Meghan Elizabeth Kallman and Josephine Ferorelli discuss the politics of pregnancy and childbirth in an era of environmental challenges.

ABSTRACTDespite global consensus on the importance of male involvement in family planning, disparities persist in low- and middle-income countries, where women continue to bear the responsibility for these initiatives. The Philippines, with a high fertility rate and unmet family planning needs, exemplifies this challenge. We present the experiences and lessons learned from implementing the no-scalpel vasectomy (NSV) program in Davao City, showcasing its potential for increasing male engagement in family planning decisions. Launched in 2008, the program aimed to address gender disparity by promoting NSV as a safe and effective contraceptive alternative to female-centric methods. Through the use of culturally sensitive information campaigns and couple-focused counseling, the program challenged traditional notions of masculinity and encouraged shared decision-making. Strong local government commitment and public-private partnerships played key roles in driving the program’s success. Results showed an average annual increase of 80% in NSV clients over the past 3 years compared to before the COVID-19 pandemic, underscoring its effectiveness. The program presents a compelling intervention model for similar initiatives, highlighting how overcoming cultural barriers, infrastructure limitations, and budgetary constraints through policy advocacy, strategic partnerships, and tailored approaches can significantly boost male involvement in family planning and improve reproductive health outcomes within communities.

Manchester : Manchester University Press, [2020]

When Family Planning first came to Tasmania some of its doctors were labelled witches, and it was illegal to advertise contraceptives. Nowadays, a simple text to a number can see condoms delivered to your door.

What I learned about sex, my body, and the rhythms of life.

As this series on contraception comes to a close, Emily Heady offers a Protestant perspective on Natural Family Planning.

When my husband and I married in 2001, we were graduate students with tiny salaries, tiny living quarters, and gargantuan workloads. It was not a good time for a baby. So a few months before our wedding, I showed up at Indiana University’s student health center and said I needed birth control. The nurse practitioner asked me if it was an emergency or if I needed a police referral. “No,” I said. “I’m getting married in a few months, and I want to be used to it by then.”

Although born and raised in church, I had a very anemic theology of conception. We just didn’t talk about it. I had been taught that sex before marriage was bad, but that was about it. Marital sexuality simply wasn’t discussed; neither was birth control or any other blush-worthy subject. As a pro-life evangelical, I hadn’t expected the student health center at the Big Secular School to serve as a complete and reliable guide to human sexuality, but I needed answers, and that was my best hope.

To her credit, the nurse practitioner heard my questions about the mechanisms various drugs used in controlling for birth, then recommended Depo-Provera. If it shut down my cycles altogether, she explained, that would mean that there was no egg to fertilize; if it didn’t, well, we could talk further. It turned out we didn’t have to: Depo did just what she had predicted.

The first time I engaged theologically with questions about married sexuality was as part of the requisite premarital counseling my Catholic spouse and I completed. The eminently practical priest explained that, ...

Continue reading...

ABSTRACTThe Standard Days Method (SDM), a modern fertility awareness-based family planning method, has been introduced in 30 countries since its development in 2001. It is still unclear to what extent the SDM was mainstreamed within the family planning method mix, particularly in low- and middle-income country (LMIC) settings, where the SDM had been introduced by donors and implementing partners. This review of implementation science publications on the SDM in LMICs first looked at community pilot studies of the SDM to determine the acceptability of the method; correct use and efficacy rates; demographics of users; and changes to contraceptive prevalence rates and family planning behaviors, especially among men and couples. Then, we examined the status of the SDM in the 16 countries that had attempted to scale up the method within national family planning protocols, training, and service delivery. At the community level, evidence demonstrated a high level of acceptability of the method; efficacy rates comparable to the initial clinical trials; diversity in demographic characteristics of users, including first-time or recently discontinued users of family planning; increased male engagement in family planning; and improved couple's communication. Nationally, few countries had scaled up the SDM due to uneven stakeholder engagement, lackluster political will, and competing resource priorities. Results of this review could help policy makers determine the added value of the SDM in the contraceptive method mix and identify potential barriers to its implementation moving forward.

ABSTRACTBackground:Female sex workers (FSWs) in Cameroon commonly have unmet need for contraception posing a high risk of unintended pregnancy. Unintended pregnancy leads to a range of outcomes, and due to legal restrictions, FSWs often seek unsafe abortions. Aside from the high burden of HIV, little is known about the broader sexual and reproductive health of FSWs in Cameroon.Methods:From December 2015 to October 2016, we recruited FSWs aged ≥18 years through respondent-driven sampling across 5 Cameroonian cities. Cross-sectional data were collected through a behavioral questionnaire. Modified-robust Poisson regression was used to approximate adjusted prevalence ratios (aPR) for TOP and current use of effective nonbarrier contraception.Results:Among 2,255 FSWs (median age 28 years), 57.6% reported history of unintended pregnancy and 40.0% reported prior TOP. In multivariable analysis, TOP history was associated with current nonbarrier contraceptive use (aPR=1.23, 95% confidence interval [CI]=1.07, 1.42); ever using emergency contraception (aPR=1.34, 95% CI=1.17, 1.55); >60 clients in the past month (aPR=1.29, 95% CI= 1.07, 1.54) compared to ≤30; inconsistent condom use with clients (aPR=1.17, 95% CI=1.00, 1.37); ever experiencing physical violence (aPR=1.24, 95% CI=1.09, 1.42); and older age. Most (76.5%) women used male condoms for contraception, but only 33.2% reported consistent condom use with all partners. Overall, 26.4% of women reported currently using a nonbarrier contraceptive method, and 6.2% reported using a long-acting method. Previous TOP (aPR=1.41, 95%CI=1.16, 1.72) and ever using emergency contraception (aPR=2.70, 95% CI=2.23, 3.26) were associated with higher nonbarrier contraceptive use. Recent receipt of HIV information (aPR=0.72, 95% CI=0.59, 0.89) and membership in an FSW community-based organization (aPR=0.73, 95% CI=0.57, 0.92) were associated with lower use nonbarrier contraceptive use.Conclusions:Experience of unintended pregnancies and TOP is common among FSWs in Cameroon. Given the low use of nonbarrier contraceptive methods and inconsistent condom use, FSWs are at risk of repeat unintended pregnancies. Improved integration of client-centered, voluntary family planning within community-led HIV services may better support the sexual and reproductive health and human rights of FSWs consistent with the United Nations Declaration of Human Rights.

Planned Parenthood is leaving the federal government’s Title X program, which funds family planning services for low-income people, due to...

Bobby Joe Rogers, 41, of Pensacola, Fla., has been indicted by a federal grand jury in connection with the fire that destroyed the American Family Planning Clinic in Pensacola on Jan. 1, 2012.

Sellers across Europe are advertising various brands of the birth control pill, emergency contraception, and even an IUD, also known as the coil, which is typically inserted by a specially trained doctor.