{"title":"Benefits of Meeting the Contraceptive Needs of Malawian Women.","authors":"Michael Vlassoff, Maxton Tsoka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) In 2013, an estimated 54% of pregnancies in Malawi were unintended. (2) More than four in 10 women have an unmet need for modern contraception—that is, they want to avoid pregnancy, but either are not practicing contraception or are using a relatively ineffective traditional method. (3) Meeting just half of this unmet need would prevent 213,000 unintended pregnancies annually, which would result in 34,000 fewer unsafe abortions and 800 fewer maternal deaths each year. (4) If all unmet need for modern contraception were met, maternal mortality would decline by more than two-fifths, and unintended births and unsafe abortions would drop by 87%. (5) Investing in contraceptive commodities and services to fulfill all unmet need for modern contraception would result in a net annual savings of US$11 million (4.1 billion Malawi kwachas) over what would otherwise be spent on medical costs associated with unintended pregnancies and their consequences. (6) Expanding contraceptive services confers substantial benefits to women, their families and society. All stakeholders—including the Malawi government and the private sector—should increase their investment in modern contraceptive services.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 2","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33891402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Vlassoff, Jenna Jerman, G Beninguisse, Floriane Kamgaing, F Zinvi-Dossou
{"title":"Benefits of meeting the contraceptive needs of Cameroonian women.","authors":"Michael Vlassoff, Jenna Jerman, G Beninguisse, Floriane Kamgaing, F Zinvi-Dossou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) In 2013, an estimated 40% of pregnancies in Cameroon were unintended. (2) More than six in 10 women who want to avoid pregnancy either do not practice contraception or use a relatively ineffective traditional method. These women can be said to have an unmet need for modern contraception. (3) Meeting just half of this unmet need would prevent 187,000 unplanned pregnancies each year, resulting in 65,000 fewer unsafe abortions and 600 fewer maternal deaths annually. (4) If all unmet need for modern methods were satisfied, maternal mortality would drop by more than one-fifth, and unintended births and unsafe abortions would decline by 75%. (5) Investing in contraceptive commodities and services to fulfill all unmet need among women who want to avoid pregnancy would result in a net annual savings of US$5.4 million (2.7 billion CFA francs) over what would otherwise be spent on medical costs associated with unintended pregnancies and their consequences. (6) Expanding contraceptive services confers substantial benefits to women, their families and society. All stakeholders, including the Cameroon government and the private sector, should increase their investment in modern contraceptive services.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32648452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual and Reproductive Health Needs of Adolescents in Zimbabwe.","authors":"Lisa Remez, Vanessa Woog, Marvelous Mhloyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) As of 2011, 38% of young Zimbabwean women have had sex by age 18, as have 23% of young men; this difference has widened over time. Females now first have sex nearly two years sooner than males. (2) One-quarter of 15-19-year-old women have started childbearing; one-third of all births to adolescents are unplanned (wanted later or not at all). (3) Favorable trends of rising modern contraceptive use in urban areas were likely interrupted by the worst of the economic crisis in 2008. Use among married adolescents declined in urban areas (from 50% in 2006 to 29% in 2011), even as it rose in rural areas (from 30% to 37%). (4) Patterns in unmet need for contraception followed suit: In urban areas, the proportion of married adolescents who wanted to postpone childbearing but were not using a method rose between 2006 and 2011(from 14% to 28%); among their counterparts in rural areas, unmet need fell from 20% to 15% over this period. (5) Single, sexually active adolescents have by far the greatest unmet need--62% as of 2011, compared with 19% among their married counterparts. (6) Existing policies need clarification to assure that no adolescent is illegally denied services because of age. Youth-friendly sexual and reproductive health programs should be prioritized so today’s HIV-positive adolescents, many of whom have been infected since birth, do not transmit the virus to yet another generation.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34271425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zeba Sathar, Gul Rashida, Zakir Shah, Susheela Singh, Vanessa Woog
{"title":"Postabortion care in Pakistan.","authors":"Zeba Sathar, Gul Rashida, Zakir Shah, Susheela Singh, Vanessa Woog","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current law in Pakistan permits abortion only under narrow circumstances. As a result, women resort to clandestine and unsafe abortion procedures, which often lead to complications. This report summarizes findings from a study that examined the conditions under which women obtain abortion in Pakistan; the incidence, coverage and quality of facility-based postabortion care (PAC); and the extent to which recommended standards for PAC have been implemented in health facilities.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 4","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31708372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unintended pregnancy and unsafe abortion in the Philippines: context and consequences.","authors":"Rubina Hussain, Lawrence B Finer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite advances in reproductive health law, many Filipino women experience unintended pregnancies, and because abortion is highly stigmatized in the country, many who seek abortion undergo unsafe procedures. This report provides a summary of reproductive health indicators in the Philippines—in particular, levels of contraceptive use, unplanned pregnancy and unsafe abortion—and describes the sociopolitical context in which services are provided, the consequences of unintended pregnancy and unsafe abortion,and recommendations for improving access to reproductive health services.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31708371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unsafe abortion in Tanzania: a review of the evidence.","authors":"Vanessa Woog, Andrea B Pembe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although pregnancy termination is restricted by law in Tanzania, it is widely practiced and almost always unsafe,and contributes to the country's high maternal morbidity and mortality. Yet the majority of abortion-related deaths are preventable, as are the unintended pregnancies associated with abortion. Better access to contraceptives, more comprehensive postabortion care and greater availability of safe abortion services within the current legal framework are critical to achieving the Millennium Development Goal 5 of reducing maternal mortality and ensuring universal access to reproductive health care by 2015.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31401685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unintended pregnancy and abortion in Uganda.","authors":"Rubina Hussain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unintended pregnancy is common in Uganda, leading to high levels of unplanned births, unsafe abortions, and maternal injury and death. Because most pregnancies that end in abortion are unwanted, nearly all ill health and mortality resulting from unsafe abortion is preventable. This report summarizes evidence on the context and consequences of unintended pregnancy and unsafe abortion in Uganda, points out gaps in knowledge, and highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 2","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40140416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Atlaf Hossain, Isaac Maddow-Zimet, Susheela Singh, Lisa Remez
{"title":"Menstrual regulation, unsafe abortion, and maternal health in Bangladesh.","authors":"Atlaf Hossain, Isaac Maddow-Zimet, Susheela Singh, Lisa Remez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maternal mortality has declined considerably in Bangladesh over the past few decades. Some of that decline--though precisely how much cannot be quantified--is likely attributable to the country's menstrual regulation program,which allows women to establish nonpregnancy safely after a missed period and thus avoid recourse to unsafe abortion. Key Points. (1) Unsafe clandestine abortion persists in Bangladesh. In 2010, some 231,000 led to complications that were treated at health facilities, but another 341,000 cases were not. In all, 572,000 unsafe procedures led to complications that year. (2) Recourse to unsafe abortion can be avoided by use of the safe, government sanctioned service of menstrual regulation (MR)--establishing nonpregnancy after a missed period, most often using manual vacuum aspiration. In 2010, an estimated 653,000 women obtained MRs, a rate of 18 per 1,000 women of reproductive age. (3) The rate at which MRs result in complications that are treated in facilities is one-third that of the complications of induced abortions--120 per 1,000 MRs vs. 357 per 1,000 induced abortions. (4) There is room for improvement in MR service provision, however. In 2010, 43% of the facilities that could potentially offer it did not. Moreover, one-third of rural primary health care facilities did not provide the service. These are staffed by Family Welfare Visitors, recognized to be the backbone of the MR program. In addition, one-quarter of all MR clients were denied the procedure. (5) To assure that trends toward lower abortion-related morbidity and mortality continue, women need expanded access to the means of averting unsafe abortion. To that end, the government needs to address barriers to widespread, safe MR services, including women's limited knowledge of their availability, the reasons why facilities do not provide MRs or reject women who seek one, and the often poor quality of care.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31053320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abortion and unintended pregnancy in Kenya.","authors":"Rubina Hussain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unintended pregnancy and unsafe abortion are common in Kenya, leading to high levels unplanned births and avoidable maternal injury and death. Until recently, abortion was only legally permissible to save the life of a woman, but a new constitution adopted in 2010 includes language that makes abortion available to protect a woman's health.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30718467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Making abortion services accessible in the wake of legal reforms.","authors":"Lori Ashford, Gilda Sedgh, Sushella Singh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The passage of a liberalized abortion law is one of many changes that must take place if women are to gain access to safe and legal services. A study of the process following legal reforms in six settings in Asia, Africa and Latin America confirms that the practical work of establishing safe abortion services can take years and requires resources and commitment. Where these efforts have been undertaken and information on trends in abortion-related illness and death is available, evidence is beginning to demonstrate that liberalized laws are followed by improved health outcomes for women.</p>","PeriodicalId":83755,"journal":{"name":"Issues in brief (Alan Guttmacher Institute)","volume":" 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30644140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}