{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:09:40Z","timestamp":1765609780414,"version":"3.28.0"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,12]],"date-time":"2016-11-12T00:00:00Z","timestamp":1478908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Women's Health Project (WHP)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether a social marketing initiative focusing on medicated abortion via a mifepristone\/misoprostol \u201ccombipack\u201d has contributed to reducing unsafe abortion in Cambodia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a questionnaire\u2010based cross\u2010sectional study, annual household surveys were conducted across 13 Cambodian provinces in 2010, 2011, and 2012. One married woman of reproductive age who was not pregnant and did not wish to be within the next 2\u00a0years in each randomly selected household was approached for inclusion. Participants were interviewed using a structured questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The questionnaire was completed by 1843 women in 2010, 2068 in 2011, and 2059 in 2012. Manual vacuum aspiration was reported by 61 (72.6%) of 84 women surveyed in 2010 who reported an abortion in the previous 12\u00a0months, compared with only 28 (52.8%) of 53 in 2012 (<jats:italic>P=<\/jats:italic>0.001). The numbers of women undergoing medicated abortion increased from 22 (26.2%) of 84 in 2010 to 27 (49.1%) of 53 in 2012 (<jats:italic>P=<\/jats:italic>0.003), whereas the numbers undergoing unsafe abortion decreased from 4 (4.8%) in 2010 to 0 in 2012 (<jats:italic>P=<\/jats:italic>0.051).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Social marketing of medication abortion coupled with provider training in clinical and behavioral change could have contributed to a reduction in the prevalence of unsafe abortion and shifted the types of abortion performed in Cambodia, while not increasing the overall number of abortions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12022","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T04:43:47Z","timestamp":1484282627000},"page":"205-209","source":"Crossref","is-referenced-by-count":3,"title":["Abortion choices among women in Cambodia after introduction of a socially marketed medicated abortion product"],"prefix":"10.1002","volume":"136","author":[{"given":"Khim","family":"Sotheary","sequence":"first","affiliation":[{"name":"Population Services Khmer  Phnom Penh Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianna","family":"Long","sequence":"additional","affiliation":[{"name":"Population Services Khmer  Phnom Penh Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Mundy","sequence":"additional","affiliation":[{"name":"Population Services International  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmin","family":"Madan","sequence":"additional","affiliation":[{"name":"Population Services International  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul D.","family":"Blumenthal","sequence":"additional","affiliation":[{"name":"Population Services International  Washington DC USA"},{"name":"Stanford University  Palo Alto CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,12]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization.Unsafe abortion: Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008.2011.http:\/\/whqlibdoc.who.int\/publications\/2011\/9789241501118_eng.pdf?ua=1. Accessed September 8 2014."},{"key":"e_1_2_8_3_1","first-page":"122","article-title":"Unsafe abortion: Unnecessary maternal mortality","volume":"2","author":"Haddad Lisa B","year":"2009","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_2_8_4_1","unstructured":"World Health Organization.Reproductive Health Strategy.2004.http:\/\/whqlibdoc.who.int\/hq\/2004\/WHO_RHR_04.8.pdf. Accessed September 15 2014."},{"key":"e_1_2_8_5_1","unstructured":"National Institute of Statistics.Cambodia Demographic and Health Survey 2010.2011.http:\/\/dhsprogram.com\/pubs\/pdf\/FR249\/FR249.pdf. Accessed September 8 2014."},{"key":"e_1_2_8_6_1","unstructured":"Ministry of Planning Cambodia.The Cambodian Millennium Development Goals (CMDGs).http:\/\/www.mop.gov.kh\/home\/cmdgs\/tabid\/156\/default.aspx. Accessed October 10 2016."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01765.x"},{"key":"e_1_2_8_8_1","unstructured":"Population Services International.Cambodia (2009): TRaC Study on Modern Contraceptive Methods Among Women At Reproductive Age in Kampot and Kampong Thom Cambodia Second Round.2009.http:\/\/www.psi.org\/sites\/default\/files\/publication_files\/2009-cambodia_trac_rw_hor_tsr.pdf. Accessed September 8 2014."},{"key":"e_1_2_8_9_1","unstructured":"World Health Organization UNICEF UNFPA and the World Bank.Trends in maternal mortality: 1990 to 2010.2012.https:\/\/www.unfpa.org\/webdav\/site\/global\/shared\/documents\/publications\/2012\/Trends_in_maternal_mortality_A4-1.pdf. Accessed September 8 2014."},{"key":"e_1_2_8_10_1","unstructured":"Ministry of Health.Fast Track Initiative: Road Map for Reducing Maternal & Newborn Mortality.2010.http:\/\/www.unfpa.org\/sowmy\/resources\/docs\/library\/R123_MOHCambodia_2010_Fast_TrackInitiativeRoadMapforReducingMaternalandNewbornMortality.pdf. Accessed September 8 2014."},{"key":"e_1_2_8_11_1","unstructured":"DFID.Health Sector Support Project: Component for Reduction in Maternal Mortality (RMMP) Cambodia. Final Report.2010.http:\/\/www.heart-resources.org\/wp-content\/uploads\/2012\/04\/271741_KH_-_DFID_Cambodia_Reduction_in_Maternal_Mortality_Project_Annual_Review_2009_Report.pdf?19bc4d. Accessed September 8 2014."},{"key":"e_1_2_8_12_1","unstructured":"Mother's Heart Cambodia.Abortion in Cambodia: Care seeking for abortion and family planning services.2008.http:\/\/mothersheart-cambodia.org\/sites\/default\/files\/peer_abortion_cambodia.pdf. Accessed September 15 2014."}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12022","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T13:29:54Z","timestamp":1730208594000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,12]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1002\/ijgo.12022"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12022","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2016,11,12]]}}}