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Contraceptive Technology Update

Diaphragm: Update on This Barrier Contraceptive
Diaphragm: Update on this barrier contraceptive Executive Summary The female diaphragm offers hormone-free contraception that is female-initiated and female-controlled. Currently available diaphragms require a pelvic examination and fitting to ensure proper size and placement of the device. * Two ... (Publication: Contraceptive Technology Update)

CNE/CME Objectives & Questions
CNE/CME Objectives After reading Contraceptive Technology Update, the participant will be able to: * identify clinical, legal, or scientific issues related to development and provisions of contraceptive technology or other reproductive services; * describe how those issues affect services and ... (Publication: Contraceptive Technology Update)

Perspectives in Sexual and Reproductive Health

The Association Between Belief in God and Fertility Desires in Slovenia and the Czech Republic
CONTEXT Research on the association between religiosity and fertility—and, particularly, on the effects of secularization on fertility desires and outcomes—has been concerned primarily with mechanisms that are fundamentally institutional and are embedded in formal religious structures. Supplementary explanations focused on noninstitutional dimensions of religiosity have never been tested. METHODS Conventional ordinary least‐squares regression was used to test the association between belief in God (i.e., a personal God or some sort of life force) and fertility desires among 2,251 women aged 18–45 in Slovenia and 951 women aged 15–44 in the Czech Republic who participated in the European Family and Fertility Survey in the mid‐1990s. RESULTS In both samples, substantial proportions of women either were nonbelievers or believed in God but were not institutionally religious. Belief in God was independently associated with fertility desires even in analyses controlling for self‐reported religiosity. Women who believed in a personal God wanted approximately 0.2 more children, and those who believed in a life force wanted approximately 0.1 more children, than nonbelievers. Results were similar across several alternative measures of religiosity. CONCLUSIONS At least some of the connection between religiosity and fertility apparently is attributable to metaphysical beliefs. Future research on the effect of secularization on fertility decline should investigate the potentially distinct effects of different dimensions of religiosity.

Women's Experiences Seeking Publicly Funded Family Planning Services in Texas
CONTEXT Little is known about low‐income women's and teenagers’ experiences accessing publicly funded family planning services, particularly after policy changes are made that affect the cost of and access to such services. METHODS Eleven focus groups were conducted with 92 adult women and 15 teenagers in nine Texas metropolitan areas in July–October 2012, a year after legislation that reduced access to subsidized family planning was enacted. Participants were recruited through organizations that serve low‐income populations. At least two researchers independently coded the transcripts of the discussions and identified main themes. RESULTS Although most women were not aware of the legislative changes, they reported that in the past year, they had had to pay more for previously free or low‐cost services, use less effective contraceptive methods or forgo care. They also indicated that accessing affordable family planning services had long been difficult, that applying and qualifying for programs was a challenge and that obtaining family planning care was harder than obtaining pregnancy‐related care. As a result of an inadequate reproductive health safety net, women experienced unplanned pregnancies and were unable to access screening services and follow‐up care. Teenagers experienced an additional barrier, the need to obtain parental consent. Some women preferred to receive family planning services from specialized providers, while others preferred more comprehensive care. CONCLUSION Women in Texas have long faced challenges in obtaining subsidized family planning services. Legislation that reduced access to family planning services for low‐income women and teenagers appears to have added to those challenges.

Guttmacher Policy Report

Guttmacher Institute Monthly State Policy Update
This update provides information on legislation, as well as relevant executive branch actions and judicial decisions in states across the country

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