Availability and Acceptability of Medical Abortion in Nepal: Health Care Providers' Perspectives

Tamang, Anand; Tamang, Jyotsna

doi:10.1016/s0968-8080(05)26194-3

Cited by 24 publications

(32 citation statements)

References 5 publications

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“…2016; Powell‐Jackson, Acharya, Filippi, and Ronsmans 2015; Reiss et al. 2015b; Tamang, Puri, Lama, and Shrestha 2015; Tamang and Tamang 2005), and South East Asia (Ngo, Park, and Nguyen 2012). In two of the locations, legal restrictions on abortion did not make exceptions to save the mother's life at the time of study (Senegal and Dominican Republic); in the majority abortion was allowed only to save the mother's life or to preserve her health (Nigeria, Mexico, Peru, Paraguay, Bangladesh, Kenya, and Argentina); and in the remaining locations abortion was available on socioeconomic grounds or on request (Zambia, India, Vietnam, and Nepal).…”

Section: Resultsmentioning

confidence: 99%

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Medical Abortion Provision by Pharmacies and Drug Sellers in Low‐ and Middle‐Income Countries: A Systematic Review

Footman¹,

Keenan²,

Reiss³

et al. 2018

Studies in Family Planning

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We undertook a systematic review to assess 1) the level and quality of pharmacy and drug shop provision of medical abortion (MA) in low‐ and middle‐income countries (LMICs) and 2) interventions to improve quality of provision. We used standardized terms to search six databases for peer‐reviewed and grey literature. We double‐extracted data using a standardized template, and double‐graded studies for methodological quality. We identified 22 studies from 16 countries reporting on level and quality of MA provision through pharmacies and drug sellers, and three intervention studies. Despite widespread awareness and provision of MA drugs, even in legally restricted contexts, most studies found that pharmacy workers and drug sellers had poor knowledge of effective regimens. Evidence on interventions to improve pharmacy and drug shop provision of MA was limited and generally low quality, but indicated that training could be effective in improving knowledge. Programmatic attention should focus on the development and rigorous evaluation of innovative interventions to improve women's access to information about MA self‐management in low‐and middle‐income countries.

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Section: Resultsmentioning

confidence: 99%

“…2016; Reiss et al. 2017; Tamang and Tamang 2005), mystery client surveys (where trained researchers pretend to be clients and record their experiences) (6 studies: Billings et al. 2009; Hendrickson et al.…”

Section: Resultsmentioning

confidence: 99%

Medical Abortion Provision by Pharmacies and Drug Sellers in Low‐ and Middle‐Income Countries: A Systematic Review

Footman¹,

Keenan²,

Reiss³

et al. 2018

Studies in Family Planning

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show abstract

“…Unsafe abortion is the termination of pregnancy induced by the woman herself, a non-medical person or a health worker under unhygienic conditions (WHO, 2007). Before legalization of abortion in Nepal, 54% of all hospital admissions were women with post-abortion complications (Tamang & Tamang, 2005). The hypothesis by all 'safe abortion' advocates that legalization of abortion will result in safe abortion and less complication has not materialized.…”

Section: Significance Of Problem the Prevalence Of Induced Abortion mentioning

confidence: 99%

“…According to the report from The Reproductive Health Journal, as of December 2011, a total of 1507 Nepalese health-care providers (881 physicians, 371 staff nurses and 255 auxiliary nurse midwives) received training on Comprehensive Abortion Care services (CAC) and 532 CAC sites were authorized to provide safe abortion services (Tamang & Tamang, 2005). CAC services include pregnancy testing, pre-counseling about pregnancy termination, abortion procedure, potential risks, complications, follow up care on abortion and the need for contraceptive devices (Tamang & Tamang, 2005).…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Pro-life Education on Abortion Attitude Among College Students in Nepal

Shrestha¹

2013

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Since the legalization of abortion in Nepal in 2002, the number of induced abortions has increased. Various national and international organizations have been giving greater attention and effort to enhancing the public's knowledge on legal abortion.However, little research on pro-life education and its impact on abortion attitude have been conducted in Nepal and around the world at large. The purpose of this research was to explore the impact of pro-life education on abortion attitude among college students in Nepal.This one group pretest posttest study was based on the cognitive dissonance theory (CDT) which postulates that education brings attitude change. The study was conducted in Kathmandu, Nepal from December 18 th -24 th , 2012. The research participants consisted of 145 Nepali college students aged 18 years and above from three colleges in Kathmandu city.Descriptive statistics were used to analyze the demographic characteristics of the participants. The results of paired t test showed that there was a significant difference (t= -14.63, df= 144, p=0.000, α=0.05) between the pre-test (x =2.91, SD ±.27) and the posttest (x= 3.22, SD± .24) after pro-life education.This study supports the hypothesis that pro-life education brings change in abortion attitude. In addition, this study supports the application of CDT on pro-life education. Further research is recommended concerning 1) the impact of pro-life education on abortion attitude and behavior change among various population groups, 2) concept analysis on the term "pro-life" and 3) testing of pro-life attitude scale that was developed for iv this study is recommended. The result of this study encourages health care providers and pro-life organizations to continue pro-life education with the hope of reducing the number of abortions worldwide.

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Striving toward safe abortion services in Nepal: A review of barriers and facilitators

Atreya,

Adhikari,

Nepal

et al. 2024

Health Science Reports

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Background and AimsDespite the decriminalization of abortion in Nepal in 2002, unsafe abortion is still a significant contributor to maternal morbidity and mortality. Nepal has witnessed a significant drop in abortion‐related severe complications and maternal deaths owing to the legalization of abortion laws, lowered financial costs, and wider accessibility of safe abortion services (SAS). However, various factors such as sociocultural beliefs, financial constraints, geographical difficulties, and stigma act as barriers to the liberal accessibility of SAS. This review aimed to determine key barriers obstructing women's access to lawful, safe abortion care and identify facilitators that have improved access to and quality of abortion services.MethodsA systematic search strategy utilizing the databases PubMed, CINAHL, Scopus, and Embase was used to include studies on the accessibility and safety of abortion services in Nepal. Data were extracted from included studies through close reading. Barriers and facilitators were then categorized into various themes and analyzed.ResultsOf 223 studies, 112 were duplicates, 73 did not meet the inclusion criteria, and 18 did not align with the research question; thus, 20 studies were included in the review. Various barriers to SAS in Nepal were categorized as economic, geographic, societal, legal/policy, socio‐cultural, health systems, and other factors. Facilitators improving access were categorized as economic/geographic/societal, legal/policy, socio‐cultural, and health systems factors. The patterns and trends of barriers and facilitators were analyzed, grouping them under legal/policy, socio‐cultural, geographic/accessibility, and health systems factors.ConclusionThe review identifies financial constraints, unfavorable geography, lack of infrastructure, and social stigmatization as major barriers to SAS. Economics and geography, legalization, improved access, reduced cost and active involvement of auxiliary nurse‐midwives and community health volunteers are key facilitators.

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Availability and Acceptability of Medical Abortion in Nepal: Health Care Providers' Perspectives

Cited by 24 publications

References 5 publications

Medical Abortion Provision by Pharmacies and Drug Sellers in Low‐ and Middle‐Income Countries: A Systematic Review

Medical Abortion Provision by Pharmacies and Drug Sellers in Low‐ and Middle‐Income Countries: A Systematic Review

The Impact of Pro-life Education on Abortion Attitude Among College Students in Nepal

Striving toward safe abortion services in Nepal: A review of barriers and facilitators

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