TAILIEUCHUNG - IMPROVING REPRODUCTIVE HEALTH IN ROMANIA

Latinas have the second highest teen pregnancy rate (17%), a rate that is almost twice as high as that of white teens. Factors leading to higher teen pregnancy rates among Latinas include lower rates of contraception use and limited knowledge concerning sexuality issues and birth control methods. 49 The consequences of teen pregnancy for young Latinas can be considerable; few teen mothers are able to earn a high school diploma or find a job that pays a living wage. Thus, teen pregnancy often sets into motion a chain of events that leads to lower educational attainment, welfare dependency and. | IMPROVING REPRODUCTIVE HEALTH IN ROMANIA Since the early 1990s the Romanian government has taken dramatic steps to improve women s health following decades of restrictions on family planning that contributed to many unplanned births and unsafe abortions. Working with international donors the government has expanded access to modern contraceptives and related health services and more recently developed a national reproductive health strategy the first of its kind in Eastern Europe. Nevertheless challenges remain in reaching the most vulnerable women and expanding the types and quality of services provided. To help policymakers and program managers assess and respond to current needs three nationwide surveys on reproductive health were conducted during the 1990s. This brief provides highlights of the surveys findings on fertility abortion contraceptive use violence against women and the special needs of young adults. It also highlights some of the steps taken to address issues identified in the survey results as well as remaining challenges. Background In the early 1990s Romania was faced with the reproductive health consequences of a rigorously enforced pronatalist policy in place for more than two decades that restricted women s access to contraception and abortion. In the 1960s the Ceausescu government tried to reverse the country s fertility decline by outlawing abortion restricting all means of contraception launching a propaganda campaign against hormonal contraception and introducing incentives to encourage women to have more births. To avoid unplanned births many women resorted to illegal abortions most of them self-induced or performed by an untrained individual under unsafe conditions which contributed to Romania having the highest maternal death rate in Europe. Because a significant number of births were unplanned state institutions had to house many children whose families who could not afford to raise them. After the fall of Ceausescu s government in .

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