Structural Inequality and the Social Determinants of Unintended Pregnancy

Abstract

This is a study of unintended pregnancies and the social circumstances that give rise to them. It discusses the high prevalence rates of unintended pregnancy and abortion and focuses especially on the reasons for the high incidence of unintended pregnancy in low-income and middle-income countries. Analysis of the social drivers of unintended pregnancy reveals that deep-seated structural inequalities create the context for women’s experiences and decision-making concerning pregnancy and childbearing. Since female empowerment can reduce the high numbers of unintended pregnancies, evidence is provided of what female empowerment means in practical terms for women and girls at risk of unintended pregnancies.