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| The situation and countermeasure of induced abortion and contraceptive of China in the context of sustainable development goals of UN |
| Institute for Health Sciences, Kunming Medical University，Yunnan Province, 650500 China |
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Abstract To analyze the status of induced abortion and contraceptive in China, and to provide evidence for achieving reproductive health targets listed in Sustainable Development Goals (SDGs) and China’s National Action Plan for 2030 Sustainable Development Goals. Methods：The data of contraceptive prevalence rates, numbers of induced abortions, and numbers of live births were collected from the China Health and Family Planning Statistical Yearbook, and the average number of women of childbearing age was collected from the China Statistical Yearbook. And induced abortion rates and the rations of induced-abortion number to livebirth number were calculated based on these data. Results：The induced abortion rate of Chinese women increased from 2014 to 2016, and that was reached 28.13‰ in 2016, but slightly declined in 2017. The ratios of induced abortion numbers to live-birth numbers showed similar trend as induced abortion rate, which ratios were all above 0.5 in each year during 2014 and 2017. The contraceptive rate of married women with childbearing age had remained above 80% during 2009 and 2017, but had been declining since 2010. There was a lacking of statistical data on the contraceptive prevalence rate of unmarried but sexually active women, although several nationwide surveys had revealed low utilization of contraceptives by these women. Unmarried women accounted for a significant share of the total numbers of induced abortion. Conclusions：Although married women of childbearing age keep a higher contraceptive prevalence rate, the rate of induced abortion of Chinese women also keep high, which implies that the contraceptive services may not sufficient, especially unmarried people have poor access to contraceptive services and their needs for contraceptives are not met. The government should improve the quality of contraceptive services to meet the needs of women and to implement post abortion care so as to reduce abortion and repeated abortion numbers. Special attention should be paid to provide reproductive health services for unmarried people particularly sexually active adolescents to meet their unmet needs for contraceptives. Comprehensive sex education that includes gender equality and rights should be provided for adolescents.
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