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  • Title: Struggling to survive in Russia.
    Author: Gadasina A.
    Journal: Plan Parent Chall; 1997; (1-2):40-2. PubMed ID: 12293463.
    Abstract:
    Abortion has long been the traditional method of family planning (FP) in Russia. Today, abortions are free, but contraception is not. The birth rate has decreased between 1989 and 1995, and the death rate has increased. The present economic situation has had a marked adverse effect on women who are expected to juggle jobs, household duties, and child care responsibilities. In order to survive, women sometimes must engage in work that compromises their health. Many women have resorted in prostitution, and this has caused an unprecedented explosion in the incidence of sexually transmitted diseases, especially syphilis. The number of people newly registered as HIV-positive in the first half of 1997 exceeded the total for 1996. While sex education is still restricted, erotica and pornography is widely available. Cases of syphilis are increasing among the young, and, in 1996, about 2500 girls under age 15 gave birth and an equal number had abortions. Only 12% of all pregnant women and 25% of newborn infants can be considered healthy. In 1994, the government launched a FP program that is being carried out by a few public and private organizations. One of these, the Russian FP Association, has created more than 50 branches in different regions, opened youth centers, and provided sex education and reproductive health counseling. The overall effort has led to a 27% reduction in abortions, and a 25% reduction in abortion mortality. These efforts, however, have been opposed by "pro-life" forces and by the Communist wing of the government that reduced the budget. The FP Association is fighting back by lobbying and explaining the need for its work.
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