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AJPH First Look, published online ahead of print Mar 29, 2006
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January 2007, Vol 97, No. 1 | American Journal of Public Health 45-51
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2005.068056

FRAMING HEALTH MATTERS

Fertility Regulation and Reproductive Health in the Millennium Development Goals: The Search for a Perfect Indicator

Ruth Dixon-Mueller, PhD and Adrienne Germain, MA

Ruth Dixon-Mueller is an independent consultant and Adrienne Germain is with the International Women’s Health Coalition in New York.

Correspondence: Requests for reprints should be sent to Ruth Dixon-Mueller, Apartado 110, Grecia 4100, Costa Rica (e-mail: dixonmueller{at}yahoo.com).

Although several key elements of sexual and reproductive health are included in the United Nations Millennium Development Goals, a measure of women’s capacity to regulate their fertility safely and effectively is missing. We considered the usefulness of 3 pairs of indicators in monitoring this component of reproductive health: contraceptive prevalence and total fertility; unmet need for contraception and unplanned births; and unsafe abortion and abortion mortality.

A single measure of contraceptive use is insufficient. The risks women face from unplanned births and unsafe abortion should also be incorporated into the monitoring process, either directly within the Millennium Development Goals framework or as a parallel effort by reporting governments and other agencies.






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