Barriers to and Enablers of Abortion Provision for Family Physicians Trained in Abortion During Residency
CONCLUSIONSClinical training alone may not be sufficient for family medicine physicians to overcome the barriers to postresidency abortion provision. To increase abortion provision and access, organizations and advocates should work to strengthen enablers of provision, such as strong mentorship and support networks. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 14, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Mere Months After Supreme Court Ruling, Louisiana Antiabortion Politicians Are at It Again
Just months after the U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 14, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Association of Pregnancy Contexts with Depression and Low Social Support in Early Pregnancy
CONCLUSIONSFindings support the need to screen women for depression early in pregnancy and to integrate assessments of pregnancy context into the evaluation of potential risk factors. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 14, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Trends in medication abortion and the role of low-volume and non-metropolitan mifepristone purchasers: 2008 –2011 and 2014–2017
Objective To examine trends in the number of low-volume and non-metropolitan mifepristone purchasers and their role in the expansion of medication abortion.Methods We use de-identified data from Danco Laboratories, the sole distributor of mifepristone during the study period, to examine trends in mifepristone distribution. We focus on customers who purchased
Source: The Guttmacher Institute - October 13, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Reconceptualizing Women & #039;s and Girls & #039; Empowerment: A Cross-Cultural Index for Measuring Progress Toward Improved Sexual and Reproductive Health
CONCLUSIONSThe cross-cultural WGE-SRH index can be used to assess existence of choice related to contraception and volitional sex. Further work is needed to improve measures of SRH exercise of choice, and investigate the index's multidimensionality and associations with SRH outcomes. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 8, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Pregnancies, Births and Abortions in the United States, 1973 –2016: National and State Trends by Age
The Guttmacher Institute calculates comprehensive historical statistics on the incidence of pregnancy, birth and abortion for people of reproductive age in the United States (see Definitions). (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 6, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

An Application of the Confidante Method to Estimate Induced Abortion Incidence in Java, Indonesia
CONCLUSIONSThe Confidante Method relies on several assumptions that did not hold in this study. Although the method performed better than the direct-report approach, it underestimated the incidence of abortion in Java. More research is needed to understand how abortion-related information is shared within social networks and to assess the appropriateness of applying the Confidante Method to estimate abortion in a given context. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 3, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Estimating the Incidence of Induced Abortion in Java, Indonesia, 2018
CONCLUSIONSThe modified AICM performed better than the standard AICM and indicates that abortion is common in Java. Increased access to contraceptives and high-quality postabortion care is needed. Future research should investigate the safety of abortion, especially with respect to self-managed abortion. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - October 3, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

On the 20th Anniversary of Medication Abortion, Antiabortion Politicians Are Trying to Ban It
In September 2000, exactly 20 years ago, the U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 28, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

What About Methods for Men? A Qualitative Analysis of Attitudes Toward Male Contraception in Burkina Faso and Uganda
CONCLUSIONSThe acceptability of new male methods among most participants in the two countries indicates a potential demand for male contraceptives. Options should include a variety of method characteristics to maximize choice, engage men, and support men and women's contraceptive needs. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 26, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Parent, partner and individual contexts of very early first sex experiences among young men and their links to subsequent reproductive health outcomes
Abstract Research indicates that upwards to 30% of US urban Black male adolescents report first sex younger than age 13; however, there is limited literature on the sexual and reproductive health outcomes and contexts of these early first sex experiences. This exploratory study described sexual and reproductive health histories and explored personal, partner and parent contextual factors associated with first sex experiences occurring at 13  years or younger among a sample of US urban young men aged 15–24.   Participants were assessed on their demographics and sexual health histories and a subset of yo...
Source: The Guttmacher Institute - September 25, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Climate-Related Displacement and Antenatal Care Service Utilization in Rural Bangladesh
CONCLUSIONSStrengthening family planning services and extending eligibility for Bangladesh's Maternity Allowance benefits in the areas prone to floods and riverbank erosion are recommended to improve ANC service utilization. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 25, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

An Even-More-Conservative U.S. Supreme Court Could Be Devastating for Sexual and Reproductive Health and Rights
Justice Ruth Bader Ginsburg dedicated her career to upholding equality and ending discrimination. She fought tirelessly for reproductive rights and gender equity, knowing that bodily autonomy and reproductive freedom are the foundation for everyone ’s full participation in society. Her replacement could cement a conservative U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 23, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Trump Administration Wants to Make the Global Gag Rule Even More Harmful
Originally published in  Ms. Magazine. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 17, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

2021 and Beyond: Key Federal Sexual and Reproductive Health Issues
As the COVID-19 pandemic tested the fragmented U.S. health care system in spring and summer 2020, sexual and reproductive health and rights were neglected or outright targeted by opponents of reproductive autonomy. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 14, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Correlates of Satisfaction with Sexual Initiation Among Mexican Adolescents
CONCLUSIONSSelf-esteem and having a positive view of adolescent sexuality may play an important role in the experience of satisfying first sex among Mexican adolescents. These should be pivotal elements of educational programs aimed at helping adolescents develop a positive sexuality and feel entitled to and in control of their sexual lives. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 11, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Age is More Than a Number: High Infant Mortality Among Births to Teen Mothers
Originally published in Ms. Magazine.Not all infants live to celebrate their first birthday. Sadly, this is especially true for infants of teen mothers. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - September 10, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

From Bad to Worse: The COVID-19 Pandemic Risks Further Undermining Adolescents ’ Sexual and Reproductive Health and Rights in Many Countries
Even before the COVID-19 pandemic, global health programs and institutions failed to fully serve the sexual and reproductive health needs of young people in low- and middle-income countries, leading to critical gaps in information and services. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 27, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Gender Differences in Perceived Benefits of and Barriers to Use of Modern Contraceptive Methods in Rural Malawi
CONCLUSIONSFamily planning programs and health care providers should engage with both women and men to counteract misperceptions or negative beliefs about contraceptive methods, and should work to provide accurate information to couples. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 27, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Reproductive Autonomy Is Nonnegotiable, Even in the Time of COVID-19
Ed. Note: This viewpoint was first published in Perspectives on Sexual and Reproductive Health, 2020, 52(2):81 –85; doi:10.1363/psrh.12152.The COVID-19 pandemic has swept across the world, altering nearly every facet of contemporary life and causing behavioral and socioeconomic changes that seemed unthinkable a few months ago. The increased risks for human health include not just the dangers posed by the virus itself, but also the upheaval to the broader health care and societal landscapes, which has threatened access to critical sexual and reproductive health services.  In this viewpoint, we describe how the pa...
Source: The Guttmacher Institute - August 13, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Guttmacher Institute Announces Seventh Cory L. Richards Memorial Scholarship Recipient
The Guttmacher Institute is pleased to announce Shelby Birch as the recipient of the 2020Cory L. Richards Memorial Scholarship. Ms. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 13, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

COVID-19 Job Losses Threaten Insurance Coverage And Access To Reproductive Health Care For Millions
Originally published onHealth Affairs Blog. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - August 4, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Perceived Conflicting Desires to Delay the First Birth: A Household-Level Exploration in Nepal
CONCLUSIONSHelping couples to sort through conflicting fertility norms and desires may be important to delay childbearing when desired. Programs should engage all household members, and work to increase couples' and household communication to address misperceptions about fertility desires. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 30, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

After the Latest Supreme Court Ruling on Abortion, the Women ’s Health Protection Act Is More Important than Ever
In June Medical Services v. Russo, a plurality of the U.S. Supreme Court struck down aLouisiana admitting privileges requirement for abortion providers that would have devastated abortion access in the state. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 30, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Here & #039;s Why Congress Must Repeal the Helms Amendment
Anti-abortion advocates working to criminalize abortion in the United States and abroad will always be stymied by a crucial fact: People everywhere want, need and find ways to get abortions. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 30, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

In This Issue
Across the United States, millions have been infected by the novel coronavirus and more than 140,000 have died from COVID ‐19. Beyond these numbers, however, the pandemic has affected the country in countless other ways. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 30, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Adding It Up: Investing in Sexual and Reproductive Health 2019
This report examines the need for, impact of and cost of fully investing in sexual and reproductive health care —services that together ensure people can decide whether and when to have children, experience safe pregnancy and delivery, have healthy newborns, and have a safe and satisfying sexual life. It focuses on the need for contraceptive services, maternal and newborn care, abortion services and treatme nt for the major curable STIs among women of reproductive age (15­–49) in 132 low- and middle-income countries. The report’s goal is to illustrate for national and local governments, the private se...
Source: The Guttmacher Institute - July 28, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Just $10 Per Person a Year Could Provide Sexual and Reproductive Health Services to All —Will the United States Help Make That Happen?
Despite gains made in access to sexual and reproductive health care over the last several decades, widespread unmet need for services remains across low- and middle-income countries (LMICs). If these needs were met, there would be transformative change in the health and well-being of millions of individuals and families across the globe. And such investment would not be costly to make. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 28, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Provision of Essential Sexual and Reproductive Health Care Would Reduce Unintended Pregnancies, Unsafe Abortions and Maternal Deaths by About Two-Thirds
New research released today by the Guttmacher Institute finds that 218 million women in low- and middle-income countries (LMICs) have an unmet need for modern contraception. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 28, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Surveying State Executive Orders Impacting Reproductive Health During the COVID-19 Pandemic
Note: All counts updated as of July 15, 2020. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 25, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990-2019
Background Unintended pregnancy and abortion estimates document trends in sexual and reproductive health and autonomy. These estimates inform and motivate investment in global health programmes and policies. Variability in the availability and reliability of data poses challenges for measuring and monitoring trends in unintended pregnancy and abortion. We developed a new statistical model that jointly estimated unintended pregnancy and abortion that aimed to better inform efforts towards global equity in sexual and reproductive health and rights.Methods We developed a model that simultaneously estimated incidence of unin...
Source: The Guttmacher Institute - July 23, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

New Estimates Show Worldwide Decrease in Unintended Pregnancies
Millions of women and girls worldwide experience unintended pregnancy each year. With improved access to sexual and reproductive health services however, the number of unintended pregnancies worldwide has fallen since 1990-1994. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 23, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Prevalence, Frequency and Social Ecology of Sexual Concurrency Among Young Adult Women
CONCLUSIONSSexual concurrency among young women is prevalent but intermittent, and interventions that address individuals ’ social‐ecological contexts are needed to reduce negative health outcomes. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 16, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

More Is Not Enough: It ’s Time to Radically Scale Up Funding for Global Family Planning
In early July 2020, the U.S. House of Representativesmoved forward an appropriations bill that would increase funding for the U.S. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 16, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

State Policy Trends at Mid-Year 2020: Reproductive Health and Rights Take a Back Seat to Pandemic
In the first six months of 2020, the United States faced three cataclysms: the global coronavirus pandemic, the unprecedented job losses and recession, and the racist killings of Black Americans —including George Floyd, Breonna Taylor, Ahmaud Arbery and Rayshard Brooks—that sparked nationwide demonstrations against police brutality and racial injustice. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 15, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Explaining the Education-Health Gradient in Preventing STIs in Andean Peru: Cognitive Executive Functioning, Awareness and Health Knowledge
CONCLUSIONSThe relationship between education and STI prevention may be more complex than is often assumed and is mediated by CEF skills, STI awareness and sexual health knowledge. Studies should examine whether STI prevention interventions are more effective if they enhance cognitive skills used to translate information into protective behaviors. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 9, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The United States ’ Withdrawal from WHO Is a Shortsighted Tantrum with Lasting Consequences for Sexual and Reproductive Health
On July 7, 2020, in the midst of the global COVID-19 pandemic, the Trump administration officially began the process of withdrawing the United States from the World Health Organization (WHO). (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 8, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Just the Numbers: The Impact of U.S. International Family Planning Assistance, 2020
Investments in sexual and reproductive health and rights have profound and measurable benefits. Such investments not only promote health and well-being throughout people ’s lives, but also lead to improvements in gender equity, political stability, economic development and environmental sustainability.1 (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 6, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Provision of Emergency Contraceptive Pills in Kinshasa & #039;s Informal Drug Shops: Results from a Mystery Client Study
CONCLUSIONSLeveraging informal outlets to increase contraceptive provision will require identifying quality outlets, strengthening supply chains and advocating for policy changes that recognize them as effective contraceptive providers without decreasing their perceived advantages for women. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 2, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

What COVID-19 Means for Immigrants ’ Reproductive Health
This year is a clarifying moment for many people. We see how structural racism and state violence terrorize Black communities. We see how the  COVID-19 pandemic is tearing through our communities, hitting people of color and those with the fewest resources hardest. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 1, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Reproductive Autonomy Is Nonnegotiable, Even in the Time of COVID ‐19
The COVID-19 pandemic has swept across the world, altering nearly every facet of contemporary life and causing behavioral and socioeconomic changes that seemed unthinkable a few months ago. The increased risks for human health include not just the dangers posed by the virus itself, but also the upheaval to the broader health care and societal landscapes, which has threatened access to critical sexual and reproductive health services. In this viewpoint, we describe how the pandemic has already posed challenges to reproductive autonomy in both the United States and globally, and then offer insights on how it may do so in the...
Source: The Guttmacher Institute - July 1, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

“My Hands Are Tied”: Abortion Restrictions and Providers’ Experiences in Religious and Nonreligious Health Care Systems
CONCLUSIONSPatients seeking abortion or presenting with pregnancy complications at Catholic and Protestant hospitals may encounter more delays and fewer treatment options than they would at secular hospitals. More research is needed to better understand the implications for women's access to reproductive health care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 1, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

How Congress Can Immediately Seize on Monday ’s Abortion Rights Win
Many of us had been nervously anticipating this moment. The U.S. Supreme Court just handed down a 5-4 decision on abortion rights, striking down a highly restrictive Louisiana law intended to shut down abortion clinics in the state. This outcome is a big relief, and an important win for the people of Louisiana.   (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - July 1, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Health System Costs of Postabortion Care in Senegal
CONCLUSIONThe annual costs of PAC are substantial in Senegal. Greater investment in ensuring access to contraceptives could lower these costs by reducing the number of unintended pregnancies that often lead to unsafe abortion. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 26, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Seeing the Whole Pattern: Coordinated Federal Attacks on Birth Control Coverage and Access
The U.S. Supreme Court is poised to make a ruling for the third time since 2014 on the issue of private health insurance coverage for birth control, and that is no accident. This issue isbefore the Court again in the cases of Trump v. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 26, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

COVID-19 Could Have Devastating Effects on Adolescents ’ Sexual and Reproductive Health and Rights
In just a single year, a 10 percent decrease in sexual and reproductive health services in low- and middle-income countries could lead to another 49 million women with unmet need for contraception, according to Guttmacher Institute  estimates  from April 2020 (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 25, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Early Impacts of the COVID-19 Pandemic: Findings from the 2020 Guttmacher Survey of Reproductive Health Experiences
Background (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 25, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

Family Planning Providers Show Creativity and Resilience in Response to the COVID-19 Pandemic
Family planning providers across the country are adapting to the COVID-19 crisis and continuing to meet patients ’ sexual and reproductive health needs by introducing innovative ways of delivering care. (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - June 25, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

The Sexual and Reproductive Health of Adolescents and Young Adults During the COVID ‐19 Pandemic
The COVID-19 public health crisis is having rapid and profound effects on how people around the world are living their lives. Adolescents and young adults (AYA) aged 12 –24 in the United States are at low risk for hospitalization and death from COVID-19 compared with other age-groups. However, the disease may affect other aspects of their physical, mental and social health. Sexual and reproductive health (SRH) touches upon all of these domains, and involves intim ate relationships, sexual activity, contraceptive use and abortion care. Evidence of the SRH impacts of previous large-scale disruptions in the United State...
Source: The Guttmacher Institute - June 22, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

COVID ‐19 and Immigrants’ Access to Sexual and Reproductive Health Services in the United States
In recent months, some of the impacts of the coronavirus disease 2019 (COVID-19) on sexual and reproductive health (SRH) care needs, decisions and access across the globe have become evident.  In the United States, the Trump administration has unjustly blamed migrants for the COVID-19 pandemic, exploiting this public health crisis to further its long-standing xenophobic agenda and prompting a de facto shutdown of the U.S. immigration system. Yet immigrant communities—particularly thos e of color—are among the hardest hit by this virus, largely as a result of intersecting inequities based on migration statu...
Source: The Guttmacher Institute - June 17, 2020 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news