The REACHOUT Bangladesh project, led by BRAC JPGSPH, aimed to strengthen the capacity of close-to-community (CTC) providers by improving the referral system for Menstrual Regulation
10) Among government facilities, almost all of those that provided menstrual regulation
offered postabortion contraceptives to women who received this service; however, among those that provided postabortion care, contraceptive provision varied by facility level--83% of primary-level facilities offered contraceptives to women receiving post abortion care, compared with only 40% of secondary- and tertiary-level facilities.
Some of that decline--though precisely how much cannot be quantified--is likely attributable to the country's menstrual regulation
program, which allows women to establish nonpregnancy safely after a missed period and thus avoid recourse to unsafe abortion.
A new analysis from the Guttmacher Institute shows that oral contraceptives appeal to teenagers for benefits beyond contraception, including menstrual pain, menstrual regulation
, and acne.
A case study of Bangladesh's menstrual regulation
programme describes in detail how a collaborative approach between donors, the government and NGOs has increased the country's capacity to increase women's access to menstrual regulation
There are several factors integral to this fertility decline--the proactive policies of the national government with respect to the promotion of family planning and the legal provision of menstrual regulation
The term menstrual regulation
is well-known in other parts of the world, (8) and this doctor is satisfied with the procedure:
During the same year the menstrual regulation
method of abortion began to be taught at University of Indonesia, despite the fact that abortion remained illegal.
Concerted advocacy efforts by gender advocates successfully led to the provision of prevention and treatment of STIs/RTIs, menstrual regulation
, MCH and family planning services through one-stop clinics, as well as merging of health and family welfare departments in Bangladesh.
Returning to her sociological approach, Fonrobert also raises the interesting premise that Christian efforts to end menstrual regulation
according to Jewish norms might also be interpreted as repressive for women rather than as liberating.
See: Dixon-Mueller R, Innovations in reproductive health care:, menstrual regulation
policies and programs in Bangladesh, Studies in Family Planning, 1988, 19(3):129-140.
17) This group of countries includes Bangladesh, where menstrual regulation
is permitted and reported in official statistics, but abortions are legally restricted, although common.