Shyama Kuruvilla and colleagues present findings across 12 country case studies of multisectoral collaboration, showing how diverse sectors intentionally shape new ways of collaborating and learning, using “business not as usual” strategies to transform situations and achieve shared goals
Marion Roche and colleagues highlight lessons from a multisectoral project implementing weekly iron supplementation for adolescent girls in West Java, Indonesia, which provides a scalable model for reducing anaemia
ObjectiveTo explore women's experience of unwanted pregnancy and induced abortion in Bolivia, where nearly all induced abortions are carried out in clandestine, unregulated, and unsafe conditions.MethodsQualitative and quantitative research methods, including focus group discussions, in‐depth interviews and a structured survey of women of reproductive age, were used to explore the experience of unwanted pregnancy and induced abortion in poor urban areas of 5 Bolivian cities.ResultsOf the 1175 sexually experienced women surveyed, 13% reported having had an induced abortion. The methods they tried included surgical abortion, taking misoprostol, drinking herbal and chemical preparations, and inflicting physical trauma on themselves. Many women made multiple attempts before successfully terminating a pregnancy. Lack of knowledge and confusion about how to use misoprostol may have contributed to the complications that resulted in seeking postabortion care.ConclusionIncreased access to accurate information and counseling about abortion options are paramount if women are to make informed decisions and minimize health risks.
This paper focusses on the qualitative data from two sub-sets of young women: those we interviewed twice (17), and those who had experienced more than one unintended/unwanted pregnancy (15).
Results:The qualitative research findings demonstrate the complexity of women's contraceptive histories and reproductive lives, and thus the inherent difficulty of establishing causal patterns for more than one abortion, beyond the obvious observation that contraception was not used, or not used effectively. Women who had experienced more than one abortion did, however, express intensified abortion shame.Conclusions: This paper argues that categorising women who have an abortion in different ways depending on previous episodes is not helpful. It may also be damaging, and generate increased stigma, for women who have more than one abortion.
Mary White Kaba and colleagues describe how Cambodia’s national poverty identification system, IDPoor, has provided a nexus for different sectors’ contributions to maternal and child health among the poor
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