A new wave in the quiet revolution in contraceptive use in Nepal: the rise of emergency contraception

Thapa, Shyam

doi:10.1186/s12978-016-0155-7

Cited by 20 publications

(21 citation statements)

References 5 publications

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“…11 Furthermore, since 2009 steep increase in the use of emergency contraceptive Pills (ECPs) among unmarried girls and married women below 25 has become a growing concern in Nepal. 12,13 Moreover, following the legalization of abortion and initiation of Comprehensive Abortion Services (CAC) in 2004, 'abortion' has been increasing in Nepal 14 the scenario is no different among young people in Nepal. 12 Therefore, the concern remains if ECs and abortions are been used as alternatives to modern contraceptives in Nepal among many adolescents as quoted by some of the experts working in SRH, doctors, medical shopkeepers in the newspaper.…”

Section: Prevalence and Trends Of Contraceptive Usementioning

confidence: 99%

Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

Subedi

Jahan²,

Baatsen

2018

J Nepal Health Res Council

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In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use. Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information. A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed.

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Section: Prevalence and Trends Of Contraceptive Usementioning

confidence: 99%

Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

Subedi

Jahan²,

Baatsen

2018

J Nepal Health Res Council

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“…training programs [41,42]. There is also a large and growing private sector that adolescents with financial resources turn to when government services do not respond to their contraceptive needs [43,44]. However, in many countries, the private sector is largely unregulated, raising concerns about the quality of information and services provided.…”

Section: Adolescent Pregnancy and Childbearingmentioning

confidence: 99%

The Political, Research, Programmatic, and Social Responses to Adolescent Sexual and Reproductive Health and Rights in the 25 Years Since the International Conference on Population and Development

Chandra-Mouli

Ferguson²,

Plesons

et al. 2019

Journal of Adolescent Health

104

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Among the groundbreaking achievements of the International Conference on Population and Development (ICPD) was its call to place adolescent sexual and reproductive health (ASRH) on global health and development agendas. This article reviews progress made in low-and middle-income countries in the 25 years since the ICPD in six areas central to ASRHdadolescent pregnancy, HIV, child marriage, violence against women and girls, female genital mutilation, and menstrual hygiene and health. It also examines the ICPD's contribution to the progress made. The article presents epidemiologic levels and trends; political, research, programmatic and social responses; and factors that helped or hindered progress. To do so, it draws on research evidence and programmatic experience and the expertise and experiences of a wide number of individuals, including youth leaders, in numerous countries and organizations. Overall, looking across the six health topics over a 25-year trajectory, there has been great progress at the global and regional levels in putting adolescent health, and especially adolescent sexual and reproductive health and rights, higher on the agenda, raising investment in this area, building the epidemiologic and evidence-base, and setting norms to guide investment and action. At the national level, too, there has been progress in formulating laws and policies, developing strategies and programs and executing them, and engaging communities and societies in moving the agenda forward. Still, progress has been uneven across issues and geography. Furthermore, it has raced ahead sometimes and has stalled at others. The ICPD's Plan of Action contributed to the progress made in ASRH not just because of its bold call in 1994 but also because it provided a springboard for advocacy, investment, action, and research that remains important to this day.

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“…It has been suggested previously that subjects and courses on modern contraceptive methods and family planning should be introduced in school curricula from the secondary level. [23] ECPs seem to be filling an important niche in reducing unplanned or unwanted pregnancies. [24] An information programme should be designed to educate people to improve the low levels of knowledge and awareness of ECPs.…”

Section: Are You Male or Female?mentioning

confidence: 99%

“…Based on the ECP users' awareness of other available contraceptive methods, as well as their use of other contraceptive methods and the nature of their sexual relationships, it appears unlikely that the ECP is being used as a substitute for regular contraception among the majority of users. [23]…”

Section: How Many Times Can the Ecp Be Used In A Year?mentioning

confidence: 99%

Knowledge of emergency contraceptives among secondary school learners in the rural area of Moletji-Mashashane, Limpopo Province, South Africa

Mamabolo

2017

S Afr J OG

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Background. Teenagers at the reproductive age face the dilemma of choosing the best birth control method. Knowledge of emergency contraceptive pills (ECPs) associated with an intention to use other contraceptive methods has rarely been investigated. This study investigated the knowledge of emergency contraceptives among secondary school learners in the rural area of Moletji-Mashashane, Limpopo Province, South Africa. Objective. To assess the knowledge of and barriers against emergency contraception among secondary school learners. Methods. An anonymous questionnaire was used in the study. It included single and multiple-choice questions. Results. A total of 469 learners aged 14-18 years completed the anonymous, self-administered questionnaire. The results showed that secondary school learners did not have good knowledge of emergency contraceptives; 47.5% reported that they had heard of emergency contraceptives, while 52.5% reported that they had never heard of emergency contraceptives. The majority of learners had misperceptions about the details and safety of ECPs. However, 48.4% reported that emergency contraceptives are effective in preventing pregnancy. Conclusion. The awareness of ECPs was not high in this group. An improved multisectoral approach to education about emergency contraceptives, with greater participation by schools and the Department of Health, is advised. A systematic and long-term intervention among secondary school learners must be conducted to educate learners about emergency contraceptives.

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A new wave in the quiet revolution in contraceptive use in Nepal: the rise of emergency contraception

Cited by 20 publications

References 5 publications

Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

The Political, Research, Programmatic, and Social Responses to Adolescent Sexual and Reproductive Health and Rights in the 25 Years Since the International Conference on Population and Development

Knowledge of emergency contraceptives among secondary school learners in the rural area of Moletji-Mashashane, Limpopo Province, South Africa

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