Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May

Contraception is an issue of considerable concern to a great many heterosexually active people. Yet the impact of contraceptive technologies in the world today, in particular their implications for kinship, gender relations, and other aspects of social life, receives relatively little scholarly attention. This book brings a new perspective to the study of contraception, by collecting together in one volume leading experts in the fields of contraception, family planning and reproductive health. Contributors look at the social, economic, political and cultural contexts in which contraceptive providers and recipients make decisions about whether and what forms of contraception to use. User perspectives (whether those of recipients or providers of contraceptive services) are taken seriously, as are the perspectives of policy-makers and development experts. With its in-depth, case-study approach, this challenging book will appeal to practitioners and planners in the fields of family planning and reproductive health, as well as to students and academics of applied and medical anthropology, health studies, gender and development studies, or anyone interested in the social, cultural and ethical issues raised by contraceptive technologies.

The "contraceptive revolution" of the 1960s and 1970s introduced totally new contraceptive options and launched an era of research and product development. Yet by the late 1980s, conditions had changed and improvements in contraceptive products, while very important in relation to improved oral contraceptives, IUDs, implants, and injectables, had become primarily incremental. Is it time for a second contraceptive revolution and how might it happen? Contraceptive Research and Development explores the frontiers of science where the contraceptives of the future are likely to be found and lays out criteria for deciding where to make the next R&D investments. The book comprehensively examines today's contraceptive needs, identifies "niches" in those needs that seem most readily translatable into market terms, and scrutinizes issues that shape the market: method side effects and contraceptive failure, the challenge of HIV/AIDS and other sexually transmitted diseases, and the implications of the "women's agenda." Contraceptive Research and Development analyzes the response of the pharmaceutical industry to current dynamics in regulation, liability, public opinion, and the economics of the health sector and offers an integrated set of recommendations for public- and private-sector action to meet a whole new generation of demand.

This data booklet highlights estimates of the prevalence of individual contraceptive methods based on the World Contraceptive Use 2019 (which draws from 1,247 surveys for 195 countries or areas of the world) and additional tabulations obtained from microdata sets and survey reports. The estimates are presented for female and male sterilisation, intrauterine device (IUD), implant, injectable, pill, male condom, withdrawal, rhythm and other methods combined.

Fertility rates and population growth influence economic development. The marked declines in fertility seen in some developing nations have been accompanied by slowing population growth, which in turn provided a window of opportunity for rapid economic growth. For many sub-Saharan African nations, this window has not yet opened because fertility rates have not declined as rapidly there as elsewhere. Fertility rates in many sub-Saharan African countries are high: the total rate for the region is estimated to be 5.1 births per woman, and rates that had begun to decline in many countries in the region have stalled. High rates of fertility in these countries are likely to contribute to continued rapid population growth: the United Nations projects that the region's population will increase by 1.2 billion by 2050, the highest growth among the regions for which there are projections. In June 2015, the Committee on Population organized a workshop to explore fertility trends and the factors that have influenced them. The workshop committee was asked to explore history and trends related to fertility, proximate determinants and other influences, the status and impact of family planning programs, and prospects for further reducing fertility rates. This study will help donors, researchers, and policy makers better understand the factors that may explain the slow pace of fertility decline in this region, and develop methods to improve family planning in sub-Saharan Africa.

The book examines the history of abortion and contraception in Modern Greece from the time of its creation in the 1830s to 1967, soon after the Pill became available. It situates the history of abortion and contraception within the historiography of the fertility decline and the question of whether the decline was due to adjustment to changing social conditions or innovation of contraceptive methods. The study reveals that all methods had been in use for other purposes before they were employed as contraceptives. For example, Greek women were employing emmenagogues well before fertility was controlled; they did so in order to ‘put themselves right’ and to enhance their fertility. When they needed to control their fertility, they employed abortifacients, some of which were also emmenagogues, while others had been used as expellants in earlier times. Curettage was also employed since the late nineteenth century as a cure for sterility; once couples desired to control their fertility curettage was employed to procure abortion. Thus couples did not need to innovate but rather had to repurpose old methods and materials to new birth control methods. Furthermore, the role of physicians was found to have been central in advising and encouraging the use of birth control for ‘health’ reasons, thus facilitating and speeding fertility decline in Greece. All this occurred against the backdrop of a state and a church that were at times neutral and at other times disapproving of fertility control.