to abandon a liberal arts graduate school program in favor of a “real world” job, I took on an entry‐level position in the publications division of the Guttmacher Institute. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
As access to abortion services becomes increasingly restricted in the United States, it is likely that growing numbers of women will attempt to end unwanted pregnancies without medical assistance —that is, to “self‐manage” abortions at home. There is evidence that U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Adding It Up: Investing in Contraception and Maternal and Newborn Health in the Ouagadougou Partnership Countries
A new analysis by the Guttmacher Institute, published today in bothEnglish andFrench, provides estimates for 2018 of the need for contraceptive services and maternal and newborn (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Just the Numbers: The Impact of Canadian International Assistance for Family Planning, 2017-2018
Canada has made a strong and bold commitment to position itself as an international leader in the health, rights and well-being of women and girls. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

State-Level Estimates of Contraceptive Use in the United States, 2017
Background (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pregnancy Desires and Pregnancies at the State Level: Estimates for 2014
Introduction (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Securing the Right to Safe and Legal Abortion: Perspectives from the Guttmacher-Lancet Commission
AbstractIn recognition of the need to take a more holistic approach to sexual and reproductive health and rights, the Guttmacher-Lancet Commission on Sexual and Reproductive Health and Rights convened in 2016. Composed of 16 experts from Africa, Asia, Europe, the Middle East, and North and South America, the Commission set out to gather the most current evidence on sexual and reproductive health and rights at the global level, with the aim of driving transformational change through policy and political action. Its resulting report, released in May 2018, reveals enormous gaps in sexual and reproductive health and rights wor...
Source: The Guttmacher Institute - December 10, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Gains in Insurance Coverage for Reproductive-Age Women at a Crossroads
The proportion of women of reproductive age (15 –44) who were uninsured dropped by 41% between 2013 and 2017, over the first four years of the Affordable Care Act’s (ACA) major expansions to Medicaid and private insurance coverage. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 5, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Immigrant Women ’s Access to Sexual and Reproductive Health Coverage and Care in the United States
Immigrant women of reproductive age in the United States face significant challenges to obtaining comprehensive and affordable health insurance coverage and care, including sexual and reproductive health services. This is due to myriad policy and systemic factors. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - December 1, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news