Lessons to be learned from the pill approval and unintended pregnancy trends in Japan

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  • GOTO Aya
    Department of Public Health, Fukushima Medical University School of Medicine

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  • 日本の家族計画の経過から学ぶ：経口避妊薬の認可と計画外妊娠を例に

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To identify methods for improving reproductive health in developing countries, we reviewed recent family planning issues in Japan. Findings showed that the process of approval for oral contraceptives in Japan has been influenced by sociopolitical discussions without much focus on women's needs for effective contraceptives. We next analyzed recent abortion trends and conducted surveys on unintended pregnancy. Results showed unintended pregnancy to be highly prevalent, which suggested an association with child rearing outcomes when carried out to term. Additional epidemiologic data is needed to document women's health status and to promote evidence-based health services.<br>Given that Japan and Vietnam share several common characteristics related to reproductive health, we are currently conducting a prospective study of pregnant women in both countries to determine the impact of pregnancy intention on child rearing. Prior to the survey, we started a training program to improve capacity of local health professionals to carry out epidemiologic studies. When assisting developing countries in reaching their health goals, it is important to increase local capacity in collecting scientific evidence and to promote its application in health practice.

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