Studies in Family Planning最新文献

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Capitalizing on Population Dynamics 30 Years on from the International Conference on Population and Development. 利用国际人口与发展会议30年来的人口动态。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-05-16 DOI: 10.1111/sifp.70004
Stuart Gietel-Basten,Rachel Snow
{"title":"Capitalizing on Population Dynamics 30 Years on from the International Conference on Population and Development.","authors":"Stuart Gietel-Basten,Rachel Snow","doi":"10.1111/sifp.70004","DOIUrl":"https://doi.org/10.1111/sifp.70004","url":null,"abstract":"The world is grappling with a huge array of demographic challenges-ranging from rapid population growth in sub-Saharan Africa to rapid aging and decline elsewhere-with profound implications for social systems, economic stability, and environmental sustainability. We examine the complex interplay of demographic diversity and other global megatrends, emphasizing the urgent need for policies that prioritize human rights and sustainable development. The legacy of the 1994 International Conference on Population and Development (ICPD) is re-evaluated, highlighting the principles that advocate for individual reproductive rights over numerical targets. Rather than solely focusing on population numbers, we underscore the necessity of addressing root causes of apparent demographic challenges and inequalities, especially relating to gender equality, access to quality health care (including sexual and reproductive health services), and education. By integrating insights on aging populations, migration, and climate change, we call for a shift toward inclusive, rights-based policies that harness the potential of all individuals, in which sexual and reproductive health and rights are central. Ultimately, we suggest that progress toward the Sustainable Development Goals and implementation of the ICPD Programme of Action can only be achieved through tailored demographic policies that reflect the unique contexts of each country, fostering resilience and well-being in a demographically diverse world.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"30 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"I Was Confident From the Bottom of My Heart That I Will be Fine With These Medicines": Qualitative Analysis of Decision-Making Around Self-Managed Abortion Trajectories in India. “我发自内心地相信这些药物对我很好”:对印度自我管理堕胎轨迹决策的定性分析。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-05-14 DOI: 10.1111/sifp.70015
Caila Brander,Caitlin McKenna,Caitlin Gerdts,Balasubramanian Palanisamy,Anoop Jain,Laura Jacobson,Katherine Key,Sruthi Chandrasekaran,Ruvani Jayaweera
{"title":"\"I Was Confident From the Bottom of My Heart That I Will be Fine With These Medicines\": Qualitative Analysis of Decision-Making Around Self-Managed Abortion Trajectories in India.","authors":"Caila Brander,Caitlin McKenna,Caitlin Gerdts,Balasubramanian Palanisamy,Anoop Jain,Laura Jacobson,Katherine Key,Sruthi Chandrasekaran,Ruvani Jayaweera","doi":"10.1111/sifp.70015","DOIUrl":"https://doi.org/10.1111/sifp.70015","url":null,"abstract":"While the incidence of self-managed abortion (SMA) in India is well-documented, why the majority of abortions in India are self-managed remains largely unanswered. This qualitative study explores factors that contribute to decision-making about SMA in India. Between January and August 2022, we conducted 43 in-depth interviews with people who self-managed abortions across six Indian states, recruiting via accredited social health activists, clinic sampling frames, and social media posts. Underpinned by the Coast et al. framework, we coded and analyzed transcripts using thematic analysis and then organized factors that contributed to people's decision-making around SMA versus facility-based care. Contributing factors to people's decisions not to seek facility-based abortion care included concerns about poor treatment by providers, the unaffordability of private facility care, and fear of procedural abortion methods. Factors contributing to people's decision to seek SMA included having prior SMA experience, access to information about SMA, affordability, privacy, accessibility, and convenience. SMA is a valued option for abortion seekers in India due to perceived benefits and a desire to avoid facility-based care. Our findings highlight the need for improved person-centered abortion care at facilities and offer potential avenues for developing supportive resources for people who self-manage abortion in India.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"28 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Locating Men in Sexual and Reproductive Health, Rights, and Justice: Past, Present, Futures 在性健康和生殖健康、权利和正义中定位男性:过去、现在和未来
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-05-09 DOI: 10.1111/sifp.70003
Joe Strong, Ernestina Coast, Malvern Chiweshe
{"title":"Locating Men in Sexual and Reproductive Health, Rights, and Justice: Past, Present, Futures","authors":"Joe Strong, Ernestina Coast, Malvern Chiweshe","doi":"10.1111/sifp.70003","DOIUrl":"https://doi.org/10.1111/sifp.70003","url":null,"abstract":"Since the International Conference on Population and Development in 1994, global policies, and agenda‐setting milestones have emphasized that universal sexual and reproductive health and rights (SRHR) are unattainable without the meaningful engagement and inclusion of men. Despite this, the field of SRHR continues to struggle with how and in what ways men can and should be included in research, programs, and policies. In this commentary, we argue that the programmatic focus of SRHR limits the capacity to produce the data and evidence needed to inform gender transformational change. For men to be meaningfully engaged with by SRHR, researchers need an analytic lens that can capture the manifestations and outcomes of gender and power. We consider the conceptual complementarities between two theoretical frameworks: hegemonic masculinities and Reproductive Justice. We contend that bringing together these conceptual approaches to men and SRHR offers an analytic framework to iterate and innovate approaches to research. Such changes will allow for a greater interrogation of gender and power and the production of data and evidence necessary to grapple with the ongoing injustices that curtail people's sexual and reproductive freedoms.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"29 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Big Data and AI in Sexual and Reproductive Health: A Comment 性与生殖健康中的大数据与人工智能:评论
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-05-05 DOI: 10.1111/sifp.70005
Mahesh Karra, Saumya RamaRao
{"title":"Big Data and AI in Sexual and Reproductive Health: A Comment","authors":"Mahesh Karra, Saumya RamaRao","doi":"10.1111/sifp.70005","DOIUrl":"https://doi.org/10.1111/sifp.70005","url":null,"abstract":"Big data and artificial intelligence (AI) have the potential to transform sexual and reproductive health (SRH), offering new avenues to enhance access, efficiency, and personalization in healthcare. AI‐driven tools can provide opportunities to improve service delivery and optimize resource allocation. Through data‐driven insights, healthcare providers can better understand population trends, predict health risks, and tailor interventions for diverse communities, ultimately advancing gender equality and empowerment. However, the integration of AI into SRH also presents significant challenges. Ethical concerns such as informed consent, data privacy, and transparency are critical to ensuring that AI applications do not violate individual autonomy and rights. The digital divide—disparities in technology access between different regions and populations—further risks exacerbating inequalities in SRH services and the provision of care. Moreover, there is a need for robust governance frameworks and global data protection laws to regulate the use of AI in SRH, and in healthcare more broadly. Programs and policies must focus on bridging these gaps, emphasizing equity and ethical considerations while leveraging AI's potential to enhance SRH services and support the vision of SRH and rights for all.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"8 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reproductive Autonomy in Fertility Research in Sub-Saharan Africa: A Scoping Review. 撒哈拉以南非洲生育研究中的生殖自主:范围审查。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-05-05 DOI: 10.1111/sifp.70012
Billie de Haas,Allen Kabagenyi,Syifasari Diennabila
{"title":"Reproductive Autonomy in Fertility Research in Sub-Saharan Africa: A Scoping Review.","authors":"Billie de Haas,Allen Kabagenyi,Syifasari Diennabila","doi":"10.1111/sifp.70012","DOIUrl":"https://doi.org/10.1111/sifp.70012","url":null,"abstract":"Fertility research in sub-Saharan Africa regularly indicates the need to increase women's reproductive autonomy. However, individual, female-focused conceptualizations of reproductive autonomy tend to neglect the power dynamics both internal and external to couples and other intimate relationships that shape a woman's reproductive autonomy. Furthermore, they disregard the reproductive autonomy of men and other subpopulations and partners in intimate relationships. To identify gaps and evaluate the applicability of the concept, this scoping review clarifies how reproductive autonomy has been assessed and applied in fertility research in sub-Saharan Africa. Eligible for inclusion were empirical peer-reviewed publications, including quantitative, qualitative, and mixed-methods research, published since 1994. Out of 1568 articles screened, 18 met the inclusion criteria. Most publications were quantitative in nature and focused mainly on the reproductive autonomy of women. Our key finding is that the reproductive autonomy of partners in intimate relationships, and of women in particular, is restricted at the community level in order to preserve the status quo of social power structures in society. In line with a reproductive justice approach, more research should focus on the reproductive autonomy of vulnerable and understudied populations as well as on the interpersonal and contextual dynamics that suppress reproductive autonomy in communal settings.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"1 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women, Girls, and the Climate Crisis: Advancing Reproductive Health and Rights and Gender Equality in Climate Policies at ICPD+30 妇女、女童与气候危机:在人发会议+30上推进生殖健康和权利以及气候政策中的性别平等
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-05-05 DOI: 10.1111/sifp.70006
Angela Baschieri, Chiagozie Udeh, Zainab Yunusa, Rachel Snow
{"title":"Women, Girls, and the Climate Crisis: Advancing Reproductive Health and Rights and Gender Equality in Climate Policies at ICPD+30","authors":"Angela Baschieri, Chiagozie Udeh, Zainab Yunusa, Rachel Snow","doi":"10.1111/sifp.70006","DOIUrl":"https://doi.org/10.1111/sifp.70006","url":null,"abstract":"The climate crisis will have an impact on everyone, everywhere, affecting both present and future generations, but there are unique ways in which the crisis is impacting the lives of women and girls. This commentary reviews growing evidence on the effects of climate change on sexual and reproductive health and rights (SRHR) and gender‐based violence (GBV), illustrating how the crisis is augmenting preexisting gender inequalities. Far greater attention to SRHR and GBV is needed within climate actions to ensure the fulfillment of the International Conference on Population and Development Programme of Action and a sustainable future for women and girls.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"9 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future‐Proofing the ICPD PoA: Reproductive Rights in a Low‐Fertility World 《人发会议行动纲领:低生育率世界中的生殖权利》的未来证明
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-05-05 DOI: 10.1111/sifp.70009
Elizabeth Wilkins, Michael Herrmann, Victoria Boydell, Benedict Light, Priscilla Idele
{"title":"Future‐Proofing the ICPD PoA: Reproductive Rights in a Low‐Fertility World","authors":"Elizabeth Wilkins, Michael Herrmann, Victoria Boydell, Benedict Light, Priscilla Idele","doi":"10.1111/sifp.70009","DOIUrl":"https://doi.org/10.1111/sifp.70009","url":null,"abstract":"This commentary discusses the issue of low and declining fertility and the enduring relevance of the 1994 International Conference on Population and Development (ICPD) Programme of Action (PoA) in this new demographic context. We explore low‐fertility trends, patterns, and determinants; fertility in the context of the ICPD PoA; and the recent pushback against sexual and reproductive health, rights, and gender equality. We conclude with various actions that can be taken to future‐proof the ICPD PoA in low‐fertility contexts looking forward to the next 30 years.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"20 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revitalizing the ICPD Programme of Action on the International Development Agenda: Toward a Path Forward for Reproductive Health and Rights in Troubled Times 振兴人发会议关于国际发展议程的行动纲领:在困难时期为生殖健康和权利开辟前进道路
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-04-25 DOI: 10.1111/sifp.70008
Andrzej Kulczycki
{"title":"Revitalizing the ICPD Programme of Action on the International Development Agenda: Toward a Path Forward for Reproductive Health and Rights in Troubled Times","authors":"Andrzej Kulczycki","doi":"10.1111/sifp.70008","DOIUrl":"https://doi.org/10.1111/sifp.70008","url":null,"abstract":"Since the 1994 International Conference on Population and Development (ICPD), there have been notable improvements in reproductive health and rights. However, these overall gains obscure deep inequalities, and recent setbacks during and after the COVID‐19 pandemic highlight the fragility of this progress. The reproductive health agenda is extensive yet remains underfunded and underperforming. Careful thought is needed on how to retain reproductive health and rights as a priority in the global development framework that will replace the Sustainable Development Goals in 2030. This paper examines the evolution of reproductive health, drawing lessons and recommendations for revitalizing and future‐proofing its agenda and enhancing progress. Key recommendations include encouraging bolder thinking in research engaging with the field's multiple challenges, including nontechnical aspects; improving dissemination and utilization of policy‐relevant research; presenting a stronger business case to influence policymakers; and employing broader, inclusive rights‐based arguments that emphasize social justice and equity. Additionally, reevaluating the global reproductive health architecture is necessary, particularly the influential yet inconsistent role of the USA. Relevant lessons from maternal and child health and HIV efforts are distilled to further assist in this process of developing a more effective path forward, ensuring the ICPD's vision is achieved beyond 2030.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"120 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimating Incidence of Induced Abortion and Unintended Pregnancy Among Women in Refugee Settlements in Uganda. 估计乌干达难民定居点妇女人工流产和意外怀孕的发生率。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-04-23 DOI: 10.1111/sifp.70010
George Odwe,Peter Kisaakye,Francis Obare,Yohannes Dibaba Wado,Bonnie Wandera,Stephanie Küng,Caitlin Rich,Margaret Giorgio
{"title":"Estimating Incidence of Induced Abortion and Unintended Pregnancy Among Women in Refugee Settlements in Uganda.","authors":"George Odwe,Peter Kisaakye,Francis Obare,Yohannes Dibaba Wado,Bonnie Wandera,Stephanie Küng,Caitlin Rich,Margaret Giorgio","doi":"10.1111/sifp.70010","DOIUrl":"https://doi.org/10.1111/sifp.70010","url":null,"abstract":"Estimates of the incidence of induced abortion and unintended pregnancies in refugee settings are lacking, limiting efforts to improve sexual and reproductive health services. We adapted the abortion incidence complications method to estimate the incidence of induced abortion and unintended pregnancy among women aged 15-49 years in refugee settlements in Uganda. We draw data from a survey of 102 health facilities providing postabortion care (PAC) services to women and girls across 13 refugee settlements in Uganda and a knowledgeable informant survey of 59 individuals familiar with induced abortion among the refugee population in Uganda. An estimated 4131 PAC cases were due to induced abortion among women in refugee settings. The overall induced abortion incidence rate among women living in refugee settlements in Uganda was 37.3 per 1000 women aged 15-49. Of the 31,189 live births, 25,023 pregnancies were unintended, translating to an unintended pregnancy rate of 73.7 per 1000 women of reproductive age. Of all pregnancies to women living in refugee settlements, 25 percent were estimated at end in induced abortion, 24 percent in unplanned birth, 37 percent in planned birth, and 15 percent in miscarriage. The findings suggest a need to improve access to contraceptives, safe abortion, and PAC services in refugee settlements in Uganda.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"13 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Walk the Talk: The Unfinished and Urgent Task of Revising Top-Line Family Planning Indicators, 30 Years After ICPD. 说到做到:人发会议 30 年后,修订计划生育顶线指标的未竟而紧迫的任务》。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2025-04-23 DOI: 10.1111/sifp.70007
Jamaica Corker,Michelle Weinberger,Aisha N Z Dasgupta,Elizabeth A Sully
{"title":"Walk the Talk: The Unfinished and Urgent Task of Revising Top-Line Family Planning Indicators, 30 Years After ICPD.","authors":"Jamaica Corker,Michelle Weinberger,Aisha N Z Dasgupta,Elizabeth A Sully","doi":"10.1111/sifp.70007","DOIUrl":"https://doi.org/10.1111/sifp.70007","url":null,"abstract":"The 1994 International Conference on Population and Development transformed the family planning (FP) field. Yet, three decades later, global FP monitoring remains anchored in the same core indicators: contraceptive use, unmet need, and demand satisfied. Despite decades of well-established critique, these measures have seen little substantive revision. As the global community looks to 2030 and beyond, a coordinated effort is urgently needed to develop a revised set of easily interpretable, top-line FP indicators. Leveraging recent momentum around advances in FP and contraceptive measurement, this effort must be intentional and focused-ensuring that new indicators better reflect the values and priorities of the field-and should be guided by principles of simplicity, validity, directionality, and universal applicability. Without action, the FP community risks continued reliance on outdated measures or the adoption of impractical, unvalidated indicators, weakening future accountability for rights-based FP. We call on key stakeholders-FP advocates, donors, and global organizations-to prioritize and invest in the development and validation of robust new top-line FP indicators over the next three years, to ensure their integration into post-2030 global agenda setting.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"71 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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