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Romania Reproductive Health Survey 1993 (Studiul Sanatatea Reproducerii, Romania 1993)
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March 1995
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Description:The 1993 Romania RHS covers: fertility, contraceptive use, maternal and child health services, health seeking behavior, young adult sexual experience, and knowledge of AIDS. n=4,861 women 15-44.
During the previous regime (1966-1989) Romania was the setting of a distinct pronatalist policy and extreme measures were taken to enforce compliance with the law. The restrictive law, which permitted abortion for only very limited medical and social reasons and prohibited importation and distribution of modern contraceptives, had a direct impact on the maternal mortality rate, which rapidly reached exorbitant levels, on women's health and on reproductive behaviors of the society.
After abortion became legal, clinics were inundated by women seeking abortions, whereas the newly created national family planning program had little impact on averting unwanted fertility. Induced abortion was often regarded as the only method of family planning. Consequently, the legally induced abortion rate had reached one of the highest level in the world.
Information about contraceptive use is not routinely collected and little is known about knowledge, attitudes, and perceived effectiveness of contraceptive methods at the national or regional level. This information is particularly useful in assisting policy makers and health planners to assess health services needs, to identify reproductive health behaviors associated with poor health outcomes, and to design better targeted programs for meeting the needs of key population subgroups.
A population-based survey of women of childbearing age with a national representative sample was considered to be the best and most timely way to collect information on fertility, planning status of pregnancies, family planning, health behaviors and use of women's health services, contraception knowledge and attitudes, knowledge about AIDS transmission and prevention, and other reproductive health issues. This study represents not only a valuable source of up-to-date information to evaluate population, health and family planning programs but also a baseline for future studies. With assistance from the Division of Reproductive Health of Centers for Disease Control and Prevention (DRH/CDC), the successful completion of the survey can be a model not only for other national studies, but also for similar surveys in Central and Eastern Europe. We would like to acknowledge all the local and international organizations and persons who contributed to various phases of the survey, who provided financial support and technical assistance and who devoted personnel and equipment.
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