Ensuring Adolescents ’ Ability to Obtain Confidential Family Planning Services in Title X
HIGHLIGHTS In keeping with medical and ethical standards of care, the Title X national family planning program has long guaranteed confidentiality for all patients, and specifically for adolescents. Social conservatives have relied on fundamentally flawed rationales in their efforts to undermine policies pr otecting adolescents’ right to confidentially obtain contraceptive, STI and related family planning services.  For many young people, family planning providers serve as their most trusted sources of information, and not being able to obtain care confidentially would mean forgoing needed counseli ng and ser...
Source: The Guttmacher Institute - November 15, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Extensive New Body of Evidence on Abortion in Six Indian States Released
Abortion has been legal under broad criteria in India since 1971, yet representative information on abortion incidence and access to abortion services in the country has been scarce. The results of a large-scale study titled Unintended Pregnancy and Abortion in India have now been released, filling a critical evidence gap. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 13, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Abortion and Unintended Pregnancy in Six Indian States: Findings and Implications for Policies and Programs
This report summarizes 2015 state-level findings from a large-scale study of six Indian states titled Unintended Pregnancy and Abortion in India (UPAI). Focusing on Assam, Bihar, Gujarat, Madhya Pradesh, Uttar Pradesh and Tamil Nadu, the report estimates the incidence of abortions occurring in facility and nonfacility settings. It also provides representative, in-depth information on the characteristics of abortion-related services (induced abortion and postabortion care) provided by public- and private-sector facilities, in addition to estimates of levels of facility-based provision of care for women with abortion-related...
Source: The Guttmacher Institute - November 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In Developing Regions, Greater Investment Is Needed to Help Adolescents Prevent Unintended Pregnancy
Ensuring that adolescent women are able to choose whether and when to have children is crucial to their sexual and reproductive health, yetnew data published today by the Guttmacher Institute show that contraceptive services in developing regions fall short of meeting adolescents ’ needs. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 9, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher at the International Conference on Family Planning 2018
The  2018International Conference on Family Planning (ICFP) will be held in Kigali, Rwanda from November 12–15. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 8, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pregnancy Intentions, Contraceptive Knowledge And Educational Aspirations Among Community College Students
CONCLUSIONMany community college students not desiring pregnancy have limited awareness of pregnancy risk and prevention. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - November 1, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Clandestine Abortion in Zimbabwe Contributes to Maternal Medical Complications
Nearly all abortions in Zimbabwe are clandestine, with many resulting in complications that require medical treatment. However, half of women who experience complications from unsafe abortion in Zimbabwe never receive the care they need. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 25, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

2018 North American Forum on Family Planning
October 20 –22 New Orleans, Louisiana (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Self-Managed Medication Abortion: Expanding the Available Options for U.S. Abortion Care
HIGHLIGHTS People should have affordable access to the full range of safe and effective options for abortion care, including self-management with medication. In addition to existing barriers that limit access to abortion care overall, there are unique obstacles that must be overcome before self-managed medication abortion can be available to all in a meaningful way. It is essential that individuals seeking to self-manage an abortion have a source of accurate information and access to medical care if necessary. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 17, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Women ’s Autonomy and Intimate Partner Violence in Ghana
CONCLUSIONSThe findings underscore the relevance of women ’s empowerment programs as potential mechanisms for reducing intimate partner violence in Ghana. They also point to the need to move beyond individual-level interventions and consider community-level programs that empower women to be autonomous. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 15, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

A New Composite Index to Measure National-Level Quality of Family Planning Programs
CONCLUSIONSThe NQCI and its three components use data routinely collected through national surveys, and can be used to measure and monitor national-level quality of family planning programs. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 11, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Lisa Lieberman: Sex Ed in the U.S. —A Look Back (and Ahead)
In 2000, Perspectives published an evaluation of Project IMPPACT, a sex education program in New York City that used small groups to help “build communication skills, support healthy adult‐child and peer communications, and attempt to create peer groups in which new behavior patterns become acceptable and desirable.” The model also aimed to “enhance young people's ability to adopt or reject new (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 10, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

A Time to Lead: A Roadmap for Progress on Sexual and Reproductive Health and Rights Worldwide
HIGHLIGHTS Gaps in sexual and reproductive health and rights take an enormous toll on individuals, families, communities and economies around the world. Addressing these gaps requires a holistic approach that encompasses the right of all individuals to make decisions about their bodies and lives —free of stigma, discrimination and coercion—and to have access to essential sexual and reproductive health interventions. 
 The Guttmacher-Lancet Commission on Sexual and Reproductive Health and Rights provides a groundbreaking definition of sexual and reproductive health and rights and descr ibes an essential pack...
Source: The Guttmacher Institute - October 5, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Access to Abortion in Central Appalachian States: Examining County of Residence and County ‐Level Attributes
CONCLUSIONCounty of residence is relevant to gestational age at the time of abortion for women in these three states. Evidence that county ‐level attributes are related to access adds insight to the consequences for women when the landscape of abortion service delivery shifts. Integrating county of residence into research on access to abortion services may be critical to capturing disparities in access. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 5, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Complications from Unsafe Abortion Common in Kinshasa
A new study using data from 2016 found that the majority of women in Kinshasa who seek postabortion care following an unsafe abortion experience severe or moderate complications. In 2016, 37,900 women obtained treatment for complications from abortion in Kinshasa, the capital and largest urban area of the Democratic Republic of Congo (DRC). (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 5, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Most Sexually Active U.S. High School Students Make Decisions That Support Their Sexual Health
In 2017, 40% of high school students in the United States reported that they had ever had sex, the lowest levels of sexual behavior observed since these data were first collected in 1991, according to “Sexual Behavior and Contraceptive and Condom Use Among U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 20, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Sexual Behavior and Contraceptive and Condom Use Among U.S. High School Students, 2013 ‒2017
This report examines trends in sexual behavior and contraceptive use among high school students in the United States from 2013 to 2017, including differences by gender, grade and race and ethnicity. The data analyzed for this report are from the 2013, 2015 and 2017 Youth Risk Behavior Survey, conducted by the Centers for Disease Control and Prevention. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 20, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

September 2018 issue of Perspectives on Sexual and Reproductive Health
Volume 50, Number 3 (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 13, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Although many women with intellectual and developmental disabilities are sexually active, the specific reproductive health needs of this population have gone largely unstudied. In this issue of Perspectives on Sexual and Reproductive Health, Hillary K. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

First Study on the Incidence of Abortion Among Ugandan Adolescents Released
A new study by researchers at the U.S.-based Guttmacher Institute and Uganda ’s Makerere University documents, for the first time, abortion rates and the severity of abortion-related complications among Ugandan adolescents aged 15–19. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Estimating Abortion Incidence among Adolescents and Differences in Postabortion Care by Age: A Cross-Sectional Study of Postabortion Care Patients in Uganda
ConclusionsThe high abortion rate among sexually active adolescents highlights the critical need to improve adolescent family planning in Uganda. Interventions to prevent unintended pregnancy and to reduce unsafe abortion may be particularly important for unmarried adolescents. Rather than treating adolescents as a homogenous group, we need to understand how marriage and other social factors shape reproductive health outcomes. ImplicationsThis paper provides the first estimate of the adolescent abortion rate in Uganda. Studies of adolescent abortion and reproductive health must account for sexual activity and marital...
Source: The Guttmacher Institute - September 12, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Future Scenarios of Adolescent Contraceptive Use, Cost and Impact in Developing Regions
This report examines the cost and impact of projected adolescent contraceptive use in developing regions by 2030. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 5, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Changing Patterns of Contraceptive Use and the Decline in Rates of Pregnancy and Birth Among U.S. Adolescents, 2007 –2014
ConclusionsImprovements in contraceptive use —including increases in use of long-acting reversible contraception and withdrawal in combination with another method—appear to be driving recent declines in adolescent birth and pregnancy rates. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 30, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Improvements in Contraceptive Use Continue to Drive Declines in Pregnancy Among U.S. Adolescents
Improvements in contraceptive use were the key driving factor in the decline in pregnancy risk among adolescent women in the United States between 2007 and 2014,according to an updated analysis by Guttmacher researcher (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 30, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

New Issue of International Perspectives on Sexual and Reproductive Health Now Available
Volume 44, Number 1IN THIS ISSUE (a summary of articles in this issue of International Perspectives)ARTICLES (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 28, 2018 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 manuscripts submitted to International Perspectives on Sexual and Reproductive Health in 2017: Jennet ArcaraFred ArnoldDavida BeckerValentine BecquetStan BernsteinAnn BeutelDeborah Billings (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 27, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Induced abortion is extremely safe in countries where the procedure is legal and performed by trained professionals under appropriate conditions. However, in countries with restrictive abortion laws, such as the Democratic Republic of the Congo (DRC), women often obtain unsafe abortions that can result in severe complications, including death. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 27, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Severity and Management of Complications Among Postabortion Patients Treated in Kinshasa Health Facilities
CONCLUSIONSPolicies and programs promoting contraceptive use and safe legal abortion are needed in Kinshasa to reduce women's recourse to unsafe abortion. Improved quality postabortion care provision is also needed, including World Health Organization –recommended methods. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 27, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Risk of Contraceptive Lapse and New Sexual Partnership Among Female University Students Traveling Internationally
CONCLUSIONIf the findings are corroborated by additional research, they may suggest a role for health care providers in students ’ pretravel period. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 22, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Desire for Sterilization Reversal Among U.S. Females: Increasing Inequalities by Educational Level
CONCLUSIONFuture research should consider how insurance coverage of all methods under the Affordable Care Act may affect use of sterilization and desire for reversal. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 15, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Por el aborto legal en Am érica Latina y el Caribe
Originalmente publicado porEl Pa ís. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 8, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Laws Affecting Reproductive Health and Rights: State Policy Trends at Midyear, 2018
By July 1, legislators in all but six states and the District of Columbia had completed their work for the year. Issues related to sexual and reproductive health and rights continued to be hot topics in capitals across the country during the legislative sessions, including an ongoing surge in proactive measures, primarily around contraceptive access. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 31, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Does Postpartum Contraceptive Use Vary By Birth Intendedness?
CONCLUSIONThe elevated risk of repeat unintended fertility does not seem to be due to mothers ’ initial postpartum contraceptive behavior. Whether mothers with unintended births use contraceptives less consistently, discontinue use sooner or switch methods more often than those with intended births remains to be seen. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 27, 2018 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 4IN THIS ISSUE (a summary of articles in this issue of International Perspectives)ARTICLES (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 23, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

A Bold and Comprehensive Vision for Sexual and Reproductive Health and Rights
Dr. Cynthia Summers is the Chair of the Advisory Group to theGuttmacher-Lancet  Commission on Sexual and Reproductive Health and Rights.  This piece originally appeared as of part ofWomen Deliver's  July Deliver for Good series. See the full July  Deliver for Goodnewsletter for all  contributions. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 19, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Benefits and Challenges of Safer-Conception Counseling for HIV Serodiscordant Couples in Uganda
CONCLUSIONSCounseling can help HIV-infected individuals make informed choices about childbearing and safer-conception methods; however, a controlled clinical trial is needed to determine whether clients use such methods correctly and to assess rates of pregnancy and transmission. Policymakers need to consider including safer-conception counseling as part of routine HIV care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 19, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Motivations and Experiences of People Seeking Medication Abortion Online in the United States
CONCLUSIONCurrent online options for abortion medications leave many important needs unmet, particularly for women who encounter barriers to obtaining clinic ‐based abortion services. There is a public health justification to reduce clinic access barriers and to make medication abortion that is sourced online and managed at home as safe and supported as possible. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 17, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

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