Induced Abortion Incidence and Safety in Rajasthan, India: Evidence that Expansion of Services is Needed.

Abstract:

:Despite induced abortion being broadly legal in India, up-to-date information on its frequency and safety is not readily available. Using direct and indirect methodological approaches, this study measures the one-year incidence and safety of induced abortions among women in the state of Rajasthan. The analysis utilizes data from a population-based survey of 5,832 reproductive aged women who reported on the abortion experiences of their closest female confidante in addition to themselves. We separately assess correlates of having a recent and most unsafe abortion using multivariable regression models. The confidante approach produced a one-year abortion incidence estimate of 23 per 1,000 women, whereas the respondent estimate is 9.5 per 1,000 women. Based on the confidante estimate, approximately 441,000 abortions occurred in Rajasthan over a year. Overall, 25 and 29 percent of respondent and confidante reported abortions were classified as most unsafe. Results suggest that abortion remains an integral component of women's fertility regulation, and that a liberal law alone is insufficient to guarantee access to safe abortion services. Existing policies on abortion in India need updating to permit task sharing in line with current recommendations to expand service delivery so that demand is met through provision of safe and accessible services.

journal_name

Stud Fam Plann

authors

Ahmad D,Shankar M,Khanna A,Moreau C,Bell S

doi

10.1111/sifp.12140

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

323-342

issue

4

eissn

0039-3665

issn

1728-4465

journal_volume

51

pub_type

杂志文章
  • Family planning education as an integral part of day care services in Korea.

    abstract::The Integrated Day Care Program (IDCP) in Korea provices family planning classes as an integral part of comprehensive day care services for low-income families. The program was initiated by CARE in 1973, with support from the Korean government, and has received important inputs from national family planning agencies. ...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Sung KT

    更新日期:1978-04-01 00:00:00

  • Research on women by women: interviewer selection and training in Indonesia.

    abstract::In a collaborative study, conducted by American and Indonesian researchers, on the attitudes of married, middle class Indonesian women toward themselves and toward their families, special efforts were made to carefully recruit, intensively train, and selectively match interviewers to respondents on a number of charact...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Papanek H

    更新日期:1979-11-01 00:00:00

  • New issues, new options: a management perspective on population and family planning.

    abstract::As population problems increasingly are seen in the context of socioeconomic development and as programs to reduce fertility become more diversified and multisectoral, issues facing program managers are changing. In addressing today's challenges in the areas of population policy and development planning, family planni...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Korten DC

    更新日期:1979-01-01 00:00:00

  • Estimation of fecundability from survey data.

    abstract::The estimation of fecundability from survey data is plagued by methodological problems such as misreporting of dates of birth and marriage and the occurrence of premarital exposure to the risk of conception. Nevertheless, estimates of fecundability from World Fertility Survey data for women married in recent years app...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Goldman N,Westoff CF,Paul LE

    更新日期:1985-09-01 00:00:00

  • Collecting data on women's employment in rural Java.

    abstract::A research study was conducted to determine the economic roles of rural women in Java, Indonesia, who work outside the agricultural sector. The study was designed to create a system of job classification for small trade and industry which would distinguish among women's economic activities. The research consisted of...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Peluso NL

    更新日期:1979-11-01 00:00:00

  • Private medical providers' knowledge and practices concerning medical abortion in Nigeria.

    abstract::To investigate the knowledge and practices regarding medical abortion and postabortion care in northern Nigeria among private physicians--the principal providers of such services in the area--122 doctors operating separate clinics in five states--Bauchi, Borno, Kaduna, Niger, and Taraba--were interviewed by means of a...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2011.00263.x

    authors: Okonofua FE,Hammed A,Abass T,Mairiga AG,Mohammed AB,Adewale A,Garba D

    更新日期:2011-03-01 00:00:00

  • Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa.

    abstract::This literature review assesses the extent of age mixing and economic transactions in the sexual relationships of adolescent girls in sub-Saharan Africa and the behavioral dynamics of girls and men involved in these partnerships. The examination of more than 45 quantitative and qualitative studies finds that relations...

    journal_title:Studies in family planning

    pub_type: 杂志文章,评审

    doi:10.1111/j.1728-4465.2003.00067.x

    authors: Luke N

    更新日期:2003-06-01 00:00:00

  • An analysis of the child survival hypothesis in Jordan.

    abstract::Data from the 1976 Jordan Fertility Survey are used to examine the association between infant mortality and fertility behavior. After controlling for socioeconomic and demographic variables, a strong positive association was found between infant mortality and fertility behavior; women who experience infant deaths tend...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Nur O el-H

    更新日期:1985-07-01 00:00:00

  • Public opinion on abortion in Mexico City after the landmark reform.

    abstract::This article presents findings from three opinion surveys conducted among representative samples of Mexico City residents: the first one immediately prior to the groundbreaking legalization of first-trimester abortion in April 2007, and one and two years after the reform. Bivariate and multivariate analyses were perfo...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2011.00279.x

    authors: Wilson KS,García SG,Díaz Olavarrieta C,Villalobos-Hernández A,Rodríguez JV,Smith PS,Burks C

    更新日期:2011-09-01 00:00:00

  • Bolivia 1994: results from the Demographic and Health Survey.

    abstract::These are summary results from the 1994 Bolivia National Demographic and Health Survey, which covered 9,114 households and 8,603 women aged 15-49. Tabular data are provided on population characteristics, fertility, fertility preferences, current contraceptive use, marital and contraceptive status, postpartum variables...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1996-05-01 00:00:00

  • Problems related to schoolgirl pregnancies in Burkina Faso.

    abstract::A qualitative study of pregnancy among schoolgirls in a small town in Burkina Faso was conducted that described the situation of pregnant students and their motherhood, their social environment, and the situation of their children. The analysis of findings revealed four main factors that influenced students' pregnanci...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Görgen R,Maier B,Diesfeld HJ

    更新日期:1993-09-01 00:00:00

  • The World Fertility Survey and Contraceptive Prevalence Surveys: a comparison of substantive results.

    abstract::This paper deals with the findings of the World Fertility Survey (WFS) and Contraceptive Prevalence Surveys (CPSs) in five areas of common interest: fertility, contraceptive use, measuring the effect of the availability of contraceptives on levels of use, the unmet need for family planning services, and breastfeeding....

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Anderson JE,Cleland JG

    更新日期:1984-01-01 00:00:00

  • Reproductive motivation and family-size preferences among Nigerian men.

    abstract::Data collected from 3,073 couples in four Nigerian cities and one semi-urban settlement were used to examine reproductive decision-making and male motivation for large family size. The report concludes that the characteristic male-dominant and patrilineal traditions support large family size and that men's reproductiv...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Isiugo-Abanihe UC

    更新日期:1994-05-01 00:00:00

  • The cost of IUD failure in China.

    abstract::By 1988, 71% of the 206 million married Chinese women of reproductive age were using a modern method of contraception. About 60 million women were using IUDs (41%), and 38% relied on tubal ligation, the main methods promoted by the national family planning (FP) program. During several trips to China between May 1990...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Kaufman J

    更新日期:1993-05-01 00:00:00

  • Modeling the process leading to abortion: an application to French survey data.

    abstract::In this study, we model women's recourse to induced abortion as resulting from a process that starts with sexual intercourse and contraceptive use (or nonuse), continues with the occurrence of an unintended pregnancy, and ends with the woman's decision to terminate the pregnancy and her access to abortion services. Ou...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2007.00128.x

    authors: Rossier C,Michelot F,Bajos N,COCON Group.

    更新日期:2007-09-01 00:00:00

  • Reducing unmet need and unwanted childbearing: evidence from a panel survey in Pakistan.

    abstract::Pakistan's high unmet need for contraception and low contraceptive prevalence remain a challenge, especially in light of the country's expected contribution to the FP2020 goal of expanding family planning services to an additional 120 million women with unmet need. Analysis of panel data from 14 Pakistani districts su...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2014.00389.x

    authors: Jain AK,Mahmood A,Sathar ZA,Masood I

    更新日期:2014-06-01 00:00:00

  • Kenya 1989: results from the Demographic and Health Survey.

    abstract::The summary results from the 1989 Kenya Demographic and Health Survey are tabled and graphically presented. The nationally representative sample includes 8173 households with 7150 interviews from women 15-49 years. Data was collected between December and May 1989 from all provinces except the North Eastern Province ...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1991-09-01 00:00:00

  • Mexico 1987: results from the demographic and health survey.

    abstract::The Mexico National Survey on Fertility and Health was national in scope. Data was collected from 7786 households and complete interviews conducted with 9310 women aged 15-49. Field work took place between February and May, 1987. The size of the general population grew from 44.8 million in 1965 to 70.4 million in 1...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1990-05-01 00:00:00

  • Postpartum Contraception in Northern Tanzania: Patterns of Use, Relationship to Antenatal Intentions, and Impact of Antenatal Counseling.

    abstract::In Tanzania, unmet need for contraception is high, particularly in the postpartum period. Contraceptive counseling during routine antenatal HIV testing could reach 97 percent of pregnant women with much-needed information, but requires an understanding of postpartum contraceptive use and its relationship to antenatal ...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2015.00040.x

    authors: Keogh SC,Urassa M,Kumogola Y,Kalongoji S,Kimaro D,Zaba B

    更新日期:2015-12-01 00:00:00

  • Sexual networking in provincial Thailand.

    abstract::Thailand is currently experiencing a major HIV epidemic, spread primarily through heterosexual contact. Patronage of prostitutes is relatively common. In-depth, open-ended interviews were conducted in a Central Thai province with a purposive sample of 181 urban men who had had sexual relations with at least two differ...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Havanon N,Bennett A,Knodel J

    更新日期:1993-01-01 00:00:00

  • School Socioeconomic Composition and Adolescent Sexual Initiation in Malawi.

    abstract::Numerous studies have documented the determinants of sexual behavior among adolescents in less-developed countries, yet relatively little is known about the influence of social contexts such as school and neighborhood. Using two waves of data from a school-based longitudinal survey conducted in Malawi from 2011-13, th...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2015.00029.x

    authors: Kim J

    更新日期:2015-09-01 00:00:00

  • The effect of child mortality on fertility regulation in rural Bangladesh.

    abstract::This study analyzes longitudinal data from Matlab, Bangladesh, to examine the impact of child mortality on subsequent contraceptive acceptance and continuation. The strong negative impact is found to attenuate with family size, indicating a "replacement effect". An "insurance effect" is observed as contraceptive accep...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Rahman M

    更新日期:1998-09-01 00:00:00

  • The impact of type of employment on women's use of prenatal-care services and family planning in urban Cebu, the Philippines.

    abstract::This study re-evaluates the relationship of urban women's employment to their health-service and contraceptive use, drawing on data from the Cebu Longitudinal Health and Nutrition Survey. Multivariate analyses reveal significant differences across types of work for the likelihood of both obtaining timely prenatal care...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Miles-Doan R,Brewster KL

    更新日期:1998-03-01 00:00:00

  • Social identity and community effects on contraceptive use and intentions in southern Ethiopia.

    abstract::In this study, data gathered in southern Ethiopia are used to explain how ethnic and religious identities affect current or intended contraceptive use. The only compositionalfactors that increase the likelihood of birth limitation are having a member of the family with a higher level of education and community access ...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2004.00010.x

    authors: Hogan DP,Biratu B

    更新日期:2004-06-01 00:00:00

  • Family planning in Tunisia and Morocco: a summary and evaluation of the recent record.

    abstract::Family planning activity during 1969-1970 in Morocco and Tunisia is discussed in terms of 12 criteria (such as leadership, educational services, availability) used to evaluate the programs in the 2 countries. Significant differences between family planning activity in the 2 countries can be seen in the nature of invo...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Lapham R

    更新日期:1971-05-01 00:00:00

  • A cross-country study of commercial contraceptive sales programs: factors that lead to success.

    abstract::This report presents results from a comparison of subsidized commercial contraceptive marketing programs in 11 developing countries, and makes recommendations for program planning based on findings. The analysis, based on a combined quantitative approach of analysis of variance, factor analysis, and regression analysi...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Boone MS,Farley JU,Samuel SJ

    更新日期:1985-01-01 00:00:00

  • The role of traditional fertility regulation in Sri Lanka.

    abstract::Among the countries of South Asia, Sri Lanka, with a birth rate of 26 per 1,000, has achieved by far the lowest fertility level. The research reported here shows that at least half of all fertility control there is still practiced by means other than those offered by the national family planning program. This paper re...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Caldwell J,Gaminiratne KH,Caldwell P,de Silva S,Caldwell B,Weeraratne N,Silva P

    更新日期:1987-01-01 00:00:00

  • Harm reduction or women's rights? Debating access to emergency contraceptive pills in Canada and the United States.

    abstract::This article compares the ethical pivot points in debates over nonprescription access to emergency contraceptive pills in Canada and the United States. These include women's right to be informed about the contraceptive method and its mechanism of action, pharmacists' conscientious objection concerning the dispensing o...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:10.1111/j.1728-4465.2007.00138.x

    authors: Wynn LL,Erdman JN,Foster AM,Trussell J

    更新日期:2007-12-01 00:00:00

  • Contraceptive risk taking and abortion: results and implications of a San Francisco Bay Area study.

    abstract::A study of 500 abortion-seeking women in the San Francisco Bay area, in California, revealed that, although a majority of them had used contraceptives previously, only a minority had consistently used effective contraceptives. This paper presents a theory of contraceptive risk taking and analyzes the decision making p...

    journal_title:Studies in family planning

    pub_type: 杂志文章

    doi:

    authors: Luker K

    更新日期:1977-08-01 00:00:00

  • Expanding access to emergency contraception in developing countries.

    abstract::Emergency contraception has been called the best-kept contraceptive secret. Previous research shows that several regimens of postcoital contraception offer safe and effective ways for women to avoid pregnancy. Yet the methods are typically unavailable to women in developing countries. In this article, the authors revi...

    journal_title:Studies in family planning

    pub_type: 杂志文章,评审

    doi:

    authors: Ellertson C,Winikoff B,Armstrong E,Camp S,Senanayake P

    更新日期:1995-09-01 00:00:00