Contraception
Volume 80, Issue 1 , Pages 68-73 , July 2009

Humanizing access to modern contraceptive methods in national hospitals in Guatemala, Central America

  • Edgar Kestler

      Affiliations

    • Epidemiologic Research Center in Sexual and Reproductive Health, Hospital General San Juan de Dios, Sótano, Guatemala
    • Corresponding Author InformationCorresponding author. Tel.: +502 2221 2391, +502 2230 1494; fax: +502 2221 2392.
  • ,
  • Beatriz Barrios

      Affiliations

    • Epidemiologic Research Center in Sexual and Reproductive Health, Hospital General San Juan de Dios, Sótano, Guatemala
  • ,
  • Elsa M. Hernández

      Affiliations

    • Epidemiologic Research Center in Sexual and Reproductive Health, Hospital General San Juan de Dios, Sótano, Guatemala
  • ,
  • Vinicio del Valle

      Affiliations

    • Guatemalan Ministry of Public Health, Guatemala
  • ,
  • Alejandro Silva

      Affiliations

    • Guatemalan Ministry of Public Health, Guatemala

Received 7 February 2008 ,Revised 2 December 2008 ,Accepted 6 January 2009.

References 

  1. Ministerio de Salud y Asistencia Social , et al. Encuesta Nacional de Salud Materno Infantil (ENSMI). Guatemala: Oscar de León Palacios; 2002;[Ciudad de Guatemala, Guatemala]
  2. INE , et al. Encuesta Nacional de Salud Materno Infantil 1998/1999. Ciudad de Guatemala, Guatemala: INE; 1999;
  3. Ley de Desarrollo Social (Decreto 42-2001), Guatemala.
  4. Ley de Acceso Universal y Equitativo de servicios de planificación familiar y su integración en el programa nacional de salud reproductiva (Decreto 30-2006), Guatemala.
  5. Brambila C, Figueroa W, Taracena B. Situational analysis of post-obstetric event services in public hospitals in Guatemala. FRONTIERS Final Report. Washington (DC): Population Council; 2001;
  6. Medina R, Vernon R, Mendoza I, Aguilar C. Fortalecimiento de los servicios de anticoncepcion en el postparto y postaborto en hospitals de Honduras. FRONTIERS Final Report. Washington (DC): Population Council; 2002;
  7. Centro Legal para Derechos Reproductivos y Políticas Publicas . Mujeres del Mundo: Leyes y Políticas que Afectan sus Vidas Reproductivas. New York: CRLP; 1997;
  8. Guatemala Penal Code Decree No.17-73, Art.133, 137, 1999.
  9. Singh S, Prada E, Kestler E. Induced abortion and unintended pregnancy in Guatemala. Int Fam Plann Perspect. 2006;32:136–145
  10. Farfan O, Kestler E, Abrego de Aguilar M, et al. Información y consejeria en planificación familiar postaborto. Experiencia en cuatro hospitales de Centro América. Rev Cent Am de Ginecol y Obstet. 1997;7:46–56
  11. Kestler E, Valencia L, Del Valle V, Silva A. Scaling up post-abortion care in Guatemala: initial successes at national level. Reprod Health Matters. 2006;14:1–10
  12. Expandiendo Opciones en Salud Reproductiva . In: Diagnostico para identificar intervenciones prioritarias que mejoren el acceso y la calidad de los servicios basicos de salud materna en Guatemala. Washington (DC): Ministerio de Salud Publica Republica de Guatemala; 2002;p. 67
  13. Bruce J. Fundamental elements of the quality of care: a simple framework. Stud Fam Plan. 1990;21:61–91
  14. Sedgh G, Hussain R, Bankole A, Singh S. Women with an unmet need for contraception in developing countries and their reasons for not using a method. Occasional Report. New York: Guttmacher Institute; 2007;[No. 37]
  15. Cromer BA, Smith RD, Blair JM, Dwyer J, Brown RT. A prospective study of adolescents who choose among levonorgestrel implant (Norplant), medroxyprogesterone acetate (Depo-Provera), or the combined oral contraceptive pill as contraception. Pediatrics. 1994;94:687–694
  16. Naessen T, Olsson SE, Gudmindson J. Differential effects on bone density of progestogen-only methods for contraception in premenopausal women. Contraception. 1995;52:35–39
  17. De Broe S, Hinde A, Falkingham J. Why is fertility still so high in Guatemala?. In: Population Association of America 2004 Annual Meeting. Boston. Massachusetts. 2004;
  18. Gragnolati M, Marini A. Health and poverty in Guatemala. World Bank, Policy Research Working Paper, No. WPS 2966. http://econ.worldbank.org.AlessandraMarini2003;
  19. Billings D, Crane B, Benson J, et al. Scaling-up a public health innovation: a comparative study of post-abortion care in Bolivia and Mexico. Soc Sci Med. 2007;64:2210–2222

 We are grateful to the Erik and Edith H. Bergstrom Foundation, knowing that without their financial support, the benefit that this type of intervention has in the public health of less developed countries would be impossible.

PII: S0010-7824(09)00027-4

doi: 10.1016/j.contraception.2009.01.006

Contraception
Volume 80, Issue 1 , Pages 68-73 , July 2009