Marital status and abortion among young women in Rupandehi, Nepal

Andersen, Kathryn; Khanal, Ram Chandra; Teixeira, Alexandra; Neupane, Shailes; Sharma, Sharad; Acre, Valerie; Gallo, Maria

doi:10.1186/s12905-015-0175-4

Cited by 24 publications

(22 citation statements)

References 22 publications

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“…In a patriarchal society like Nepal, married women are under intense pressure to have a male child that could contribute to abortion [ 40 ]. The pressure on women to bear sons as well as knowing those seeking abortion for gender preferences is a difficult task for health workers [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Medical abortion kit dispensing practices of community pharmacies in Pokhara Metropolitan, Nepal

Dangi

Subedi

Gyawali³

et al. 2021

PLoS ONE

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Background Medical abortion (MA) refers to the use of medicines to terminate the pregnancy. There is an urgent need to spread safe abortion services in the community. This study assessed the MA kit dispensing practices of community pharmacies in Pokhara Valley, Nepal. Methods A cross-sectional descriptive study was conducted in Pokhara Valley, Nepal from December 2017 to November 2018. Among the community pharmacies of Pokhara Valley, 115 community pharmacies were selected using a consecutive sampling method. A semi-structured questionnaire was used to collect data. MA kit and related information were requested by simulated male clients visiting the community pharmacies. The information obtained from the pharmacy workers was recorded in the data collection sheet. Results Nine brands of MA kit from eight manufacturing companies were found in practice in Pokhara Valley, out of those only five (56%) were registered in Nepal. Seven brands were sold at more than the labeled price. The pharmacy workers asked about the gestational age and confirmation of pregnancy in all the cases. Most of them counseled the clients on the frequency, duration, and direction of use. Dispensing practice and level of counseling were found to be significantly correlated (r = 0.40, p value = 0.01). Conclusion Despite the awareness of the pharmacy workers on the MA kit, most of them provided limited information to the clients. Nearly half unregistered MA kits were found in practice at the community pharmacies. Thus, the Department of Drugs Administration and other concerned authorities must provide relevant training and awareness programs to the pharmacy workers of the community pharmacies for preventing the malpractice of MA kit. The Government of Nepal must restrict the illegal entry of unregistered brands and assure the standards of MA kit by regulating drug acts and policies effectively.

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Section: Discussionmentioning

confidence: 99%

Medical abortion kit dispensing practices of community pharmacies in Pokhara Metropolitan, Nepal

Dangi

Subedi

Gyawali³

et al. 2021

PLoS ONE

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“…As such, women who are cohabiting may not want to give birth outside marriage to escape ridicule from society. Moreover, unmarried women are more likely to indicate that they will support a friend who needed an abortion or feel confident that they could help a friend obtain the service [ 54 ]. The high prevalence of pregnancy termination among cohabiting women can also be linked to the high prevalence of unintended pregnancies among never married women [ 23 , 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys

et al. 2020

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Introduction Pregnancy termination is one of the key issues that require urgent attention in achieving the third Sustainable Development Goal (SDG) of ensuring healthy lives and promoting well-being for all at all ages. The reproductive health decision-making (RHDM) capacity of women plays a key role in their reproductive health outcomes, including pregnancy termination. Based on this premise, we examined RHDM capacity and pregnancy termination among women of reproductive age in sub-Saharan Africa (SSA). Materials and methods We pooled data from the women’s files of the most recent Demographic and Health Surveys (DHS) of 27 countries in SSA, which are part of the DHS programme. The total sample was 240,489 women aged 15 to 49. We calculated the overall prevalence of pregnancy termination in the 27 countries as well as the prevalence in each individual country. We also examined the association between RHDM capacity, socio-demographic characteristics and pregnancy termination. RHDM was generated from two variables: decision-making on sexual intercourse and decision-making on condom use. Binary logistic regression analysis was conducted and presented as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with their corresponding 95% confidence intervals (CI). Statistical significance was declared p<0.05. Results The prevalence of pregnancy termination ranged from 7.5% in Benin to 39.5% in Gabon with an average of 16.5%. Women who were capable of taking reproductive health decisions had higher odds of terminating a pregnancy than those who were incapable (AOR = 1.20, 95% CI = 1.17–1.24). We also found that women aged 45–49 (AOR = 5.54, 95% CI = 5.11–6.01), women with primary level of education (AOR = 1.14, 95% CI = 1.20–1.17), those cohabiting (AOR = 1.08, 95% CI = 1.04–1.11), those in the richest wealth quintile (AOR = 1.06, 95% CI = 1.02–1.11) and women employed in the services sector (AOR = 1.35, 95% CI = 1.27–1.44) were more likely to terminate pregnancies. Relatedly, women who did not intend to use contraceptive (AOR = 1.47, 95% CI = 1.39–1.56), those who knew only folkloric contraceptive method (AOR = 1.25, 95% CI = 1.18–1.32), women who watched television almost every day (AOR = 1.16, 95% CI = 1.20–1.24) and those who listened to radio almost every day (AOR = 1.11, 95% CI = 1.04–1.18) had higher odds of terminating a pregnancy. However, women with four or more children had the lowest odds (AOR = 0.5, 95% CI = 0.54–0.60) of terminating a pregnancy. Conclusion We found that women who are capable of taking reproductive health decisions are more likely to terminate pregnancies. Our findings also suggest that age, level of education, contraceptive use and intention, place of residence, and parity are associated with pregnancy termination. Our findings call for the implementation of policies or the strengthening of existing ones to empower women about RHDM capacity. Such empowerment could have a positive impac...

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“…History of abortion was given by 3.2% respondents in a study by Anderson et al 22 while our study had a 14% respondents with history of abortion. The increase in our respondents may be due to the fact of inclusion of women of reproductive age group 16-49 years, as in earlier study the sample included women of 16-24 years only.…”

Section: Discussionmentioning

confidence: 59%

“…However, a contradictory finding has been reported in study in Rupandehi District. 22 More than half (65%) of respondents had a knowledge about abortion law with 81.40% knowing that abortion was legal in our country. In addition, a study done at Kathmandu Marie Stopes clinic 23 showed that among the abortion seekers 59% knew that abortion was legal and two most conditions for abortion was mentioned as health status of mother (43.4%) and incase of rape/incest (32.2%).…”

Section: Discussionmentioning

confidence: 91%

Abortion Law awareness and Abortion Services Utilization among reproductive age women of Inarwa municipality of Eastern Nepal

Khanal

Ghimire

Bhattachan

et al. 2020

J. Gandaki Med. Coll. Nepal

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Introduction: Globally, reproductive health and quality of life among female population has been found to be unsatisfactory in developing world. Until 1963, Nepal’s 1854 legal code known as MulukiAin was revised numerous times that banned abortion exempting risk of women’s life. Enactment of New Abortion Policy from 2003 brought landmark reforms to the women’s choice in family planning methods and ended the sufferings of lengthy prison sentences for abortion crimes. This study was conducted to explore the level of awareness about abortion law with regard to health care utilization among women of reproductive age group along with its association with socio-demographic characteristics. Methodology: A cross-sectional study was conducted in March 2014, in Inarwa Municipality among women of reproductive age group (16 to 49 years). Convenient sampling was done to collect data from households. Data was entered and analyzed in SPSS 11.5 and presented in tabular form. Chi-square test was used to show association of awareness of abortion law and socio-demographic variables. Results: education, age at first marriage and age at 1st pregnancy was found to be significant (p value: <0.005). Conclusion: As media was the most used source of information, more education on awareness of abortion law and health care utilization should be disseminated through this medium.

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Marital status and abortion among young women in Rupandehi, Nepal

Cited by 24 publications

References 22 publications

Medical abortion kit dispensing practices of community pharmacies in Pokhara Metropolitan, Nepal

Medical abortion kit dispensing practices of community pharmacies in Pokhara Metropolitan, Nepal

What has women’s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys

Abortion Law awareness and Abortion Services Utilization among reproductive age women of Inarwa municipality of Eastern Nepal

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