Studies in Family Planning最新文献_第2页

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

Navigating Change in the Family Planning and Reproductive Health Landscape. 计划生育和生殖健康领域的变革。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-03-01 Epub Date: 2025-03-05 DOI: 10.1111/sifp.70002

Victoria Boydell, Francis Obare, Mahesh Karra

引用次数: 0

Changes in Latin American and Caribbean Household Structure Amidst Fertility Decline, 1960-2020. 生育率下降期间拉丁美洲和加勒比地区家庭结构的变化，1960-2020年。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-03-01 Epub Date: 2025-02-26 DOI: 10.1111/sifp.12282

Federica Becca, Albert Esteve, Andrés F Castro Torres

{"title":"Changes in Latin American and Caribbean Household Structure Amidst Fertility Decline, 1960-2020.","authors":"Federica Becca, Albert Esteve, Andrés F Castro Torres","doi":"10.1111/sifp.12282","DOIUrl":"10.1111/sifp.12282","url":null,"abstract":"Over the past six decades, significant demographic and familial changes, including rapid fertility decline, have occurred in Latin America and the Caribbean (LAC), impacting household structure and formation. We document trends in and changes to household size and composition in the region, leveraging 144 country-year samples from census and survey microdata across 27 LAC countries. We measure changes in average household size, household composition by member relationship to the household head, and the evolution of female headship. Our findings show a general reduction in household size that mirrors the trend in fertility decline, albeit with subregional variations. An analysis of changes in members' relationships over time reveals that children are the main drivers of household shrinkage. The analysis also unveils the enduring complexity of household composition, namely of extended family structures. Female-headed households, which are characterized by more complex household structures than their male-headed counterparts, significantly increased over time. This trend partly explains the persistence of extended households in LAC. In addition, we document a gradual convergence in the average number of children per household between male- and female-headed households. These results challenge theories positing a global convergence towards nuclear family structures. Overall, LAC's demographic and familial transformations underscore the interplay between shrinking household size and persistent household complexity.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"135-160"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516844","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

Empowerment as an Outcome and a Process: Longitudinal Validation of a Reproductive Empowerment Scale in Plateau State, Nigeria. 赋权作为结果和过程：尼日利亚高原州生殖赋权量表的纵向验证。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-03-01 Epub Date: 2025-03-12 DOI: 10.1111/sifp.70001

Mahua Mandal, Lauren Gilliss, Lisa Marie Albert, Bryan Shaw

{"title":"Empowerment as an Outcome and a Process: Longitudinal Validation of a Reproductive Empowerment Scale in Plateau State, Nigeria.","authors":"Mahua Mandal, Lauren Gilliss, Lisa Marie Albert, Bryan Shaw","doi":"10.1111/sifp.70001","DOIUrl":"10.1111/sifp.70001","url":null,"abstract":"Measurement of reproductive empowerment (RE) is necessary to understand and address barriers to RE and to evaluate the impact of policies and practices that increase RE as a pathway to improving reproductive health. This study validated an existing RE scale, developed in 2016 for sub-Saharan African (SSA) contexts, using longitudinal survey data from a cohort of women in Plateau State, Nigeria. Psychometric properties were assessed through confirmatory factor analysis, and invariance tests evaluated the scale's consistency across baseline and endline. Longitudinal logistic regression models examined whether changes in RE levels predicted family planning outcomes. The results demonstrate the final RE scale is a valid and predictive tool, comprising 24 items across five subscales that measure empowerment at individual, immediate relational, and distant relational levels. The RE scale also predicts the use of family planning and intention to use modern contraception in the future. This is one of the few RE scales designed specifically for SSA contexts and the only one known to be validated longitudinally. The RE scale provides a robust framework for measuring RE across levels and over time and can be used in SSA contexts to measure RE as a dynamic process and as an outcome.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"65-86"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617329","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

The Stability of Child Fostering in Sub-Saharan Africa: The Case of Senegal. 撒哈拉以南非洲地区儿童寄养的稳定性：以塞内加尔为例。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1111/sifp.12284

Maria Pohl, Ewa Batyra, Albert Esteve

{"title":"The Stability of Child Fostering in Sub-Saharan Africa: The Case of Senegal.","authors":"Maria Pohl, Ewa Batyra, Albert Esteve","doi":"10.1111/sifp.12284","DOIUrl":"10.1111/sifp.12284","url":null,"abstract":"In sub-Saharan Africa, child out-fostering is a traditional social practice, and research suggests stable levels of out-fostering over time, yet the underlying demographic and socioeconomic factors driving this stability have remained largely unexplored. To gain insight into the prevalence and associations of child out-fostering and mothers' individual and household characteristics, we analyzed nine rounds of Demographic and Health Survey (DHS) data of Senegalese mothers of children aged 0-14, collected between 1986 and 2019. Child out-fostering has remained stable, with nearly one-third of mothers of children aged 0-14 living apart from at least one child. Our findings indicate that at the macro-level, counteracting fertility and child mortality dynamics contribute to this stability. At the micro-level, out-fostering is influenced by a complex interplay of maternal demographic, socioeconomic, and household characteristics. The role of demographic macro-level factors demands further research attention in the context of persisting child fostering across sub-Saharan Africa. The results further suggest that changes, such as postponement of motherhood, as well as further declines in fertility and infant mortality, could affect fostering arrangements in the future.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"113-134"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524491","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

The Educational Differentiation of African Birth Timing. 非洲人生育时间的教育差异。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-03-01 Epub Date: 2025-02-03 DOI: 10.1111/sifp.12281

Margaret Frye, Sara Lopus

{"title":"The Educational Differentiation of African Birth Timing.","authors":"Margaret Frye, Sara Lopus","doi":"10.1111/sifp.12281","DOIUrl":"10.1111/sifp.12281","url":null,"abstract":"As educational access has expanded across Africa, birth timing has remained quite stable. Using data representing 51 birth years and 34 countries, we show that these modest aggregate changes mask more dramatic changes within educational groups. Over time, educational attainment has become an increasingly salient predictor of birth timing, as highly educated women have delayed first births and lengthened subsequent birth intervals more. The educational differentiation of birth timing also varies across contextual factors (educational access and family planning effort). In recent cohorts, women of all educational levels have experienced earlier first births in higher education contexts, suggesting that entry into motherhood is influenced by relative position within one's peer group. Aggregating across educational levels, however, women experience later first births in higher education contexts, driven by the greater share of highly educated women. For women at all levels of educational attainment, first birth timing is responsive to family planning context; in aggregate, women in countries with high family planning investments become mothers one year later than those in countries with lower family planning efforts. Notably, highly educated women lengthen their second birth intervals more when education and family planning are widely available, suggesting further potential for public investments to enable women to achieve their reproductive preferences.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"87-111"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mothers Time: A Cluster Randomized Controlled Trial of the Effects of a Community-Based Cognitive Behavioral Therapy Intervention on Postpartum Mental Health and Family Planning in Northwest Ethiopia. 母亲时间：埃塞俄比亚西北部社区认知行为治疗干预对产后心理健康和计划生育影响的聚类随机对照试验

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-03-01 DOI: 10.1111/sifp.70000

Leah Holmes, Tesera Bitew, Andenet Haile, Lynn M Van Lith, Sarah Burgess, Jessica Vandermark, Stella Babalola, Hermon Amare, Asaye Tilahun, Dominick Shattuck, Zoé Mistrale Hendrickson

{"title":"Mothers Time: A Cluster Randomized Controlled Trial of the Effects of a Community-Based Cognitive Behavioral Therapy Intervention on Postpartum Mental Health and Family Planning in Northwest Ethiopia.","authors":"Leah Holmes, Tesera Bitew, Andenet Haile, Lynn M Van Lith, Sarah Burgess, Jessica Vandermark, Stella Babalola, Hermon Amare, Asaye Tilahun, Dominick Shattuck, Zoé Mistrale Hendrickson","doi":"10.1111/sifp.70000","DOIUrl":"10.1111/sifp.70000","url":null,"abstract":"Depression and anxiety symptoms are associated with increased unmet need for family planning (FP) postpartum, yet solutions promoting the integration of mental health into FP service settings remain scarce. The aims of this study were to quantitatively examine the immediate and longer term effects of participation in a group-based cognitive behavioral therapy (CBT) intervention called Mothers Time on (1) symptoms of depression and anxiety, (2) the use of a modern family planning method, and (3) intermediate FP-related factors among postpartum women in Ethiopia. Building from lessons learned during a feasibility study, we implemented a cluster randomized controlled design, with structured interviews delivered before (baseline), immediately following (endline), and fourxst months after implementation of the intervention (follow-up). A total of 302 postpartum women were recruited from 10 health clusters in northwest Ethiopia. In comparison to control clusters where participants received standard of care, intervention clusters showed significantly greater reductions in symptoms for both depression and anxiety from baseline to follow-up. Modern FP use also increased significantly more in intervention clusters as compared to control clusters from baseline to follow-up. Results suggest that more holistic FP services that consider postpartum mental health can both reduce postpartum depression and anxiety and support women in fulfilling their reproductive intentions.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"56 1","pages":"9-39"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754571","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

Acknowledgments 致谢

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-02-11 DOI: 10.1111/sifp.12283

引用次数: 0