Sarah Keogh
Biographic Data
| ID | 3583607 |
|---|---|
| NAME | Sarah Keogh |
| GIVEN NAMES | Sarah |
| FAMILY NAME | Keogh |
| SIGNATURE | KEOGH S |
| AFFILIATIONS | Guttmacher Institute |
| ORCID | 0000-0002-2249-9565 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 9 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Leveraging global tools for adolescent and youth health planning and programming
Madagascar, with a significant proportion of its population aged 10-24 years, has developed a comprehensive National Strategic Plan for Adolescent and Youth Health (2025-2030) to improve adolescent and youth health and well-being. This process applied the second edition of Accelerated Action for the Health of Adolescents (AA-HA!) guidance and the Global Action for Measurement of Adolescent Health (GAMA)-recommended indicators to ensure an evidenc…
Progress in providing legal abortion services after law reform
Argentina’s 2021 abortion law grants the right to abortion on-request up to 14 weeks’ gestation, as well as continuing to allow abortion after 14 weeks on specific grounds. The early years after law reform provide a unique opportunity to assess progress and identify barriers, to both inform program improvements and guide other countries undergoing reform. This study assesses the first two years of law implementation. We surveyed a purposive sampl…
Classroom implementation of national sexuality education curricula in four low- and middle-income countries
School-based comprehensive sexuality education (CSE) can help adolescents acquire crucial knowledge and skills to achieve their full potential, particularly in low- and middle-income countries with higher rates of negative sexual and reproductive outcomes. While many low- and middle-income countries have developed CSE curricula, little is known about how these are implemented in the classroom. This multi-country mixed-methods study analysed chall…
Estimating the incidence of abortion
Introduction: Induced abortion is legally permitted in Ghana under specific conditions, but access to services that meet guidelines approved by government is limited. As part of a larger project comparing five methodologies to estimate abortion incidence, we implemented an indirect estimation approach: the Abortion Incidence Complications Methodology (AICM), to understand the incidence of abortion in Ghana in 2017. Methods: We drew a nationally r…
Estimating the incidence of abortion
Introduction Induced abortion estimates are critical for reproductive health programming. In countries like Ghana where abortion is somewhat legally restricted and highly stigmatised, official records are incomplete and different approaches are needed to measure abortion incidence. We conducted a study in Ghana to test five methodologies for estimating incidence: direct reporting, the list experiment, the confidante method, the Abortion Incidence…
Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries
Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. We describe the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. The …
Prevalence and Correlates of Perceived Infertility in Ghana
Perceived infertility is an understudied phenomenon in low‐ and middle‐income countries, where biomedical infertility can have severe consequences, particularly for women. We conducted a nationally representative survey of Ghanaian women, estimated the prevalence of and reasons for perceived infertility, and assessed factors associated with higher levels of perceived infertility using a partial proportional odds model. Among 4,070 women, 13 perce…
Towards comprehensive sexuality education
The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. Based on an analysis of current policy and legal framew…
Estimates of the Incidence of Induced Abortion And Consequences of Unsafe Abortion in Senegal
CONTEXT: Abortion is highly restricted by law in Senegal. Although women seek care for abortion complications, no national estimate of abortion incidence exists. METHODS: Data on postabortion care and abortion in Senegal were collected in 2013 using surveys of a nationally representative sample of 168 health facilities that provide postabortion care and of 110 professionals knowledgeable about abortion service provision. Indirect estimation techn…
Postpartum Contraception in Northern Tanzania
In Tanzania, unmet need for contraception is high, particularly in the postpartum period. Contraceptive counseling during routine antenatal HIV testing could reach 97 percent of pregnant women with much‐needed information, but requires an understanding of postpartum contraceptive use and its relationship to antenatal intentions. We conducted a baseline survey of reproductive behavior among 5,284 antenatal clients in Northern Tanzania, followed by…
Differences in Unintended Pregnancy, Contraceptive Use and Abortion by HIV Status Among Women in Nigeria and Zambia
CONTEXT: Sub-Saharan Africa is burdened by high rates of unintended pregnancy and HIV. Yet little is known about the relationship between these two health risks in the region. Understanding the associations between HIV status and pregnancy decision making may benefit strategies to reduce unintended pregnancy. METHODS: In 2009-2010, household-based surveys of 1,256 women in Nigeria and 1,280 women in Zambia collected information on social and demo…
Bucking social norms
The impact of antenatal HIV diagnosis on postpartum childbearing desires in northern Tanzania
With the expansion of routine antenatal HIV testing, women are increasingly discovering they are HIV-positive during pregnancy. While several studies have examined the impact of HIV on childbearing in Africa, few have focused on the antenatal/postpartum period. Addressing this research gap will help tailor contraceptive counseling to HIV-positive women’s needs. Our study measures how antenatal HIV diagnosis affects postpartum childbearing desires…
Postpartum Contraception in Northern Tanzania
In Tanzania, unmet need for contraception is high, particularly in the postpartum period. Contraceptive counseling during routine antenatal HIV testing could reach 97 percent of pregnant women with much‐needed information, but requires an understanding of postpartum contraceptive use and its relationship to antenatal intentions. We conducted a baseline survey of reproductive behavior among 5,284 antenatal clients in Northern Tanzania, followed by…
Prevalence and Correlates of Perceived Infertility in Ghana
Perceived infertility is an understudied phenomenon in low‐ and middle‐income countries, where biomedical infertility can have severe consequences, particularly for women. We conducted a nationally representative survey of Ghanaian women, estimated the prevalence of and reasons for perceived infertility, and assessed factors associated with higher levels of perceived infertility using a partial proportional odds model. Among 4,070 women, 13 perce…
Bucking social norms
The impact of antenatal HIV diagnosis on postpartum childbearing desires in northern Tanzania
With the expansion of routine antenatal HIV testing, women are increasingly discovering they are HIV-positive during pregnancy. While several studies have examined the impact of HIV on childbearing in Africa, few have focused on the antenatal/postpartum period. Addressing this research gap will help tailor contraceptive counseling to HIV-positive women’s needs. Our study measures how antenatal HIV diagnosis affects postpartum childbearing desires…
The impact of antenatal HIV diagnosis on postpartum childbearing desires in northern Tanzania
With the expansion of routine antenatal HIV testing, women are increasingly discovering they are HIV-positive during pregnancy. While several studies have examined the impact of HIV on childbearing in Africa, few have focused on the antenatal/postpartum period. Addressing this research gap will help tailor contraceptive counseling to HIV-positive women’s needs. Our study measures how antenatal HIV diagnosis affects postpartum childbearing desires…
Differences in Unintended Pregnancy, Contraceptive Use and Abortion by HIV Status Among Women in Nigeria and Zambia
CONTEXT: Sub-Saharan Africa is burdened by high rates of unintended pregnancy and HIV. Yet little is known about the relationship between these two health risks in the region. Understanding the associations between HIV status and pregnancy decision making may benefit strategies to reduce unintended pregnancy. METHODS: In 2009-2010, household-based surveys of 1,256 women in Nigeria and 1,280 women in Zambia collected information on social and demo…
Bucking social norms
Estimates of the Incidence of Induced Abortion And Consequences of Unsafe Abortion in Senegal
CONTEXT: Abortion is highly restricted by law in Senegal. Although women seek care for abortion complications, no national estimate of abortion incidence exists. METHODS: Data on postabortion care and abortion in Senegal were collected in 2013 using surveys of a nationally representative sample of 168 health facilities that provide postabortion care and of 110 professionals knowledgeable about abortion service provision. Indirect estimation techn…
Postpartum Contraception in Northern Tanzania
In Tanzania, unmet need for contraception is high, particularly in the postpartum period. Contraceptive counseling during routine antenatal HIV testing could reach 97 percent of pregnant women with much‐needed information, but requires an understanding of postpartum contraceptive use and its relationship to antenatal intentions. We conducted a baseline survey of reproductive behavior among 5,284 antenatal clients in Northern Tanzania, followed by…
Towards comprehensive sexuality education
The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. Based on an analysis of current policy and legal framew…
Estimating the incidence of abortion
Introduction: Induced abortion is legally permitted in Ghana under specific conditions, but access to services that meet guidelines approved by government is limited. As part of a larger project comparing five methodologies to estimate abortion incidence, we implemented an indirect estimation approach: the Abortion Incidence Complications Methodology (AICM), to understand the incidence of abortion in Ghana in 2017. Methods: We drew a nationally r…
Estimating the incidence of abortion
Introduction Induced abortion estimates are critical for reproductive health programming. In countries like Ghana where abortion is somewhat legally restricted and highly stigmatised, official records are incomplete and different approaches are needed to measure abortion incidence. We conducted a study in Ghana to test five methodologies for estimating incidence: direct reporting, the list experiment, the confidante method, the Abortion Incidence…
Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries
Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. We describe the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. The …
Prevalence and Correlates of Perceived Infertility in Ghana
Perceived infertility is an understudied phenomenon in low‐ and middle‐income countries, where biomedical infertility can have severe consequences, particularly for women. We conducted a nationally representative survey of Ghanaian women, estimated the prevalence of and reasons for perceived infertility, and assessed factors associated with higher levels of perceived infertility using a partial proportional odds model. Among 4,070 women, 13 perce…
Classroom implementation of national sexuality education curricula in four low- and middle-income countries
School-based comprehensive sexuality education (CSE) can help adolescents acquire crucial knowledge and skills to achieve their full potential, particularly in low- and middle-income countries with higher rates of negative sexual and reproductive outcomes. While many low- and middle-income countries have developed CSE curricula, little is known about how these are implemented in the classroom. This multi-country mixed-methods study analysed chall…
Progress in providing legal abortion services after law reform
Argentina’s 2021 abortion law grants the right to abortion on-request up to 14 weeks’ gestation, as well as continuing to allow abortion after 14 weeks on specific grounds. The early years after law reform provide a unique opportunity to assess progress and identify barriers, to both inform program improvements and guide other countries undergoing reform. This study assesses the first two years of law implementation. We surveyed a purposive sampl…
Leveraging global tools for adolescent and youth health planning and programming
Madagascar, with a significant proportion of its population aged 10-24 years, has developed a comprehensive National Strategic Plan for Adolescent and Youth Health (2025-2030) to improve adolescent and youth health and well-being. This process applied the second edition of Accelerated Action for the Health of Adolescents (AA-HA!) guidance and the Global Action for Measurement of Adolescent Health (GAMA)-recommended indicators to ensure an evidenc…
Medicine (11 works) · Population (11 works) · Adolescent Sexual and Reproductive Health (9 works) · Environmental health (8 works) · Pregnancy (8 works) · Global Maternal and Child Health (7 works) · Demography (6 works) · Family planning (6 works) · HIV/AIDS Research and Interventions (6 works) · Obstetrics (6 works)