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Driven by increasing consumption and population numbers, human demands are depleting natural resources essential to support human life, causing damage to crop lands, fresh water supplies, fisheries, and forests, and driving climate change. Within this century, world population could increase by as little as 15% or by more than 50%, depending largely on how we respond. We must face the challenge of accommodating these additional people at the same time as virtually eliminating the use of fossil fuels and other activities that generate greenhouse gases, reversing environmental degradation and supporting improved living standards for billions of impoverished people. The response to this challenge is handicapped by a lack of common understanding and an integrated agenda among those contributing to the response. This report offers a strategy to protect natural systems and improve welfare through expansion of reproductive justice, a concept that includes family planning, reproductive health, and gender equity, and preservation of the environment and climate. [ABSTRACT FROM AUTHOR]

CONTEXT: Long-acting reversible contraceptive (LARC) methods (IUDs and implants) are the most effective and cost-effective methods for women. Although they are safe to place immediately following an abortion, most clinics do not offer this service, in part because of the increased cost. METHODS: In 2009, telephone interviews were conducted with 20 clinicians and 24 health educators at 25 abortion care practices across the country. A structured topic guide was used to explore general practice characteristics; training, knowledge and attitudes about LARC; and postabortion LARC counseling and provision. Transcripts of the digitally recorded interviews were coded and analyzed using inductive and deductive processes. RESULTS: Respondents were generally positive about the safety and effectiveness of LARC methods; those working in clinics that offered LARC methods immediately postabortion tended to have greater knowledge about LARC than others, and to perceive fewer risks and employ more evidence-based practices. LARC methods often were not included in contraceptive counseling for women at high risk of repeat unintended pregnancy, including young and nulliparous women. Barriers to provision were usually expressed in terms of financial cost-to patients and clinics-and concerns about impact on the smooth flow of clinic procedures. Education and encouragement from professional colleagues regarding LARC, as well as training and adequate reimbursement for devices, were considered critical to changing clinical practice to include immediate postabortion LARC provision. CONCLUSION: Despite evidence about the safety and cost-effectiveness of postabortion LARC provision, many clinics are not offering it because of financial and logistical concerns, resulting in missed opportunities for preventing repeat unintended pregnancies. [ABSTRACT FROM AUTHOR]

In this article the authors discuss a report which was issued by former members of the the U.S. Agency for Development's population and reproductive health program in an effort to increase the agency's budget. The authors are critical of a lack of availability to family planning services which U.S. women face. They are supportive of the efforts of U.S. President Barack Obama to increase health funding, improve access to family services and change the U.S. government's abortion policies.