Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia

The report consists of three parts: global trends in fertility, contraceptive use and unintended pregnancies; studies of two regions (Africa and Eastern Europe/Central Asia) and two countries (Nigeria and Kazakhstan) on the costs of fertility regul...

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Main Authors: Lule, Elizabeth, Singh, Susheela, Chowdhury, Sadia Afroze
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
HIV
IUD
SEX
Online Access:http://documents.worldbank.org/curated/en/2007/12/9068966/fertility-regulation-behaviors-costs-contraception-unintended-pregnancies-africa
http://hdl.handle.net/10986/13783
id okr-10986-13783
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ABORTION
ABORTION COMPLICATIONS
ABORTION RATE
ABORTION SERVICES
ACCESS TO ABORTION
ACCESS TO EDUCATION
ACCESS TO FAMILY PLANNING
ADOLESCENTS
AGE AT MARRIAGE
ANTENATAL CARE
BABY
BEHAVIOR CHANGE
CHANGES IN FERTILITY
CHILD HEALTH
CHILD HEALTH SERVICES
CHILD MORTALITY
CHILD SURVIVAL
CHILDBEARING
CHILDBEARING INTENTIONS
CHILDBIRTH
CHILDREN PER WOMAN
CIVIL SOCIETY ORGANIZATIONS
COMMODITY SECURITY
CONDOM
CONTRACEPTION
CONTRACEPTIVE COMMODITIES
CONTRACEPTIVE INFORMATION
CONTRACEPTIVE METHOD
CONTRACEPTIVE METHODS
CONTRACEPTIVE PREVALENCE
CONTRACEPTIVE SERVICES
CONTRACEPTIVE USE
CONTRACEPTIVES
CULTURAL VALUES
DECLINE IN FERTILITY
DEMAND FOR CONTRACEPTION
DEVELOPING COUNTRIES
DISABILITY
EDUCATIONAL ATTAINMENT
EXPOSURE TO PREGNANCY
FAMILY HEALTH
FAMILY HEALTH INTERNATIONAL
FAMILY INCOME
FAMILY PLANNING
FAMILY PLANNING PROGRAMS
FAMILY PLANNING SERVICES
FAMILY SIZE
FEMALE EDUCATION
FEMALE LABOR FORCE
FERTILITY
FERTILITY BEHAVIOR
FERTILITY CONTROL
FERTILITY DECLINE
FERTILITY DECLINES
FERTILITY LEVELS
FERTILITY PREFERENCES
FERTILITY RATE
FERTILITY RATES
FERTILITY REGULATION
FERTILITY REGULATION METHODS
FERTILITY TRANSITION
FERTILITY TRENDS
FEWER CHILDREN
FIRST BIRTH
FISTULA
GENDER INEQUALITIES
GOVERNMENT POLICIES
HEALTH CARE
HEALTH CARE SERVICES
HEALTH CONSEQUENCES
HEALTH SECTOR
HEALTH SYSTEM
HIV
HOSPITAL
HOUSEHOLD POVERTY
HUMAN DEVELOPMENT
HUMAN IMMUNODEFICIENCY VIRUS
HUSBANDS
IDEAL FAMILY SIZE
IDEAL NUMBER OF CHILDREN
ILL HEALTH
IMMUNIZATION
IMPLICATIONS FOR POPULATION POLICY
IMPROVEMENTS IN CHILD SURVIVAL
INCOMPLETE ABORTIONS
INEQUITIES
INFANT
INFANT DEATHS
INTERCOURSE
INTERNATIONAL CENTER FOR RESEARCH ON WOMEN
IUD
LACK OF INFORMATION
LACK OF KNOWLEDGE
LARGER FAMILIES
LEVELS OF EDUCATION
LEVELS OF FERTILITY
LOW FERTILITY
LOWER FERTILITY
MARRIED WOMEN
MATERNAL DEATHS
MATERNAL HEALTH
MATERNAL MORTALITY
MATERNAL MORTALITY RATIO
MEDICAL TREATMENT
METHOD OF BIRTH CONTROL
METHOD OF CONTRACEPTION
MINIMAL MEDICAL STANDARDS
MINISTRIES OF HEALTH
MODERN CONTRACEPTION
MODERN CONTRACEPTIVE METHODS
MODERN CONTRACEPTIVE USE
MODERN CONTRACEPTIVES
MODERN METHODS OF CONTRACEPTION
MOTHER
NATIONAL HEALTH SYSTEMS
NATIONAL LEVEL
NEED FOR FAMILY PLANNING
NEWBORN
NEWBORN CARE
NUMBER OF ABORTIONS
NUMBER OF CHILDREN
NUMBER OF WOMEN
NUTRITION
NUTRITIONAL STATUS
OBSTETRIC CARE
OBSTETRIC COMPLICATIONS
ORAL CONTRACEPTIVES
ORAL REHYDRATION THERAPY
PACE OF DECLINE
PARENTAL LEAVE
PARENTHOOD FEDERATION
PLACE OF RESIDENCE
POLICY DIALOGUE
POLICY IMPLICATIONS
POLICY MAKERS
POOR HOUSEHOLDS
POPULATION AND DEVELOPMENT
POPULATION DIVISION
POPULATION ISSUES
POST ABORTION
POST ABORTION CARE
POST-ABORTION
POST-ABORTION CARE
POST-ABORTION CONTRACEPTIVE
POSTABORTION
POSTABORTION CARE
POST­ABORTION
POST­ABORTION CARE
PRACTITIONERS
PRIMARY SCHOOL
PROVIDER ATTITUDES
PUBLIC HEALTH
QUALITY SERVICES
REDUCING MATERNAL MORTALITY
REPRODUCTIVE AGE
REPRODUCTIVE BEHAVIOR
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH CARE
REPRODUCTIVE HEALTH POLICIES
REPRODUCTIVE HEALTH SERVICES
RESPECT
RURAL AREAS
RURAL POPULATIONS
RURAL RESIDENCE
SECONDARY EDUCATION
SERVICE DELIVERY
SERVICE DELIVERY SYSTEMS
SERVICE PROVIDERS
SEX
SEX PREFERENCES
SEXUAL INITIATION
SEXUAL PARTNERS
SEXUALLY ACTIVE
SMALL FAMILIES
SOCIAL CHANGE
SOCIAL SCIENCE
SOCIOECONOMIC FACTORS
STATUS OF WOMEN
TEENAGE PREGNANCIES
TEENAGERS
UNFPA
UNINTENDED PREGNANCIES
UNINTENDED PREGNANCY
UNITED NATIONS POPULATION FUND
UNPLANNED PREGNANCIES
UNSAFE ABORTION
UNSAFE ABORTIONS
UNWANTED BIRTHS
UNWANTED PREGNANCIES
UNWANTED PREGNANCY
URBAN POPULATION
URBANIZATION
VICIOUS CYCLE
WOMAN
WORLD HEALTH ORGANIZATION
YOUNG MEN
YOUNG PEOPLE
YOUNG WOMEN
spellingShingle ABORTION
ABORTION COMPLICATIONS
ABORTION RATE
ABORTION SERVICES
ACCESS TO ABORTION
ACCESS TO EDUCATION
ACCESS TO FAMILY PLANNING
ADOLESCENTS
AGE AT MARRIAGE
ANTENATAL CARE
BABY
BEHAVIOR CHANGE
CHANGES IN FERTILITY
CHILD HEALTH
CHILD HEALTH SERVICES
CHILD MORTALITY
CHILD SURVIVAL
CHILDBEARING
CHILDBEARING INTENTIONS
CHILDBIRTH
CHILDREN PER WOMAN
CIVIL SOCIETY ORGANIZATIONS
COMMODITY SECURITY
CONDOM
CONTRACEPTION
CONTRACEPTIVE COMMODITIES
CONTRACEPTIVE INFORMATION
CONTRACEPTIVE METHOD
CONTRACEPTIVE METHODS
CONTRACEPTIVE PREVALENCE
CONTRACEPTIVE SERVICES
CONTRACEPTIVE USE
CONTRACEPTIVES
CULTURAL VALUES
DECLINE IN FERTILITY
DEMAND FOR CONTRACEPTION
DEVELOPING COUNTRIES
DISABILITY
EDUCATIONAL ATTAINMENT
EXPOSURE TO PREGNANCY
FAMILY HEALTH
FAMILY HEALTH INTERNATIONAL
FAMILY INCOME
FAMILY PLANNING
FAMILY PLANNING PROGRAMS
FAMILY PLANNING SERVICES
FAMILY SIZE
FEMALE EDUCATION
FEMALE LABOR FORCE
FERTILITY
FERTILITY BEHAVIOR
FERTILITY CONTROL
FERTILITY DECLINE
FERTILITY DECLINES
FERTILITY LEVELS
FERTILITY PREFERENCES
FERTILITY RATE
FERTILITY RATES
FERTILITY REGULATION
FERTILITY REGULATION METHODS
FERTILITY TRANSITION
FERTILITY TRENDS
FEWER CHILDREN
FIRST BIRTH
FISTULA
GENDER INEQUALITIES
GOVERNMENT POLICIES
HEALTH CARE
HEALTH CARE SERVICES
HEALTH CONSEQUENCES
HEALTH SECTOR
HEALTH SYSTEM
HIV
HOSPITAL
HOUSEHOLD POVERTY
HUMAN DEVELOPMENT
HUMAN IMMUNODEFICIENCY VIRUS
HUSBANDS
IDEAL FAMILY SIZE
IDEAL NUMBER OF CHILDREN
ILL HEALTH
IMMUNIZATION
IMPLICATIONS FOR POPULATION POLICY
IMPROVEMENTS IN CHILD SURVIVAL
INCOMPLETE ABORTIONS
INEQUITIES
INFANT
INFANT DEATHS
INTERCOURSE
INTERNATIONAL CENTER FOR RESEARCH ON WOMEN
IUD
LACK OF INFORMATION
LACK OF KNOWLEDGE
LARGER FAMILIES
LEVELS OF EDUCATION
LEVELS OF FERTILITY
LOW FERTILITY
LOWER FERTILITY
MARRIED WOMEN
MATERNAL DEATHS
MATERNAL HEALTH
MATERNAL MORTALITY
MATERNAL MORTALITY RATIO
MEDICAL TREATMENT
METHOD OF BIRTH CONTROL
METHOD OF CONTRACEPTION
MINIMAL MEDICAL STANDARDS
MINISTRIES OF HEALTH
MODERN CONTRACEPTION
MODERN CONTRACEPTIVE METHODS
MODERN CONTRACEPTIVE USE
MODERN CONTRACEPTIVES
MODERN METHODS OF CONTRACEPTION
MOTHER
NATIONAL HEALTH SYSTEMS
NATIONAL LEVEL
NEED FOR FAMILY PLANNING
NEWBORN
NEWBORN CARE
NUMBER OF ABORTIONS
NUMBER OF CHILDREN
NUMBER OF WOMEN
NUTRITION
NUTRITIONAL STATUS
OBSTETRIC CARE
OBSTETRIC COMPLICATIONS
ORAL CONTRACEPTIVES
ORAL REHYDRATION THERAPY
PACE OF DECLINE
PARENTAL LEAVE
PARENTHOOD FEDERATION
PLACE OF RESIDENCE
POLICY DIALOGUE
POLICY IMPLICATIONS
POLICY MAKERS
POOR HOUSEHOLDS
POPULATION AND DEVELOPMENT
POPULATION DIVISION
POPULATION ISSUES
POST ABORTION
POST ABORTION CARE
POST-ABORTION
POST-ABORTION CARE
POST-ABORTION CONTRACEPTIVE
POSTABORTION
POSTABORTION CARE
POST­ABORTION
POST­ABORTION CARE
PRACTITIONERS
PRIMARY SCHOOL
PROVIDER ATTITUDES
PUBLIC HEALTH
QUALITY SERVICES
REDUCING MATERNAL MORTALITY
REPRODUCTIVE AGE
REPRODUCTIVE BEHAVIOR
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH CARE
REPRODUCTIVE HEALTH POLICIES
REPRODUCTIVE HEALTH SERVICES
RESPECT
RURAL AREAS
RURAL POPULATIONS
RURAL RESIDENCE
SECONDARY EDUCATION
SERVICE DELIVERY
SERVICE DELIVERY SYSTEMS
SERVICE PROVIDERS
SEX
SEX PREFERENCES
SEXUAL INITIATION
SEXUAL PARTNERS
SEXUALLY ACTIVE
SMALL FAMILIES
SOCIAL CHANGE
SOCIAL SCIENCE
SOCIOECONOMIC FACTORS
STATUS OF WOMEN
TEENAGE PREGNANCIES
TEENAGERS
UNFPA
UNINTENDED PREGNANCIES
UNINTENDED PREGNANCY
UNITED NATIONS POPULATION FUND
UNPLANNED PREGNANCIES
UNSAFE ABORTION
UNSAFE ABORTIONS
UNWANTED BIRTHS
UNWANTED PREGNANCIES
UNWANTED PREGNANCY
URBAN POPULATION
URBANIZATION
VICIOUS CYCLE
WOMAN
WORLD HEALTH ORGANIZATION
YOUNG MEN
YOUNG PEOPLE
YOUNG WOMEN
Lule, Elizabeth
Singh, Susheela
Chowdhury, Sadia Afroze
Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia
relation HNP discussion paper series;
description The report consists of three parts: global trends in fertility, contraceptive use and unintended pregnancies; studies of two regions (Africa and Eastern Europe/Central Asia) and two countries (Nigeria and Kazakhstan) on the costs of fertility regulation behaviors and provider attitudes towards contraceptive use. Fertility levels have declined steadily over the last three decades but the pace of decline varies among regions. Countries that have achieved a high level of contraceptive use have reached a lower fertility level. A gap continues to exist between actual and desired family size, resulting in unintended pregnancies. More than one-third of the pregnancies that occur are unintended and one in five pregnancies ends in induced abortion. Almost half of all induced abortions are unsafe, and the proportion of all abortions that are unsafe have increased during the last decade. Sixty-six percent of unintended pregnancies occur among women who are not using any method of contraception. Investing in quality family planning programs is a cost-effective way to address unmet need for contraception and reduce the risks of unsafe abortion, thereby improving maternal health. If contraception were provided to the 137 million women who lack access, maternal mortality will decline by 25-35 percent.
format Publications & Research :: Working Paper
author Lule, Elizabeth
Singh, Susheela
Chowdhury, Sadia Afroze
author_facet Lule, Elizabeth
Singh, Susheela
Chowdhury, Sadia Afroze
author_sort Lule, Elizabeth
title Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia
title_short Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia
title_full Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia
title_fullStr Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia
title_full_unstemmed Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia
title_sort fertility regulation behaviors and their costs : contraception and unintended pregnancies in africa and eastern europe & central asia
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2007/12/9068966/fertility-regulation-behaviors-costs-contraception-unintended-pregnancies-africa
http://hdl.handle.net/10986/13783
_version_ 1764424118836396032
spelling okr-10986-137832021-04-23T14:03:09Z Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia Lule, Elizabeth Singh, Susheela Chowdhury, Sadia Afroze ABORTION ABORTION COMPLICATIONS ABORTION RATE ABORTION SERVICES ACCESS TO ABORTION ACCESS TO EDUCATION ACCESS TO FAMILY PLANNING ADOLESCENTS AGE AT MARRIAGE ANTENATAL CARE BABY BEHAVIOR CHANGE CHANGES IN FERTILITY CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHILD SURVIVAL CHILDBEARING CHILDBEARING INTENTIONS CHILDBIRTH CHILDREN PER WOMAN CIVIL SOCIETY ORGANIZATIONS COMMODITY SECURITY CONDOM CONTRACEPTION CONTRACEPTIVE COMMODITIES CONTRACEPTIVE INFORMATION CONTRACEPTIVE METHOD CONTRACEPTIVE METHODS CONTRACEPTIVE PREVALENCE CONTRACEPTIVE SERVICES CONTRACEPTIVE USE CONTRACEPTIVES CULTURAL VALUES DECLINE IN FERTILITY DEMAND FOR CONTRACEPTION DEVELOPING COUNTRIES DISABILITY EDUCATIONAL ATTAINMENT EXPOSURE TO PREGNANCY FAMILY HEALTH FAMILY HEALTH INTERNATIONAL FAMILY INCOME FAMILY PLANNING FAMILY PLANNING PROGRAMS FAMILY PLANNING SERVICES FAMILY SIZE FEMALE EDUCATION FEMALE LABOR FORCE FERTILITY FERTILITY BEHAVIOR FERTILITY CONTROL FERTILITY DECLINE FERTILITY DECLINES FERTILITY LEVELS FERTILITY PREFERENCES FERTILITY RATE FERTILITY RATES FERTILITY REGULATION FERTILITY REGULATION METHODS FERTILITY TRANSITION FERTILITY TRENDS FEWER CHILDREN FIRST BIRTH FISTULA GENDER INEQUALITIES GOVERNMENT POLICIES HEALTH CARE HEALTH CARE SERVICES HEALTH CONSEQUENCES HEALTH SECTOR HEALTH SYSTEM HIV HOSPITAL HOUSEHOLD POVERTY HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUSBANDS IDEAL FAMILY SIZE IDEAL NUMBER OF CHILDREN ILL HEALTH IMMUNIZATION IMPLICATIONS FOR POPULATION POLICY IMPROVEMENTS IN CHILD SURVIVAL INCOMPLETE ABORTIONS INEQUITIES INFANT INFANT DEATHS INTERCOURSE INTERNATIONAL CENTER FOR RESEARCH ON WOMEN IUD LACK OF INFORMATION LACK OF KNOWLEDGE LARGER FAMILIES LEVELS OF EDUCATION LEVELS OF FERTILITY LOW FERTILITY LOWER FERTILITY MARRIED WOMEN MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MEDICAL TREATMENT METHOD OF BIRTH CONTROL METHOD OF CONTRACEPTION MINIMAL MEDICAL STANDARDS MINISTRIES OF HEALTH MODERN CONTRACEPTION MODERN CONTRACEPTIVE METHODS MODERN CONTRACEPTIVE USE MODERN CONTRACEPTIVES MODERN METHODS OF CONTRACEPTION MOTHER NATIONAL HEALTH SYSTEMS NATIONAL LEVEL NEED FOR FAMILY PLANNING NEWBORN NEWBORN CARE NUMBER OF ABORTIONS NUMBER OF CHILDREN NUMBER OF WOMEN NUTRITION NUTRITIONAL STATUS OBSTETRIC CARE OBSTETRIC COMPLICATIONS ORAL CONTRACEPTIVES ORAL REHYDRATION THERAPY PACE OF DECLINE PARENTAL LEAVE PARENTHOOD FEDERATION PLACE OF RESIDENCE POLICY DIALOGUE POLICY IMPLICATIONS POLICY MAKERS POOR HOUSEHOLDS POPULATION AND DEVELOPMENT POPULATION DIVISION POPULATION ISSUES POST ABORTION POST ABORTION CARE POST-ABORTION POST-ABORTION CARE POST-ABORTION CONTRACEPTIVE POSTABORTION POSTABORTION CARE POST­ABORTION POST­ABORTION CARE PRACTITIONERS PRIMARY SCHOOL PROVIDER ATTITUDES PUBLIC HEALTH QUALITY SERVICES REDUCING MATERNAL MORTALITY REPRODUCTIVE AGE REPRODUCTIVE BEHAVIOR REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICIES REPRODUCTIVE HEALTH SERVICES RESPECT RURAL AREAS RURAL POPULATIONS RURAL RESIDENCE SECONDARY EDUCATION SERVICE DELIVERY SERVICE DELIVERY SYSTEMS SERVICE PROVIDERS SEX SEX PREFERENCES SEXUAL INITIATION SEXUAL PARTNERS SEXUALLY ACTIVE SMALL FAMILIES SOCIAL CHANGE SOCIAL SCIENCE SOCIOECONOMIC FACTORS STATUS OF WOMEN TEENAGE PREGNANCIES TEENAGERS UNFPA UNINTENDED PREGNANCIES UNINTENDED PREGNANCY UNITED NATIONS POPULATION FUND UNPLANNED PREGNANCIES UNSAFE ABORTION UNSAFE ABORTIONS UNWANTED BIRTHS UNWANTED PREGNANCIES UNWANTED PREGNANCY URBAN POPULATION URBANIZATION VICIOUS CYCLE WOMAN WORLD HEALTH ORGANIZATION YOUNG MEN YOUNG PEOPLE YOUNG WOMEN The report consists of three parts: global trends in fertility, contraceptive use and unintended pregnancies; studies of two regions (Africa and Eastern Europe/Central Asia) and two countries (Nigeria and Kazakhstan) on the costs of fertility regulation behaviors and provider attitudes towards contraceptive use. Fertility levels have declined steadily over the last three decades but the pace of decline varies among regions. Countries that have achieved a high level of contraceptive use have reached a lower fertility level. A gap continues to exist between actual and desired family size, resulting in unintended pregnancies. More than one-third of the pregnancies that occur are unintended and one in five pregnancies ends in induced abortion. Almost half of all induced abortions are unsafe, and the proportion of all abortions that are unsafe have increased during the last decade. Sixty-six percent of unintended pregnancies occur among women who are not using any method of contraception. Investing in quality family planning programs is a cost-effective way to address unmet need for contraception and reduce the risks of unsafe abortion, thereby improving maternal health. If contraception were provided to the 137 million women who lack access, maternal mortality will decline by 25-35 percent. 2013-06-05T16:08:40Z 2013-06-05T16:08:40Z 2007-12 http://documents.worldbank.org/curated/en/2007/12/9068966/fertility-regulation-behaviors-costs-contraception-unintended-pregnancies-africa http://hdl.handle.net/10986/13783 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research