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Abortion, contraception, family planning

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https://www.readbyqxmd.com/read/29329988/rethinking-medicaid-coverage-and-payment-policy-to-promote-high-value-care-the-case-of-long-acting-reversible-contraception
#1
Veronica X Vela, Elizabeth W Patton, Darshak Sanghavi, Susan F Wood, Peter Shin, Sara Rosenbaum
CONTEXT: Long-acting reversible contraception (LARC) is the most effective reversible method to prevent unplanned pregnancies. Variability in state-level policies and the high cost of LARC could create substantial inconsistencies in Medicaid coverage, despite federal guidance aimed at enhancing broad access. This study surveyed state Medicaid payment policies and outreach activities related to LARC to explore the scope of services covered. METHODS: Using publicly available information, we performed a content analysis of state Medicaid family planning and LARC payment policies...
January 9, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29329104/contraception-usage-among-young-adult-men-of-a-nigerian-university
#2
Kola Musliudin Owonikoko, Folasade Oyindamola Oyelade, Oluwaseyi Felix Oke, Adewale Samson Adeyemi
Background Family planning services recognize reproductive health as the joint responsibility of both men and women. Efforts need to be shifted to men's own sexual health in order to achieve the Millennium Development Goals (MDGs) for reduction of maternal mortality and HIV transmission. Aims To determine the methods of contraception used by young adult men and factors that influence their choice of contraceptive. Methodology A cross-sectional descriptive study was done using structured questionnaires to extract relevant information from consented young male adult between ages of 16 and 24 years of Ladoke Akintola University of Technology (LAUTECH), Ogbomoso, Nigeria...
January 12, 2018: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/29258462/determinants-of-unmet-need-for-family-planning-in-rural-burkina-faso-a-multilevel-logistic-regression-analysis
#3
Joseph K Wulifan, Albrecht Jahn, Hervé Hien, Patrick Christian Ilboudo, Nicolas Meda, Paul Jacob Robyn, T Saidou Hamadou, Ousmane Haidara, Manuela De Allegri
BACKGROUND: Unmet need for family planning has implications for women and their families, such as unsafe abortion, physical abuse, and poor maternal health. Contraceptive knowledge has increased across low-income settings, yet unmet need remains high with little information on the factors explaining it. This study assessed factors associated with unmet need among pregnant women in rural Burkina Faso. METHOD: We collected data on pregnant women through a population-based survey conducted in 24 rural districts between October 2013 and March 2014...
December 19, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29242175/developing-mhealth-messages-to-promote-postmenstrual-regulation-contraceptive-use-in-bangladesh-participatory-interview-study
#4
Elisabeth Eckersberger, Erin Pearson, Kathryn Andersen, Altaf Hossain, Katharine Footman, Kamal Kanti Biswas, Sadid Nuremowla, Kate Reiss
BACKGROUND: Abortions are restricted in Bangladesh, but menstrual regulation is an approved alternative, defined as a procedure of regulating the menstrual cycle when menstruation is absent for a short duration. Use of contraception after menstrual regulation can reduce subsequent unintended pregnancy, but in Bangladesh, the contraceptive method mix is dominated by short-term methods, which have higher discontinuation and failure rates. Mobile phones are a channel via which menstrual regulation clients could be offered contraceptive support after leaving the clinic...
December 14, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29231790/uptake-of-postabortion-care-services-and-acceptance-of-postabortion-contraception-in-puntland-somalia
#5
Kingsley Chukwumalu, Meghan C Gallagher, Sabine Baunach, Amy Cannon
Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabortion care (PAC) services to address the issue of high maternal morbidity and mortality due to unsafe abortion. Abortion is explicitly permitted by Somali law to save the life of a woman, but remains a sensitive topic due to religious and social conservatism that exists in the region...
December 12, 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29217695/harmonizing-methods-for-estimating-the-impact-of-contraceptive-use-on-unintended-pregnancy-abortion-and-maternal-health
#6
Ian Askew, Michelle Weinberger, Aisha Dasgupta, Jacqueline Darroch, Ellen Smith, John Stover, Melanie Yahner
Estimates of the potential impacts of contraceptive use on averting unintended pregnancies, total and unsafe abortions, maternal deaths, and newborn, infant, and child deaths provide evidence of the value of investments in family planning programs and thus are critically important for policy makers, donors, and advocates alike. Several research teams have independently developed mathematical models that estimate the number of adverse health outcomes averted due to contraceptive use. However, each modeling approach was designed for different purposes, and as such the methodological assumptions, data inputs, and mathematical algorithms initially used in each model differed; consequently, the models did not produce comparable estimates for the same outcome indicators...
December 7, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29201421/process-evaluation-of-a-mobile-phone-based-intervention-to-support-post-abortion-contraception-in-cambodia
#7
Chris Smith, Sokhey Ly, Vannak Uk, Ruby Warnock, Phil Edwards, Caroline Free
Background: The MObile Technology for Improved Family Planning (MOTIF) trial assessed a mobile phone-based intervention comprising voice messages and counsellor support to increase post-abortion contraception at four Marie Stopes International clinics in Cambodia. The aim of this process evaluation was to assess participants' interaction with the intervention from a service provider perspective. Methods: (1) We conducted a descriptive analysis to assess participants' interaction with the intervention...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29170946/contraceptive-use-among-hiv-infected-females-with-history-of-injection-drug-use-in-st-petersburg-russia
#8
Brooke S West, Debbie M Cheng, Olga Toussova, Elena Blokhina, Natalia Gnatienko, Kan Liu, Jeffrey H Samet, Anita Raj
Limited research examines family planning for HIV-infected women with a history of injection drug use. We describe modern contraceptive use and its association with heavy drinking and recent injection for HIV-infected females in St. Petersburg, Russia (N = 49): 22.4% (n = 11) used traditional methods and 30.6% (n = 15) reported modern contraceptive use, which consisted primarily of condoms (26.5%, n = 13). Over 63% (n = 31) had an abortion. Observed associations for heavy alcohol use (AOR = 2.36, CI = 0...
November 23, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29158038/sexual-and-reproductive-health-services-and-related-health-information-on-pregnancy-resource-center-websites-a%C3%A2-statewide-content-analysis
#9
Andrea Swartzendruber, Anna Newton-Levinson, Ashley E Feuchs, Ashley L Phillips, Jennifer Hickey, Riley J Steiner
BACKGROUND: Pregnancy resource centers (PRCs) are nonprofit organizations with a primary mission of promoting childbirth among pregnant women. Given a new state grant program to publicly fund PRCs, we analyzed Georgia PRC websites to describe advertised services and related health information. METHODS: We systematically identified all accessible Georgia PRC websites available from April to June 2016. Entire websites were obtained and coded using defined protocols...
November 17, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29157259/a-qualitative-exploration-of-perceptions-and-experiences-of-contraceptive-use-abortion-and-post-abortion-family-planning-services-pafp-in-three-provinces-in-china
#10
Yan Che, Esther Dusabe-Richards, Shangchun Wu, Yi Jiang, Xiaojing Dong, Jian Li, Wei-Hong Zhang, Marleen Temmerman, Rachel Tolhurst
BACKGROUND: The INPAC project aims to evaluate the effectiveness of integrated post-abortion family planning (PAFP) services into existing hospital based abortion services in China. A qualitative study was conducted in three provinces to contribute to developing effective PAFP services through understanding influences on contraceptive use, experiences of abortion and existing PAFP, and their effect on future contraceptive practices from the perspective of users, in the context of social and institutional change...
November 21, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29143644/the-effects-of-family-planning-and-other-factors-on-fertility-abortion-miscarriage-and-stillbirths-in-the-spectrum-model
#11
John Stover, William Winfrey
BACKGROUND: The Lives Saved Tool (LiST) estimates the effects of maternal and child health interventions on mortality rates and the number of deaths. The family planning module in Spectrum interacts with LiST by providing estimates of the effects of scaling up family planning use on the number of live births, miscarriages, abortions, and stillbirths. METHODS: We use the proximate determinants of fertility framework to estimate the effects of changes in contraceptive use, proportion married, postpartum insusceptibility, abortion and sterility on the total fertility rate...
November 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29045434/opportunities-challenges-and-systems-requirements-for-developing-post-abortion-family-planning-services-perceptions-of-service-stakeholders-in-china
#12
Hong Jiang, Jieshuang Xu, Esther Richards, Xu Qian, Weihong Zhang, Lina Hu, Shangchun Wu, Rachel Tolhurst
Post-abortion family planning (PAFP) has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. However, the accessibility and quality of PAFP services remain a challenge in many countries including China where more than 10 million unintended pregnancies occur each year. Most of these unwanted pregnancies end in repeated induced abortions. This paper aims to explore service providers' perceptions of the current situation regarding family planning and abortion service needs, provision, utilization, and the feasibility and acceptability of high quality PAFP in the future...
2017: PloS One
https://www.readbyqxmd.com/read/28974258/an-intervention-delivered-by-text-message-to-increase-the-acceptability-of-effective-contraception-among-young-women-in-palestine-study-protocol-for-a-randomised-controlled-trial
#13
Ona L McCarthy, Ola Wazwaz, Iman Jado, Baptiste Leurent, Phil Edwards, Samia Adada, Amina Stavridis, Caroline Free
BACKGROUND: Unintended pregnancy can negatively impact women's lives and is associated with poorer health outcomes for women and children. Many women, particularly in low- and middle-income countries, continue to face obstacles in avoiding unintended pregnancy. In the State of Palestine, a survey conducted in 2006 estimated that 38% of pregnancies are unintended. In 2014, unmet need for contraception was highest among young women aged 20-24 years, at 15%. Mobile phones are increasingly being used to deliver health support...
October 3, 2017: Trials
https://www.readbyqxmd.com/read/28915158/simulation-training-for-family-planning-procedures
#14
Lisa M Goldthwaite, Kristina Tocce
PURPOSE OF REVIEW: To review the current evidence for use of simulation in family planning procedural training. RECENT FINDINGS: A variety of simulation models exist for abortion, contraception, and sterilization procedures, ranging from low to high fidelity. Most models for abortion and contraception are low fidelity, inexpensive, and provide opportunities for acquisition and practice of procedural skills. Hysteroscopic and laparoscopic simulation models for sterilization procedures are generally higher fidelity, and their use has been shown to increase knowledge, skill performance, and procedural comfort...
December 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28893235/inadequate-birth-spacing-is-perceived-as-riskier-than-all-family-planning-methods-except-sterilization-and-abortion-in-a-qualitative-study-among-urban-nigerians
#15
Hilary M Schwandt, Joanna Skinner, Luciana Estelle Hebert, Lisa Cobb, Abdulmumin Saad, Mojisola Odeku
BACKGROUND: Fertility is high in Nigeria and contraceptive use is low. Little is known about how urban Nigerians perceive the risk of contraceptive use in relation to pregnancy and birth. This study examines and compares the risk perception of family planning methods and pregnancy related scenarios among urban Nigerians. METHODS: A total of 26 focus group discussions with 243 participants were conducted in September and October 2010 in Ibadan and Kaduna. The groups were stratified by sex, age, family planning use, and city...
September 11, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28833078/case-report-of-induced-medical-abortion-following-depot-administration-of-medroxyprogesterone-acetate
#16
Paige D Kendall, Melissa J Chen
No abstract text is available yet for this article.
December 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28829756/teenage-pregnancy-a-study-in-s%C3%A3-o-tom%C3%A3-and-pr%C3%A3-ncipe
#17
Fábia Carvalho, Inês de Medeiros, Catarina Faria, Djamilla Cotu, Endza Paula Will, Edgar Neves, Teresa Pontes
Introduction The increasing number of pregnant teenagers in São Tomé and Príncipe (STP) represents a serious public health issue. The aim of this study was to characterize the population of pregnant adolescents followed in a health facility dedicated to maternal health in STP. Methods A cross-sectional survey was conducted among pregnant teenagers that attended the Mother and Child Protection Center during the first quarter of 2017. The survey contained questions on sociodemographic characteristics, sexual and risk behaviors, family, partners and health support...
August 22, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28631406/a-cross-sectional-analysis-of-kenyan-postabortion-care-services-using-a-nationally-representative-sample
#18
Michael M Mutua, Thomas N O Achia, Beatrice W Maina, Chimaraoke O Izugbara
OBJECTIVE: To assess quality of postabortion care (PAC) offered by Kenyan healthcare facilities. METHODS: A cross-sectional survey was conducted using data from the Incidence and Magnitude of Unsafe Abortions study, conducted among 326 PAC-providing healthcare facilities throughout Kenya from March 13 to June 30, 2012. Descriptive results with weighted proportions and an ordered probit model were used. RESULTS: Overall, 408 (41.8%) first-trimester PAC cases were treated using appropriate technology versus 826 (82...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28619034/evaluation-of-two-intervention-models-on-contraceptive-attitudes-and-behaviors-among-nulliparous-women-in-shanghai-china-a-clustered-randomized-controlled-trial
#19
Yuan He, Ning Zhang, Jue Wang, Na He, Yan Du, Jing-Xin Ding, Ying Zhang, Xiao-Tian Li, Jian Huang, Ke-Qin Hua
BACKGROUND: With increasing acceptance of premarital sex among young Chinese women, the rates of unintended pregnancies and induced abortions are becoming alarmingly high, suggesting the needs of educating women with adequate contraceptive knowledge and providing them with accessible contraceptive services. Previous studies have shown that knowledge and attitudes towards contraception could be modified through intervention strategies. This study aimed to evaluate the effects of two community intervention models on modifying contraceptive attitudes and behaviors among nulliparous women...
June 15, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28615119/schizophrenia-and-induced-abortions-a-national-register-based-follow-up-study-among-finnish-women-born-between-1965-1980-with-schizophrenia-or-schizoaffective-disorder
#20
Laura Simoila, Erkki Isometsä, Mika Gissler, Jaana Suvisaari, Eila Sailas, Erja Halmesmäki, Nina Lindberg
BACKGROUND: The objectives of this study were to investigate, in women with schizophrenia or schizoaffective disorder, the number and incidence of induced abortions (= pregnancy terminations performed by a physician), their demographic characteristics, use of contraceptives, plus indications of and complications related to pregnancy termination. METHODS: Using the Care Register for Health Care, we identified Finnish women born between the years 1965-1980 who were diagnosed with either schizophrenia or schizoaffective disorder during the follow-up period ending 31...
June 11, 2017: Schizophrenia Research
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