Dixon-Mueller Ruth, Germain Adrienne
Am J Public Health. 2007 Jan;97(1):45-51. doi: 10.2105/AJPH.2005.068056. Epub 2006 Mar 29.
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.
尽管联合国千年发展目标中纳入了性健康和生殖健康的若干关键要素,但衡量妇女安全、有效调节生育能力的指标却付诸阙如。我们考量了3组指标在监测生殖健康这一组成部分方面的效用:避孕普及率和总生育率;未满足的避孕需求和意外生育;不安全堕胎和堕胎死亡率。单一的避孕使用衡量指标并不充分。妇女面临的意外生育和不安全堕胎风险也应纳入监测进程,可直接纳入千年发展目标框架,或由报告国政府及其他机构并行开展此项工作。