This is my first session. I have not asked yet the discussant. I will do that when the convener agrees on my choice of discussant

Unintended pregnancies among adolescent girls living in poor urban slums: Evidence from the Transition to Adulthood (TTA) study in Nairobi, Kenya

Abstract
The main objective of this paper is to examine the levels of and factors associated with unintended pregnancies among young girls in two informal settlements in Nairobi city, Korogocho and Viwandani. We use data from a 3-year prospective survey that collected information from adolescents living in the two slums between 2007 and 2010. The analytical sample includes 945 adolescents aged 15-24 who have ever had sex. Findings show that overall, about 64% of the adolescents have ever been pregnant in their lives (73% for those aged 20-24 vs. 50% for those aged 15-19). In addition, 39% of pregnancies were unintended, with 22% being mistimed and 17% unwanted. At the bivariate level, younger adolescents, those living in Korogocho, those who have never been married, and those from Luo tribe are more likely to report an unintended pregnancy. Multivariate analysis shows a significant association between a set of a factors including age at first sex, marital status, area of residence, ethnic group, relationship with first sexual partner and unintended pregnancy. These findings have policy implications for improving sexual and reproductive health outcomes among female adolescents living in such resource-poor settings.
confirm funding
Event ID
17
Session
Socioeconomic determinants of fertility and pregnancy among young woman
Session 2
Contraception, unintended pregnancy and induced abortion
Paper presenter
48 484
Language (Translated)
fr
Title (Translated)
Grossesses non désirées chez les adolescentes vivant dans les taudis urbains : exemple de transition vers l'âge adulte (TTA) à Nairobi, au Kenya
Abstract (Translated)
Cette étude a pour principal objectif d'examiner les niveaux et les facteurs associés aux grossesses non désirées chez les jeunes filles dans deux quartiers d'habitat informel de Nairobi, Korogocho et Viwandani. Nous avons utilisé des données issues d'une enquête prospective sur 3 ans collectées auprès d'adolescents vivant dans les deux taudis urbains entre 2007 et 2010. L'échantillon d'analyse comprend 945 adolescents âgés de 15 à 24 ans ayant déjà eu des rapports sexuels. Les résultats montrent que dans l'ensemble, environ 64 % des adolescentes ont déjà été enceintes au cours de leur vie (73 % des 20-24 ans contre 50 % des 15-19 ans). Il s'agit en outre de grossesses non prévues dans 39 % des cas, dont 22% de grossesses non planifiées, et 17% non désirées. Au niveau bivarié, les adolescentes les plus jeunes, celles vivant à Korogocho, qui n'ont jamais été mariées, et celles de la tribu Luo, sont les plus susceptibles de connaître une grossesse non désirée. L'analyse multivariée indique qu'il existe un lien significatif entre une série de facteurs tels que l'âge au premier rapport sexuel, le statut matrimonial, la zone de résidence, le groupe ethnique, la relation avec le premier partenaire sexuel, et les grossesses non désirées. Ces résultats ont une incidence sur les politiques visant à améliorer la santé sexuelle et reproductive des jeunes adolescentes vivant dans les quartiers défavorisés.
Status (Translated)
2
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
First Choice History
Adolescent pregnancy and fertility
Initial First Choice
Adolescent pregnancy and fertility
Initial Second Choice
Contraception, unintended pregnancy and induced abortion
Weight in Programme
4
Status in Programme
1

Do abortion users exhibit better contraceptive behaviour? Evidence from Nepal

Abstract
The government of Nepal introduced Comprehensive Abortion Care (CAC) in March 2004 along with concerted efforts to improve access to modern contraception. An integral component of CAC is post-abortion contraceptive care. To date, there is no national level evidence on post-abortion contraceptive uptake in Nepal. More importantly, the interaction between abortion care and family planning is poorly understood in Nepal where abortion interventions are widely discussed in policy arena. There is also a concern that medical abortion program is promoted too aggressively in Nepal such that potential contraceptive users may have begun to opt for a ‘quick and easy fix’ thus essentially substituting abortion for contraception. Using the contraceptive calendar data drawn from the 2011 Nepal Demographic and Health Survey, this research investigates the level of contraceptive use before and after an abortion and examines the timing and determinants of post-abortion contraceptive use comparing women who had a live or still birth. Additional analysis focuses on the rates of discontinuation among users of post-abortion contraceptive method. The research is conceptualised based on the hypothesis that women who experience an abortion are generally found to be more motivated than their counterparts to use contraception in the post-abortion period.
confirm funding
Event ID
17
Session
Poster Session on Sexuality and reproductive health (2)
Session 2
Evaluation of family planning and reproductive health programmes
Paper presenter
53 545
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
First Choice History
Contraception, unintended pregnancy and induced abortion
Initial First Choice
Contraception, unintended pregnancy and induced abortion
Initial Second Choice
Evaluation of family planning and reproductive health programmes
Weight in Programme
1 000
Status in Programme
1

From acceptability to legalization: Gendered attitudes to abortion in West Africa

Abstract
This paper presents part of the findings of a large scale qualitative study of practices and attitudes to contraception, unwanted pregnancy and abortion in Burkina Faso, Ghana and Senegal. Findings from interviews reveal that attitudes to abortion are not binary but complex and nuanced. Responses went far beyond religion, capturing a diverse range of views. Analysis of representations of abortion, including attitudes towards its medicalisation and legalization, revealed the ways in which individuals negotiate the relatively common occurrence of abortion and its associated dangers with its illegality and social unacceptability. Importantly, attitudes to abortion were not always consistent with personal experience. Representations of abortion, and the ways in which they were constructed, were shaped by gender roles and gender relations. These representations are therefore powerful revealers of social structures and gender relations, and also of changes within them. This is particularly relevant in a context of economic crisis in much of sub-Saharan Africa, and helps explain gender differences in attitudes to abortion, and the effects of education and generation. This study goes beyond previous research in this area in painting a diverse and complex picture of representations of abortion, from the perspectives of both men and women
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Event ID
17
Session
Advances in research on abortion in sub-Saharan Africa
Session 2
Contraception, unintended pregnancy and induced abortion
Paper presenter
55 782
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
Transfer Status
2
First Choice History
Contraception, unintended pregnancy and induced abortion
Initial First Choice
Contraception, unintended pregnancy and induced abortion
Initial Second Choice
Advances in research on abortion in sub-Saharan Africa
Weight in Programme
2
Status in Programme
1

Determinants of Abortions in Rural Ghana

Abstract
Background:Hospital based studies conducted in most African countries have shown that abortion leads to about 50% of maternal deaths in Africa. Unless concerted effort is made to reduce abortion, many countries in sub-Saharan Africa can not achieve the Millennium Development Goal (MDG) 5 of reducing maternal mortality by half by the year 2015.
Objective:To describe the distribution of abortion (induced or spontaneous) and explore factors associated with abortion in rural Ghana.
Methods:This was a cross-sectional study with a sample of 5,359 females aged between 10-49 years of age. This sample was obtained from a Sexual and Reproductive Health (SRH) survey conducted within 156 communities of Kintampo Health and Demographic Surveillance area from July to November 2011. Socio-demographic and household assets data of the sample were obtained from the Kintampo Health and Demographic Surveillance System (KHDSS) database.
Results: In the multivariate regression analysis, increasing level of education and marital status were associated with abortion.
Conclusion:The findings suggest that abortion among women in the study area is influenced by education and marital status. Based on these findings, appropriate interventions could be designed to reduce the occurrence of abortions in the study setting.
confirm funding
Event ID
17
Session
Sexuality and reproductive health
Session 2
Contraception, unintended pregnancy and induced abortion
Paper presenter
55 959
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
Initial First Choice
Sexuality and reproductive health
Initial Second Choice
Contraception, unintended pregnancy and induced abortion
Weight in Programme
1 000
Status in Programme
1

Estimating Induced Abortion in Yogyakarta Province, Indonesia

Abstract
This study aims at estimating the incidence of induced abortion in Yogyakarta province, a province located in Central part of Java Island in Indonesia. Yogyakarta province is among the provinces with high coverage of maternal health care indicators, but is also known for high reliance to traditional method of contraception.

Two method estimation are be applied, the Abortion Incidence Complication method (AICM) and the Residual method. Data on abortion hospitalization were obtained from all hospitals in the five districts of the province, through direct data collection to the hospitals as well as from the provincial health office. Adjustment for under-reporting and misreporting were made by comparing the two sources of data.

The preliminary fndings reported 3071 cases of abortion hospitalization in 2009 in Yogyakarta province, or a rate of 3.3 per 1000 women age 15 to 49 years. Access to skilled care for miscarriage and abortion is measured with recent survey data and found to be significantly lower compared to access for other pregnancy related complications. Adjustment factor using the facility data is being explored for adjusting under-report in the survey data. The final step of the AICM process is determining the multiplier for which educated guess and existing literature will be used.
confirm funding
Event ID
17
Session
Poster session on Sexuality and reproductive health (1)
Session 2
Advances in research on abortion in sub-Saharan Africa
Paper presenter
34 832
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
Initial First Choice
Contraception, unintended pregnancy and induced abortion
Initial Second Choice
Advances in research on abortion in sub-Saharan Africa
Weight in Programme
17
Status in Programme
1

Unmet Need for Family Planning methods among slum and non slum dwellers in India

Abstract
The concept of unmet need points to the gap between some women’s reproductive intensions and their contraceptive behaviour. It is a challenge to family planning programmes, to reach and serve these millions of women. It is imperative to understand the determinants of family planning practice for the people who are living in slum. The objectives of this study is to estimate the prevalence of unmet need for Family Planning among currently married women of reproductive age and determinants of unmet need for Family Planning residing at urban slums in India. This study utilizes the third round of National Family Health Survey (NFHS-3); first time has collected data from statistically representative of slums in India. Bivariate, Pearson’s chi-square test and multivariate techniques has been used to understand the unmet need for family planning among currently married women living in slums and non slums. The prevalence of unmet need for Family Planning was found to be 12.6 recent in slum and 6.3 percent in non-slum respectively. The significant association of unmet for family planning in non-slum was lower compare to slum areas. One an important result was found non-nuclear family had more unmet need for family planning as compare to nuclear family.
confirm funding
Event ID
17
Session
Poster session on Sexuality and reproductive health (1)
Session 2
Contraception, unintended pregnancy and induced abortion
Paper presenter
34 882
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
Initial First Choice
Contraceptive use dynamics in developing countries
Initial Second Choice
Contraception, unintended pregnancy and induced abortion
Weight in Programme
46
Status in Programme
1

Unfolding the mystery of reliance on unreliable traditional ways of birth control

Abstract
Reliance on unreliable traditional ways of birth control would always give psychological tension to a couple and debar them from leading healthy sexual life. However, in Assam, half of the total contraceptive users depend on traditional contraceptive methods. Thus, present paper attempts to find out the answer to this peculiarity by taking latest National Family Health Survey 2005-06 data. Bi-variate analyses show that most of the demographic and socio-economic characteristics of traditional method users are in-between users of modern spacing and terminal methods. Traditional method users are 31 years old and married for 13 years. Traditional method use is higher among Muslim, Bengali and backward castes women, compared to their counter parts. The burden of miss-timed and unwanted fertility is highest among the traditional method users. Multi-variate statistics shows that women with lesser education, lesser marital duration, from poorer economic condition, and speakers of Assamese and Bengali language are less likely to rely on traditional method. Further, women with lesser marital duration, younger and urban women are less likely to adopt terminal method. There is an urgent need to impart proper knowledge about traditional as well as modern effective contraceptive methods for healthy reproductive life.
confirm funding
Event ID
17
Session
Poster session on Sexuality and reproductive health (1)
Session 2
Contraceptive use dynamics in developing countries
Paper presenter
34 878
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
Initial First Choice
Contraception, unintended pregnancy and induced abortion
Initial Second Choice
Contraceptive use dynamics in developing countries
Weight in Programme
43
Status in Programme
1

Demand for Long-acting and Permanent Contraceptive Methods among Kurdish Women in Mahabad, Iran

Abstract
The aim of this paper is to study the demand for long-acting and permanent contraceptive methods (LAPCMs), and its determinants among Kurdish women in Mahabad city, Iran. Data are taken from Mahabad Fertility Survey (MFS) conducted on a sample of over 700 households in April 2012. The results show that the demand for LAPCMs was 71.3 percent at the time of survey, although only 27.7 percent of women used these methods. Thus, the number of unintended pregnancies is likely to increase in the future if this gap does not reduce. The multivariate analysis shows significant impacts on the dependent variable of the number of children ever born, the perceived contraceptive costs, and childbearing intentions. Moreover, women at the end of reproductive ages and those with higher education are more likely to desire LAPCMs. The paper concludes that despite a growing use of contraceptive methods in recent decades, the need to develop reproductive health services, and promote the quality of family planning services remains an inevitable necessity.
confirm funding
Event ID
17
Session
Demand for long acting family planning methods
Session 2
Improving reproductive health services: Is integration with primary healthcare better than vertical programmes?
Paper presenter
25 807
Type of Submissions
Regular session only
Language of Presentation
English
First Choice History
Contraception, unintended pregnancy and induced abortion
Initial First Choice
Contraception, unintended pregnancy and induced abortion
Initial Second Choice
Improving reproductive health services: Is integration with primary healthcare better than vertical programmes?
Weight in Programme
1 000
Status in Programme
1

Disruptions of Contraceptive Utilize along with Reasons in Four Selected States of India

Abstract
The paper attempts to examine the failure and abandonment by different spacing methods of family planning and to know the reasons behind contraceptive failure and abandonment by method. We tested the hypothesis-Women from poor economic status tend to have higher relative risk for abandonment and Women having health related reasons more likely to discontinue family planning method. The data for the present study is taken from the third round of(NFHS-3)conducted during 2005-06.Cox-regression model has been used to analyze calendar data. The study shows that mainly fertility and health related reasons were the reasons behind discontinue for the last method. Method related reason was also having its significance in abandonment of the last method in all the selected states. Pearl pregnancy index was generally lower for five years exposure period as compare to three years exposure. In all the cases, those women who had desire for additional child have higher relative risk to discontinue the method.
confirm funding
Event ID
17
Session
Sexuality and reproductive health
Session 2
Contraception, unintended pregnancy and induced abortion
Paper presenter
52 417
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
First Choice History
Contraceptive use dynamics in developing countries
Initial First Choice
Contraceptive use dynamics in developing countries
Initial Second Choice
Contraception, unintended pregnancy and induced abortion
Weight in Programme
1 000
Status in Programme
1

Socio-cultural aspects and women’s perceptions on Menstrual Regulation and Menstrual Regulation services in Bangladesh – An Anthropological study

Abstract
Introduction: Around 68,000 deaths occur worldwide due to unsafe abortions while 97% of these deaths occur in developing countries. It is estimated that 25% of all clients are refused services in Bangladesh for various reasons.
Methods: The research was carried out between March 2009-October 2011 in 4 districts of Bangladesh. Methods included in-depth interviews with women (53) having MRs or attempted MRs and focus group discussions (24) with younger and older males and females of reproductive age.
Results: MR was viewed as sin from religious and social perspectives. This perception often resulted in huge delays in seeking MRs (i.e. beyond six months of gestation) and often led to clandestine careseeking from different formal and informal biomedical and traditional providers. Careseeking data showed around 61% of all careseeking was from non-formal sector, which included pharmacists, paramedics, homeopaths, herbalists, TBAs, other informal providers, and home remedies. Out of this non-formal careseeking, around 44% was with pharmacists and other informal providers, while 24% was with traditional providers.
Conclusion: Menstrual regulation is a professed need for women and their families. Judging from this context, it is important that policy makers try to create a better atmosphere for women to avail safe MR services.
confirm funding
Event ID
17
Session
Poster session on Sexuality and reproductive health (1)
Session 2
Right to health in developing countries
Paper presenter
34 873
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
Initial First Choice
Contraception, unintended pregnancy and induced abortion
Initial Second Choice
Right to health in developing countries
Weight in Programme
39
Status in Programme
1
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