giving women a voice (armenian)
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I. ...................................................................... 10
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IV. ...........................................54
GIVING WOMEN A VOICE PERCEPTIONS & EXPERIENCES WITH CONTRACEPTION & ABORTION IN RURAL ARMENIA
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68 69
1. Abrahamyan R, Avagyan G, Gyulkhasyan
V, Kuyumjyan K, Saghatelyan A, Aghakanyan
A, Arushanyan A. 2012. Prevalence of
and Reasons for Sex-Selective Abortions
in Armenia. United Nations Population
Fund Armenia Country Office, Republic
of Armenia Ministry of Health, and the
Republican Institute of Reproductive Health,
Perinatology, Obstetrics and Gynecology.
2. Barot S. 2012. A Problem-and-Solution
Mismatch: Son Preference and Sex-
Selective Abortion Bans. Guttmacher Policy
Review, 15(2).
3. Bongaarts J. 2013. The Implementation of
Preferences for Male Offspring. Population
and Development Review, 39(2): 185-208.
4. Bongaarts J and Westoff CF. 2000.The
Potential Role of Contraception in Reducing
Abortion, Studies in Family Planning, Volume
31 Number 3 September, pg 193-202.
5. Bradley EH, Curry LA, Devers LJ.
2007. Qualitative Data Analysis for Health
Services Research: Developing Taxonomy,
Themes, and Theory. Health Research and
Educational Trust. 42:4, 1758-1772.
6. Chong E, Tsereteli T, Vardanyan S,
Avagyan G, Winikoff B. 2009. Knowledge,
attitudes, and practice of abortion among
women and doctors in Armenia. The
European Journal of Contraception and
Reproductive Health Care. 14(5); 340-348.
7. Elo S and Kyngs H. 2008. The Qualitative
Content Analysis Process. Journal of
Advanced Nursing, 62(1), 107-115.
8. Hsieh, Hsiu-Fang and Sarah E. Shannon.
2005. The Approaches to Qualitative Content
Analysis. Qualitative Health Research, 15(9),
1277-1288.
9. Li S. 2007. Imbalanced Sex Ratio at Birth
and Comprehensive Intervention in China.
United Nations Population Fund.
10. National Statistical Service [Armenia],
Ministry of Health [Armenia], and ORC
Macro. 2001. Armenia Demographic and
Health Survey 2000. Calverton, Maryland:
National Statistical Service, Ministry of
Health, and ORC Macro.
11. National Statistical Service [Armenia],
Ministry of Health [Armenia], and ORC
Macro. 2006. Armenia Demographic and
Health Survey 2005. Calverton, Maryland:
National Statistical Service, Ministry of
Health, and ORC Macro.
12. National Statistical Service [Armenia],
Ministry of Health [Armenia], and ICF
International. 2012. Armenia Demographic
and Health Survey 2010. Calverton,
Maryland: National Statistical Service,
Ministry of Health, and ICF International.
13. Ngo TD, Park MH, Shakur H, Free C.
2011. Comparative effectiveness, safety and
acceptability of medical abortion at home
and in a clinic: a systematic review. Bull World
Health Organ, 89(5): 360-70. NSS, http://
www.armstat.am/file/doc/99477298.pdf
14. Sacci I, Mkrtchyan Z, Dolyan
N, Armistad A. 2008. Availability
and Affordability of Contraceptive
Commodities in Pharmacies and
Primary Healthcare Facilities in Armenia:
Descriptive Study Report. Project NOVA,
United States Agency for International
Development.
15. Salvador S and Danielian LH. 1999.
CHSR/CPA Report on Qualitative Research
for JHU/PCS IEC Campaign.
16. Sedgh G, Singh S, Henshaw SK,
Bankole A. 2011. Legal Abortion Worldwide
in 2008: Levels and Recent Trends.
Perspectives on Sexual and Reproductive
Health, 43(3): 188-198.
17. Singh S, Remez L and Tartaglione A,
eds. 2010. Methodologies for Estimating
Abortion Incidence and Abortion-
Related Morbidity: A Review. New
York: Guttmacher Institute; and Paris:
International Union for the Scientific
Study of Population.
18. Ulin PR, Robinson ET, Tolley EE.
Qualitative Methods in Public Health: A Field
Guide for Applied Research, 1st Ed. 2005.
Family Health International.
19. Westoff CF. 2005. Recent Trends in
Abortion and Contraception in 12 Countries.
DHS Analytical Studies No. 8. Calverton,
Maryland: ORC Macro.
20. Westoff CF, Sullivan JM, Newby HA,
and Themme AR. 2002. Contraception-
Abortion Connections in Armenia. DHS
Analytical Studies No. 6. Calverton,
Maryland: ORC Macro.
21. World Health Organization. 2012. Safe
abortion: technical and policy guidance
for health systems, 2nd ed. WHO Press.
Retrieved from http://apps.who.int/iris/
bitstream/10665/70914/1/9789241548434_
eng.pdf.
22. World Health Organization. 2011.
Preventing gender-biased sex selection: an
interagency statement OHCHR, UNFPA,
UNICEF, UN Women and WHO.
-
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