Breast malignancy is the most frequent carcinoma among females across the world and third-most in Nepal. Early diagnosis of breast cancer through breast health awareness and self-examination, in addition to mammography screening, is a highly feasible and useful technique in poorly resourced settings. However, their intentions, whether to modify behaviors or actions, remain debatable and less explained in the literature. So, we aimed to assess how long an educational intervention affects women’s intention to do a breast self-examination (BSE) and mammography screening. After assessing feasibility, one ward was assigned to the intervention (IG; ward number 30) and control group (CG; ward number 33), and then with inclusion criteria, a total of 360 females (180 each in IG and CG) aged 40–75 years enrolled in the study. After the baseline assessment, participants in the IG were delivered an hour-long breast cancer screening-related lecture-discussion- demonstration session that included BSE and mammography, aided with a silicone dummy. The session was carried out by the female trained nurses. Outcome data were obtained at the baseline, 4, 8, and 12 months following the intervention. Attitudes, perceived behavioral controls (PBCs) and behavioral intents (BIs) of both mammography and BSE at baseline were similar in both IG and CG except in case of subjective norms (SNs). Intents of BSE remained effective for 4 months, whereas for mammography, it was effective only at 4 and 12 months. Moreover, attitudes toward both tests remained intact for 4, 8, and 12 months (p = < .05) consistently. With regards to PBCs, women having good control remained only for 4 months in both screening tests. Further, regarding SN, significant mean changes were observed at 4 and 12 months in BSE, and only at 4 months in mammography screening. The session was effective in sustaining BSE and mammography intentions for at least 4 months. To retain the effects longer (up to 12 months), additional educational strategies focusing on subjective norms and perceived behavioral controls of both tests are highly warranted.

Utilising data from Nepal Demographic and Health Survey from 1996-2016 and some landmark verdicts of the Supreme Court on reproductive rights since the early 1990s, this article evaluates the pace of continuity and change in women’s health status, particularly of reproductive rights of women. Thus, this study aims to identify sociocultural factors that influence women’s health, particularly their reproductive health. Although in the last few decades, Nepal has made substantial achievements in reproductive health service delivery and reduction of childhood mortality, however, performance is rather slow in achieving nutritional and health seeking behaviour. for family planning services, elimination of harmful and discriminatory practices that influences on girls and women’s health adversely. The Supreme Court of Nepal through its series of verdicts has greatly contributed to safeguarding women’s reproductive health progressively, although the full implementation of these landmark verdicts has yet to be materialised. Key findings of this analysis show that health remains gendered in Nepal, from childhood. A major breakthrough could be possible only by removing the social determinants of women’s health.