In 2022, there were around 613 thousand legal abortions in the United States. The number of legal abortions in the United States has decreased significantly since the early 1990’s. This number will probably continue to decrease in the coming years since many states have severely limited or completely banned abortion after the overturning of Roe v. Wade by the Supreme Court in 2022. The states with the highest abortion rates In 2022, the rate of legal abortions per live births in the United States was 19.9 per 100. In comparison, in 1990 there were 34.4 abortions per 100 live births. The states with the highest rates of abortion per live births are New Mexico, Illinois, and Florida. In Florida, there were around 37 abortions per 100 live births in 2022. Florida had the highest total number of abortions that year, followed by New York and Illinois. Missouri and South Dakota had the lowest number of abortions in 2022. Out-of-state abortions Critics of the Supreme Court decision to overturn Roe v. Wade argue that while those who can afford it may be able to travel to other states for an abortion if their state bans the procedure, poorer residents will have no such choice. Even before the overturning of Roe v. Wade, out-of-state residents already accounted for a high share of abortions in certain states. In 2022, 69 percent of abortions in Kansas were performed on out-of-state residents, while out-of-state residents accounted for around 62 percent of abortions in New Mexico. Illinois had the highest total number of abortions performed on out-of-state residents that year, with around 16,849 procedures.

The rate of legal abortions in the United States has decreased over the last few decades. In 2022, there were around 19.9 legal abortions per 100 live births, whereas the rate was 34 abortions per 100 live births in the year 1990. Since the overturning of Roe v. Wade by the Supreme Court in 2022, states within the U.S. have the right to severely limit or completely ban abortion if they wish, meaning that access to such procedures varies significantly depending on the state or region. Abortion in the U.S. In 2022, there were over 613,000 legal abortions in the United States. Abortion rates in the U.S. are highest among women aged 25 to 29 years and more common among unmarried women than those who are married. In 2022, there were approximately 38 legal abortions per 100 live births among unmarried women compared to four abortions per 100 live births among women who were married.
Public opinion The issue of abortion has been and remains a divisive topic among the general public and continues to be a relevant political issue. As of May 2023, around 44 percent of the population was estimated to be pro-life, while 52 percent were pro-choice and three percent mixed or neither. However, this distribution has fluctuated over the years, with pro-lifers accounting for a larger percentage than pro-choicers as recently as 2019.

More than ******* abortions were performed in Russia in 2023. Starting from over *** millio* abortions recorded in the country in 2000, the number of terminated pregnancies has continuously decreased over time. The figures include induced abortions as well as miscarriages. The abortion rate in Russia stood at *** procedures per 1,000 live births in 2022. How is abortion regulated in Russia? Abortions are legal in Russia up to the 12th week of pregnancy and up to the 22nd week in cases of rape. They are conducted in state as well as private medical facilities. In 2022, approximately ********* of all pregnancy terminations in the country were conducted in commercial clinics. However, over the past decade, the laws regarding abortion have been tightened, allowing for fewer reasons for pregnancy termination. Moreover, there are proposals to ban abortions in private clinics. In a ranking of European policies by progressiveness and openness to abortion, Russia listed below most Western European countries. Contraception use in Russia Russia was one of the lowest-ranking countries in Europe by access to modern contraception. Approximately ** percent of Russian women aged 15 to 49 years used hormonal contraceptives, while ***** percent used an intrauterine device (IUD). In 2023, the country’s health ministry increased control over the sale and storage of mifepristone and misoprostol, medicines for pregnancy termination.

Number of induced abortions, rates of induced abortions per 1,000 females of same age group, proportions of induced abortions across age groups, and ratios of induced abortions per 100 live births, by age group of patient, 1987 to 2000.

This statistic displays the number of abortions that were legally performed on residents of England and Wales from 2000 to 2022. The number of abortions performed in England and Wales has had slight fluctuations since 2000. In 2000 there were 175,542 performed in England and Wales, by 2022 there were nearly 252 thousand abortions performed in England and Wales.

Abstract

The Turkmenistan Demographic and Health Survey (TDHS 2000) is the first national survey of maternal and child health in Turkmenistan. It is a nationally representative survey of 7,919 women of reproductive age (15-49). Survey fieldwork was conducted from June to September 2000.

The TDHS was sponsored by the Ministry of Health and Medical Industry (MOHMI) of the Republic of Turkmenistan. The Gurbansoltan Eje Clinical Research Center for Maternal and Child Health implemented the survey with technical assistance from the Demographic and Health Surveys Program. The National Institute of State Statistics and Information (Turkmenmelihasabat) conducted sampling activities for the survey. The U.S. Agency for InternationalDevelopment (USAID) provided funding for the survey. UNFPA/Turkmenistan assisted with survey coordination and logistic support.

The purpose of the survey was to develop a single integrated set of data for the government of Turkmenistan to use in planning effective policies and programs in the areas of health and nutrition. TDHS 2000 collected data on women's reproductive history, knowledge and use of contraceptive methods, breastfeeding practices and nutrition, vaccination coverage, and episodes of diseases among children under the age of five. Information on the knowledge of and attitudes toward HIV/AIDS, other sexually transmitted infections, and tuberculosis were also collected. The survey also included the measurement of the hemoglobin level in the blood to assess the prevalence of anemia and measurements of height and weight to assess nutrition status.

The TDHS 2000 also contributes to the growing international database on demographic and health-related variables.

MAIN RESULTS

The TDHS was designed to provide policymakers and program managers at MOHMI with detailed information on the health status of women and children. Some of the health indicators provided by the TDHS-such as fertility and infant mortality rates-are available from other sources. However, other survey indicators are not available from other sources-for example anemia status and nutritional indices for women and children. Thus, when taken together, the TDHS and existing data provide a more complete picture of health conditions in Turkmenistan than was previously available.

• Fertility rates. For the three years preceding the survey (mid-1997 to mid-2000), the estimated crude birth rate was 24.6 births per 1,000 population. This is higher than the MOHMI rate of 20.3 (the average of the annual rates for calendar years 1997 to 1999).

• Knowledge of contraceptive methods is widespread in Turkmenistan. Among currently married women, knowledge of at least one method is universal (99 percent). Married women have knowledge of, on average, six methods of contraception. Married women of all ages, all educational levels, all ethnic groups, and all regions of the country have a high level of knowledge of contraceptive methods.

• Abortion rates. For the three-year period preceding the survey (mid-1977 to mid2000), the total abortion rate for Turkmenistan was 0.9. The total abortion rate was higher in urban areas (1.0 abortions per woman) than in rural areas (0.7 abortions per woman). The highest levels of induced abortion were in Ashgabad City and the Lebap Region (1.1 and 1.2 abortions per woman, respectively).

• Antenatal care. Almost all respondents who gave birth in the last five years (98 percent) received antenatal care from either a doctor (81 percent) or a nurse/midwife (17 percent). In general, in Turkmenistan women seek antenatal care early and continue to receive care throughout their pregnancy. The median number of antenatal care visits is ten.

• Infant Mortality Rates In the TDHS, infant mortality data were collected based on the international definition of a live birth, i.e., a birth that shows any sign of life, irrespective of the gestational age at the time of delivery (United Nations, 1999). Because of the difference between the government data collection system and that of the TDHS in the definition of a live birth, the TDHS estimate of the infant mortality rate (IMR) would be expected to exceed the official government estimates.

• The TDHS was the first study of anemia in Turkmenistan based on a nationally representative sample of women and children. The survey measured the hemoglobin level of capillary blood.

• Acquired Immune deficiency Syndrome(Aids) Compared with other parts of the world, Turkmenistan has been relatively untouched by the AIDS epidemic. Currently, there is only one known case of AIDS and one other person known to be HIV positive in Turkmenistan. Almost no respondents reported that they knew an HIV-infected person or anyone who had died of AIDS.

• Knowledge. Awareness and knowledge ofHIV/AIDSislimited. Seventy-threepercentof respondents reported having heard of HIV/ AIDS, but only 50 percent believe that they could adoptbehavior patterns thatwould reduce their risk of contracting the disease. Further evidence of limited knowledge of HIV/AIDS was the fact that only 31 percent of respondents recognized that condom use is a risk-reducing behavior.

Geographic coverage

The Turkmenistan Demographic and Health Survey (TDHS) is a nationally representative survey. The sample for the 2000 TDHS was designed to allow statistical analysis at the national level, for urban and rural areas, and for the six regions of the country (Ashgabad City, Akhal, Balkan, Dashoguz, Lebap, and Mary).

Analysis unit

• Household
• Women age 15-49

Universe

The population covered by the 2000 TKMDHS is defined as the universe of all women in the reproductive ages (i.e., women 15-49).

Kind of data

Sample survey data

Sampling procedure

SAMPLE DESIGN

The sample for the 2000 TDHS was designed to allow statistical analysis at the national level, for urban and rural areas, and for the six regions of the country (Ashgabad City, Akhal, Balkan, Dashoguz, Lebap, and Mary).

The sample design was specified in terms of a target number of households in the six regions of Turkmenistan. The overall target number of households was set at 6,800. This number was allocated to the regions as follows: 800 to Ashgabad City, 1,000 to each of 4 regions (Akhal, Balkan, Lebap and Mary) and 2,000 to the remaining region (Dashoguz), for which more intensive analysis was desired.

The six regions of the country were further stratified into urban areas (cities, towns and small settlements) and rural areas (villages). The sampling frame consisted of the list of standard segments. Each standard segment was created on the basis of contiguous blocks that have clear boundaries-coinciding to the extent possible with census supervisor areas-and have between 200 and 500 households according to measures of size estimated by projection from to the 1995 Census data.

SAMPLE SELECTION

The sample was designed as a two-stage probability sample. Within regions the sample was to be self-weighting. The first stage involved the selection of standard segments (PSUs) by systematic sampling with probability proportional to size. This resulted in the selection of 231 standard segments:118 in urban areas and 113 in rural areas. A household listing operation was conducted in each selected standard segment. In the second stage, households were selected with probability proportional to the inverse of the first stage selection probability. On average, the number of households selected per standard segment was 28.

Since the sample for each of the six survey regions was self-weighting, the sampling fraction for each region was an important design parameter. The sampling fractions were estimated with projected census figures. The weighting factors for the six survey regions are inversely proportional to the sampling fractions.

SAMPLE IMPLEMENTATION

Implementation of the sample design resulted in the selection of 6,850 households. The data on household membership and age collected in the Household Questionnaire identified 8,250 women eligible for the Women's Questionnaire (i.e., women age 15-49 who were usual household members or who stayed in the household the night before the interviewer's visit).

From the 6,850 selected households, 6,391 were identified as current households and household interviews were completed in 6,302. This yields a household response rate of 98.6 percent. Of the 8,250 women who were eligible respondents, a total of 7,919 were interviewed. This yields an eligible woman response rate of 96.0 percent.

The overall response rate (94.7 percent) is the product of the household response rate and the eligible woman response rate. The overall response rate varies by region from 85.6 percent in Ashgabad City to 97.4 percent in the Balkan Region.

Mode of data collection

Face-to-face

Research instrument

Two questionnaires were used for TDHS 2000: a) the Household Questionnaire and b) Women's Questionnaire. These questionnaires were based on the model survey instruments developed for the MEASURE DHS+ project and were adapted to the data needs of Turkmenistan during consultations with specialists in the area of reproductive health and child health and nutrition. The questionnaires were developed at first in English and then translated into Russian and Turkmen. A pretest was conducted in April 2000. Based on the pretest, the questionnaires were revised and finalized.

a) The Household Questionnaire was used to enumerate all usual members and visitors in a sample household and to collect information related to the socioeconomic status of the household. In the first part of the Household Questionnaire, information was

The number of abortion-related deaths in the U.S. has decreased dramatically since 1973. In 1973, the number of deaths related to abortions was 47. In 2021, the number of reported deaths related to abortions had decreased to just five. Abortion is the act of ending a pregnancy so that it does not result in the birth of a baby. Abortions in the U.S. Abortions can be performed in a surgical setting or a medical setting (the pill). The number of legal abortions reported in the U.S. has generally declined yearly since 1990. The most frequently performed kind of abortion in the U.S. in 2022 were medical abortions. Abortion and the legality and morality of the procedure has been a publicly debated topic in the United States for many years. Public opinions on abortion Opinions on abortion in the United States can be divided into two campaigns. Pro-choice is the belief that women have the right to decide when they want to become pregnant and if they want to terminate the pregnancy through an abortion. Pro-life, is the belief that women should not be able to choose to have an abortion. As of 2023, around 52 percent of the U.S. population was pro-choice, while 44 percent considered themselves pro-life. However, these shares have fluctuated over the past couple decades, with a majority of people saying they were pro-life as recently as 2019.

National trends in estimated abortion incidence and related measures: 2003–2013 and 2000/01-2011.

Number of induced abortions, rates per 1,000 females aged 15 to 44, and ratios per 100 live births, by residence of patient (Canada, province or territory, non-resident of Canada, and abortions reported by American states), by type of facility (hospital or clinic), 1970 to 2000.

A survey of women who obtained an abortion in the United States between June 2021 and July 2022 found that 45 percent of women who received an abortion were insured under Medicaid, while 21 percent had no health insurance at all. This statistic shows the distribution of women in the U.S. who obtained an abortion from June 2021 to July 2022, by health insurance status.

Number of teen pregnancies and rates per 1,000 females, by pregnancy outcome (live births, induced abortions, or fetal loss), by age groups 15 to 17 years and 18 to 19 years, 1998 to 2000.

Beluga (Delphinapterus leucas) from the St. Lawrence Estuary, Canada, have been declining since the early 2000s, suggesting recruitment issues as a result of low fecundity, abnormal abortion rates or poor calf or juvenile survival. Pregnancy is difficult to observe in cetaceans, making the ground-truthing of pregnancy estimates in wild individuals challenging. Blubber progesterone concentrations were contrasted among 62 SLE beluga with a known reproductive state (i.e., pregnant, resting, parturient, and lactating females), that were found dead in 1997–2019. The suitability of a threshold obtained from decaying carcasses to assess reproductive state and pregnancy rate of freshly-dead or free-ranging and blindly-sampled beluga was examined using three statistical approaches and two datasets (135 freshly-harvested carcasses in Nunavik, and 65 biopsy-sampled SLE beluga). Progesterone concentrations in decaying carcasses were considerably higher in known-pregnant (mean ± sd: 365 ± 244 ng g-1 of tissue) than resting (3.1 ± 4.5 ng g-1 of tissue) or lactating (38.4 ± 100 ng g-1 of tissue) females. An approach based on statistical mixtures of distributions and a logistic regression was compared to the commonly-used, fixed threshold approach (here, 100 ng g-1) for discriminating pregnant from non-pregnant females. The error rate for classifying individuals of known reproductive status was the lowest for the fixed threshold and logistic regression approaches, but the mixture approach required limited a priori knowledge for clustering individuals of unknown pregnancy status. Mismatches in assignations occurred at lipid content <10% of sample weight. Our results emphasize the importance of reporting lipid contents and progesterone concentrations in both units (ng g-1 of tissue and ng g-1 of lipid) when sample mass is low. By highlighting ways to circumvent potential biases in field sampling associated with capturability of different segments of a population, this study also enhances the usefulness of the technique for estimating pregnancy rate of free-ranging population.

Number of induced abortions, rates of induced abortions per 1,000 females of same age group, proportions of induced abortions across age groups, and ratios of induced abortions per 100 live births, by age group of patient, 1987 to 2000.

In 2022, there were around *** abortions carried out per 1,000 live births in Georgia, which was the highest rate of abortions in Europe in that year. Sweden and Bulgaria had *** and *** abortions per 1,000 live births, respectively. In Poland, where until very recently abortion was banned apart for some exceptional circumstances, only *** abortions per 1,000 births were conducted in 2022. Births in Europe Bulgaria had the youngest mean age of woman at childbirth in the EU in 2022 at 27.8 years. Romania and Moldova both had mean age for childbirths at just over 28 years of age. On the other hand, the average age at childbirth in Ireland, Spain, and Luxembourg was over 32 years of age. In every EU country, the fertility rate for a woman is under *** children, with some of the lowest rates found in Italy and Spain at ***. Contraception use In 2022, Norway had the highest share of women aged 15 to 49 years using any sort of contraception in Europe, with ** percent using. Czechia and Finland both had high levels of contraception use among women at **** and ** percent respectively. Just over a quarter of women use any form of contraception in Montenegro, the lowest share in Europe.

The aim of the present systematic review and meta-analysis was to identify the main infectious agents related to bovine abortion worldwide in the period between 2000 and 2022. First, we investigated the global prevalence of infectious agents related to bovine abortion. For this analysis, only 27 articles detected of a wide panel of agents were included. The random effects model revealed that the estimated prevalence of the abortifacient agents in bovine abortion was 45.7%. The heterogeneity among studies was high, but Egger’s test showed that there was no publication bias, even though the total number of samples analyzed in these articles was variable. There was no significant effect of the year of the study publication on the estimated prevalence, although an increasing trend was observed over time, possibly due to the implementation of new diagnostic techniques. Then, we analyzed the prevalence of the main transmissible agents in bovine abortion. For this analysis, 76 studies that analyzed 19,070 cases were included. Some infectious agent was detected in 7,319 specimens, and a final diagnosis was reached in 3,977 of these, when both the infectious agent and compatible histopathological changes were detected. We found that Neospora caninum was the most detected agent (22.2%), followed by opportunistic bacteria (21.4%), Chlamydiaceae family (10.9%) and Coxiella burnetii (9.5%). Regarding viral agents, bovine herpes virus type 1 and bovine viral diarrhea displayed similar prevalence rates (approximately 5%). After considering the description of specific histopathological changes, our analyzes showed that N. caninum was a confirmed cause of abortion in 16.7% of the analyzed cases, followed by opportunistic bacteria (12.6%) and Chlamydia spp. (6.8%); however, C. burnetii was only confirmed as a cause of abortion in 1.1% of the cases. For all agents, the heterogeneity among studies was high, and the subgroup analyzes discarded the diagnostic method as the cause of such heterogeneity. This study provides knowledge about the global prevalence of the different infectious agents related to bovine abortion, the most coming of which is N. caninum. In addition, this review reveals the existing deficiencies in the diagnosis of bovine abortion that must be addressed in the future.

Abstract

The Armenia Demographic and Health Survey (ADHS) was a nationally representative sample survey designed to provide information on population and health issues in Armenia. The primary goal of the survey was to develop a single integrated set of demographic and health data, the first such data set pertaining to the population of the Republic of Armenia. In addition to integrating measures of reproductive, child, and adult health, another feature of the DHS survey is that the majority of data are presented at the marz level.

The ADHS was conducted by the National Statistical Service and the Ministry of Health of the Republic of Armenia during October through December 2000. ORC Macro provided technical support for the survey through the MEASURE DHS+ project. MEASURE DHS+ is a worldwide project, sponsored by the USAID, with a mandate to assist countries in obtaining information on key population and health indicators. USAID/Armenia provided funding for the survey. The United Nations Children’s Fund (UNICEF)/Armenia provided support through the donation of equipment.

The ADHS collected national- and regional-level data on fertility and contraceptive use, maternal and child health, adult health, and AIDS and other sexually transmitted diseases. The survey obtained detailed information on these issues from women of reproductive age and, on certain topics, from men as well. Data are presented by marz wherever sample size permits.

The ADHS results are intended to provide the information needed to evaluate existing social programs and to design new strategies for improving the health of and health services for the people of Armenia. The ADHS also contributes to the growing international database on demographic and health-related variables.

Geographic coverage

National

Analysis unit

• Household
• Children under five years
• Women age 15-49
• Men age 15-54

Kind of data

Sample survey data

Sampling procedure

The sample was designed to provide estimates of most survey indicators (including fertility, abortion, and contraceptive prevalence) for Yerevan and each of the other ten administrative regions (marzes). The design also called for estimates of infant and child mortality at the national level for Yerevan and other urban areas and rural areas.

The target sample size of 6,500 completed interviews with women age 15-49 was allocated as follows: 1,500 to Yerevan and 500 to each of the ten marzes. Within each marz, the sample was allocated between urban and rural areas in proportion to the population size. This gave a target sample of approximately 2,300 completed interviews for urban areas exclusive of Yerevan and 2,700 completed interviews for the rural sector. Interviews were completed with 6,430 women. Men age 15-54 were interviewed in every third household; this yielded 1,719 completed interviews.

A two-stage sample was used. In the first stage, 260 areas or primary sampling units (PSUs) were selected with probability proportional to population size (PPS) by systematic selection from a list of areas. The list of areas was the 1996 Data Base of Addresses and Households constructed by the National Statistical Service. Because most selected areas were too large to be directly listed, a separate segmentation operation was conducted prior to household listing. Large selected areas were divided into segments of which two segments were included in the sample. A complete listing of households was then carried out in selected segments as well as selected areas that were not segmented.

The listing of households served as the sampling frame for the selection of households in the second stage of sampling. Within each area, households were selected systematically so as to yield an average of 25 completed interviews with eligible women per area. All women 15-49 who stayed in the sampled households on the night before the interview were eligible for the survey. In each segment, a subsample of one-third of all households was selected for the men's component of the survey. In these households, all men 15-54 who stayed in the household on the previous night were eligible for the survey.

Note: See detailed description of sample design in APPENDIX A of the survey report.

Mode of data collection

Face-to-face [f2f]

Research instrument

Three questionnaires were used in the ADHS: a Household Questionnaire, a Women’s Questionnaire, and a Men’s Questionnaire. The questionnaires were based on the model survey instruments developed for the MEASURE DHS+ program. The model questionnaires were adapted for use during a series of expert meetings hosted by the Center of Perinatology, Obstetrics, and Gynecology. The questionnaires were developed in English and translated into Armenian and Russian. The questionnaires were pretested in July 2000.

The Household Questionnaire was used to list all usual members of and visitors to a household and to collect information on the physical characteristics of the dwelling unit. The first part of the household questionnaire collected information on the age, sex, residence, educational attainment, and relationship to the household head of each household member or visitor. This information provided basic demographic data for Armenian households. It also was used to identify the women and men who were eligible for the individual interview (i.e., women 15-49 and men 15-54). The second part of the Household Questionnaire consisted of questions on housing characteristics (e.g., the flooring material, the source of water, and the type of toilet facilities) and on ownership of a variety of consumer goods.

The Women’s Questionnaire obtained information on the following topics: - Background characteristics - Pregnancy history - Antenatal, delivery, and postnatal care - Knowledge and use of contraception - Attitudes toward contraception and abortion - Reproductive and adult health - Vaccinations, birth registration, and health of children under age five - Episodes of diarrhea and respiratory illness of children under age five - Breastfeeding and weaning practices - Height and weight of women and children under age five - Hemoglobin measurement of women and children under age five - Marriage and recent sexual activity - Fertility preferences - Knowledge of and attitude toward AIDS and other sexually transmitted infections.

The Men’s Questionnaire focused on the following topics: - Background characteristics - Health - Marriage and recent sexual activity - Attitudes toward and use of condoms - Knowledge of and attitude toward AIDS and other sexually transmitted infections.

Cleaning operations

After a team had completed interviewing in a cluster, questionnaires were returned promptly to the National Statistical Service in Yerevan for data processing. The office editing staff first checked that questionnaires for all selected households and eligible respondents had been received from the field staff. In addition, a few questions that had not been precoded (e.g., occupation) were coded at this time. Using the ISSA (Integrated System for Survey Analysis) software, a specially trained team of data processing staff entered the questionnaires and edited the resulting data set on microcomputers. The process of office editing and data processing was initiated soon after the beginning of fieldwork and was completed by the end of January 2001.

Response rate

A total of 6,524 households were selected for the sample, of which 6,150 were occupied at the time of fieldwork. The main reason for the difference is that some of the dwelling units that were occupied during the household listing operation were either vacant or the household was away for an extended period at the time of interviewing. Of the occupied households, 97 percent were successfully interviewed.

In these households, 6,685 women were identified as eligible for the individual interview (i.e., age 15-49). Interviews were completed with 96 percent of them. Of the 1,913 eligible men identified, 90 percent were successfully interviewed. The principal reason for non-response among eligible women and men was the failure to find them at home despite repeated visits to the household. The refusal rate was low.

The overall response rates, the product of the household and the individual response rates, were 94 percent for women and 87 percent for men.

Note: See summarized response rates by residence (urban/rural) in Table 1.1 of the survey report.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors, and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2000 Armenia Demographic and Health Survey (ADHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the ADHS is only one of many samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey

Number of induced abortions, rates per 1,000 females aged 15 to 44, and ratios per 100 live births, by residence of patient (Canada, province or territory, non-resident of Canada, and abortions reported by American states), by type of facility (hospital or clinic), 1970 to 2000.

Abstract

Azerbaijan has undergone major socioeconomic and political changes: the war with Armenia, forced migration and population displacement, economic hardships, and deterioration of health and social services. These changes have affected practically all aspects of life for its people. The reported flaws associated with official statistics have prohibited any meaningful attempts at informed decision making, planning, and program evaluation in reproductive health. A nationwide survey was recommended to assess the reproductive health status of the population during this transition period, a period of profound changes in health needs and access to health care services. The national reproductive health survey conducted in Azerbaijan in 2001 (AZRHS01) is the first nationwide population-based survey aimed at providing a wide array of information about the current status of women's health in that country. The survey will aid in identifying unmet programmatic needs and will serve as a baseline for future studies and evaluations. The AZRHS01 was specifically designed to meet the following objectives:

• To assess fertility, abortion, contraception, and various other reproductive health issues in Azerbaijan.
• To enable policy makers, program managers, and researchers to evaluate existing reproductive health programs and develop new strategies.
• To study factors that affect fertility, contraceptive use, and maternal and infant health, such as geographic and sociodemographic factors, breast-feeding patterns, use of induced abortion, and availability of family planning services.
• To identify characteristics of women at risk for unintended pregnancy.
• To identify high-risk groups and focus additional reproductive health studies on them.
• To obtain data on the knowledge, attitudes, and behavior of young adults 15-24 years of age.
• To provide data on the level of reported STI symptoms and knowledge about transmission and prevention of AIDS.
• To provide data on women living in prolonged displacement.

Similar to the survey conducted in Georgia, completed in 2000, the AZRHS01 included an oversample of refugee women and women internally displaced by war and ethnic cleansing to document their specific health needs. The disruption associated with living in improvised settings makes safe motherhood difficult, limits contraceptive access and use, increases the risks of HIV/AIDS and other STIs, neglects the special needs of adolescents, and may increase the risk of violence against women. Public health surveillance systems often exclude data collection and analysis essential to addressing the specific issues of IDP/Rs. To our knowledge, no country or organization has attempted parallel documentation of the reproductive health status of a nation and an internally displaced group within the country. By collecting information from the general population and from IDP/Rs, the AZRHS01 can document specific needs associated with displacement, account for differences in reproductive health status between the two populations, and provide a useful tool for evaluating existing reproductive health programs and activities that specifically address displaced women and children.

The Division of Reproductive Health, U.S. Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, coordinated survey activities and provided technical assistance to the local implementing agency, the Adventist Development and Relief Agency (ADRA), Baku, Azerbaijan.

Funding was provided by the United States Agency for International Development (USAID)—through the umbrella agreement managed by Mercy Corps (MC)—the United Nations Population Fund (UNFPA), and United Nations High Commissioner for Refugees (UNHCR).

Geographic coverage

The AZRHS01 is based on face-to-face interviews with 7,668 women at their homes. The survey was designed to collect information from a representative sample of women of reproductive age throughout Azerbaijan (excluding the autonomous region of Nakhchivan and the occupied territories of Nagorno-Karabakh and surrounding areas).

Universe

The universe from which the respondents were selected included all females between the ages of 15 and 44 years, regardless of marital status, who were living in households in Azerbaijan when the survey was carried out

Kind of data

Sample survey data [ssd]

Sampling procedure

The household survey used a stratified multistage sampling design using the recent 1999 census as the sampling frame (State Committee of Statistics of the Azerbaijan Republic [SCS], 2000). For the AZRHS01, the geographic area of the Azerbaijan Republic was divided into four independent sampling strata. The strata were created by grouping regions with a similar concentration of IDPs and refugees (IDP/Rs), as recorded by the United Nations High Commissioner for Refugees (UNHCR, 2000). The sample was selected with probability proportional to the population size (PPS) within each stratum. Stratum 1 included six rayons that each consisted of more than 30% of their population constituted by IDP/Rs: Fizuli (53%), Xanlar (51%), Barda (44%), Naftalan (40%), Aghjabedi (32%), and Bilasuvar (31%). Stratum 2 included five rayons in which the IDP/Rs represented 20%-30% of the population: Imishli (25%), Saatli (23%), Belagan (22%), Mingechevir (21%), and Terter (20%). Stratum 3 included only the Baku district, which also had a relatively high concentration of IDP/Rs (14%). Stratum 4 included all other rayons, except those in Nakhchivan and the occupied territories of Nagorno-Karabakh and surrounding areas.

Regions with high concentrations of IDP/Rs (Strata 1 and 2) were oversampled for programmatic reasons. The oversampling in regions heavily populated by IDP/Rs was needed to include enough displaced women in the sample to allow independent estimates of their reproductive health status. This technique illustrates how surveys may be designed and integrated in the development, monitoring, and evaluation of targeted reproductive health programs. The oversampling of IDP/Rs was specifically designed to assess the reproductive health status of these women and measure the impact of the Azerbaijan Humanitarian Assistance Project (AHAP) funded by USAID and various projects targeting the IDP population supported by UNHCR and UNFPA. These projects aim to reduce the reliance on induced abortion by increasing access to and availability of effective contraceptive methods and by reducing the prevalence of STDs through the promotion of healthy behaviors among women (e.g., routine gynecologic exams) and child survival activities. These projects encompass various interventions, such as the establishment of modern health clinics for women; training of health professionals; development of information, education, and communication messages; social marketing; and provision of high-quality contraceptive supplies.

The first stage of the three-stage sample design was a selection of Census sectors with probability proportional to the number of households in each sector, after the sectors were grouped into four strata. This stage was accomplished by using a systematic sample with a random start in each stratum. During the first stage, 300 census sectors were selected and became primary sampling units (PSUs), as follows: Baku (80 PSUs), regions with more than 30% of the population being IDP/Rs (100 PSUs), regions with 20%-30% of the population being IDP/Rs (50 PSUs), and all other regions (70 PSUs). In the second stage of sampling, clusters of households were randomly selected in each census sector chosen in the first stage. The cluster size was based on the number of households required to obtain an average of 20 completed interviews per cluster. The total number of households in each cluster took into account estimates of unoccupied households, average number of women aged 15-44 per household, the interview of only one respondent per household, and an estimated response rate of 90% in urban areas and 92% in rural areas. Finally, in each of the households selected, one woman between age 15 and 44 was selected at random for interview (ifthere was more than one woman was in the household).

Because only one woman was selected from each household containing women of reproductive age, all results have been weighted to compensate for the fact that some households included more than one eligible female respondent. Survey results were also weighted to adjust for oversampling of households in the regions with a high concentration of IDP/R population and the undersampling in regions in which less than 20% of the population consisted of IDP/Rs.

Mode of data collection

Face-to-face [f2f]

Research instrument

The questionnaire included information on each woman's education, employment, living arrangements, and other background characteristics as well as histories of marriage, divorce, cohabitation, sexual activity, pregnancy, and contraceptive use. Additional questions investigated health risk behaviors that may affect reproductive health (e.g., smoking and drinking habits), women's health screening practices, and intimate partner violence. The questionnaire was developed in English, translated into Azeri and Russian, and translated back to ensure accuracy and linguistic equivalency.

Response rate

Of the 11,162 households selected in the household sample, 8,246 included at least one eligible woman (aged 15-44 years). Of those, 7,668 women were successfully interviewed, yielding a response rate of 93%. About 5% of women were absent and could not be interviewed during several revisits. Virtually all respondents who were selected to participate and who could be reached agreed to be interviewed (the

This statistic shows the number of abortions in Germany from 1996 to 2023. In 2023, there were 106,218 terminated pregnancies in Germany. This was an increase of almost 3,000 compared to the year before.

The 2015-16 Armenia Demographic and Health Survey (2015-16 ADHS) is the fourth in a series of nationally representative sample surveys designed to provide information on population and health issues. It is conducted in Armenia under the worldwide Demographic and Health Surveys program. Specifically, the objective of the 2015-16 ADHS is to provide current and reliable information on fertility and abortion levels, marriage, sexual activity, fertility preferences, awareness and use of family planning methods, breastfeeding practices, nutritional status of young children, childhood mortality, maternal and child health, domestic violence against women, child discipline, awareness and behavior regarding AIDS and other sexually transmitted infections (STIs), and other health-related issues such as smoking, tuberculosis, and anemia. The survey obtained detailed information on these issues from women of reproductive age and, for certain topics, from men as well.The 2015-16 ADHS results are intended to provide information needed to evaluate existing social programs and to design new strategies to improve the health of and health services for the people of Armenia. Data are presented by region (marz) wherever sample size permits. The information collected in the 2015-16 ADHS will provide updated estimates of basic demographic and health indicators covered in the 2000, 2005, and 2010 surveys.The long-term objective of the survey includes strengthening the technical capacity of major government institutions, including the NSS. The 2015-16 ADHS also provides comparable data for longterm trend analysis because the 2000, 2005, 2010, and 2015-16 surveys were implemented by the same organization and used similar data collection procedures. It also adds to the international database of demographic and health–related information for research purposes.