Prevention of unsafe abortion in countries of Central Eastern Europe and Central Asia

Hodorogea, Stelian; Comendant, Rodica

doi:10.1016/j.ijgo.2010.04.008

Cited by 13 publications

(12 citation statements)

References 4 publications

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“…Countries of the former Soviet Union, now referred to as the Newly Independent States, suffered during the Soviet-era from lack of access to modern contraception, and as a result continue to have among the high abortion rates in the world [1]. One study found about half of pregnancies in Eastern Europe and the Former Soviet Union were unintended, and that the vast majority of these pregnancies ended in induced abortion [2].…”

Section: Introductionmentioning

confidence: 99%

Individual and community level socioeconomic inequalities in contraceptive use in 10 Newly Independent States: a multilevel cross-sectional analysis

Janević¹,

Pallas

Ismayilova

et al. 2012

International Journal for Equity in Health

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IntroductionLittle is known regarding the association between socioeconomic factors and contraceptive use in the Newly Independent States (NIS), countries that have experienced profound changes in reproductive health services during the transition from socialism to a market economy.MethodsUsing 2005–2006 data from Demographic Health Surveys (Armenia, Azerbaijan, and Moldova) and Multiple Indicator Cluster Surveys (Belarus, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Ukraine, and Uzbekistan), we examined associations between individual and community socioeconomic status with current modern contraceptive use (MCU) among N = 55,204 women aged 15–49 married or in a union. Individual socioeconomic status was measured using quintiles of wealth index and education level (higher than secondary school, secondary school or less). Community socioeconomic status was measured as the percentage of households in the poorest quintile of the nationals household wealth index (0%, 0–25%, or greater than 25%). We used multilevel logistic regression to estimate associations adjusted for age, number of children, urban/rural, and socioeconomic variables.ResultsMCU varied by country from 14% (in Azerbaijan) to 62% (in Belarus). Overall, women living in the poorest communities were less likely than those in the richest to use modern contraceptives (adjusted odds ratio (aOR) = 0.82, 95% Confidence Interval = 0.76, 0.89). Similarly, there was an increasing odds of MCU with increasing individual-level wealth. Women with a lower level of education also had lower odds of MCU than those with a higher level of education (aOR = .75, 95%CI = 0.71, 0.79). In country-specific analyses, community-level socioeconomic inequalities were apparent in 4 of 10 countries; in contrast, inequalities by individual-level wealth were apparent in 7 countries and by education in 8 countries. All countries in which community-level socioeconomic status was associated with MCU were in Central Asia, whereas at the individual-level inequalities of the largest magnitude were found in the Caucasus. There were no distinct patterns found in Eastern European countries.ConclusionsCommunity-level socioeconomic inequalities in MCU were most pronounced in Central Asian countries, whereas individual-level socioeconomic inequalities in MCU were most pronounced in the Caucasus. It is important to consider multilevel contextual determinants of modern contraceptive use in the development of reproductive health and family planning programs.

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Section: Introductionmentioning

confidence: 99%

Individual and community level socioeconomic inequalities in contraceptive use in 10 Newly Independent States: a multilevel cross-sectional analysis

Janević¹,

Pallas

Ismayilova

et al. 2012

International Journal for Equity in Health

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“…A variety of factors, including demographic characteristics, culture, religion, and socio-economic status, play an important part in the selection of modern contraceptive methods [1][2][3][4][5][6][7][8][9]. Globally, many women still rely on, and accept, the use of induced abortion as a means of fertility control [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Globally, many women still rely on, and accept, the use of induced abortion as a means of fertility control [2][3][4]. Although the incidence of induced abortion has markedly decreased in Eastern Europe over the past decade, this region continues to have one of the highest rates in the world [2].…”

Section: Introductionmentioning

confidence: 99%

Contraceptive counseling in Turkey after induced abortion

Günyeli

Abıke

Bingöl

et al. 2012

Intl J Gynecology & Obste

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Objective: To determine the effectiveness of post-abortion contraceptive counseling to women with unwanted pregnancy and to investigate use of modern contraceptive methods among Turkish women. Methods: A prospective case-control study was conducted at 3 Turkish centers between March 23, 2008, and January 10, 2011. A total of 333 women enrolled in the study were divided into 2 groups. Women in group 1 (n=140) presented with unwanted pregnancy requiring induced abortion whereas women in group 2 (n=193) had requested contraception counseling. Results: The use of coitus interruptus or condoms was significantly more frequent in group 1 than in group 2 (P b 0.001). No statistically significant differences were detected between the 2 groups in their use of oral contraceptives, intrauterine devices, injection methods, calendar methods, and other methods. The education level attained by women in group 1 was lower than that of women in group 2 (P =0.041). Conclusion: Increased effort is required to ensure that sufficient education about family planning is provided to Turkish women for the prevention of unwanted pregnancies and induced abortions. Crown

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“…Poor socioeconomic status ,curettage done by unqualified persons, lack of specialist centres and doctors in rural areas, reluctance and hesitancy of both the parents family and abortionist, delayed referral due to unrecognized injury, these complications go unrecognized and lead to higher mortality and morbidity. 8,9 Late presentations have a more protracted stay and poorer outcome.…”

Section: Discussionmentioning

confidence: 99%