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WOMEN'S KNOWLEDGE OF ABORTION LAW AND AVAILABILITY OF SERVICES IN NEPAL

Published online by Cambridge University Press:  16 August 2013

SHYAM THAPA ,
SHARAD K. SHARMA  and
NARESH KHATIWADA
SHYAM THAPA*
Affiliation:
Nepal Public Health Foundation, Kathmandu, Nepal
SHARAD K. SHARMA
Affiliation:
Ipas/Nepal, Kathmandu, Nepal
NARESH KHATIWADA
Affiliation:
Ministry of Health and Population, Kathmandu, Nepal
*
1Corresponding author. Email: sthapa22181@gmail.com
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Summary

This paper assesses women's awareness of the liberalization of abortion law and their knowledge of a place for obtaining abortion services in Nepal. The data are from the 2011 Nepal Demographic and Health Survey. The results are compared with data from a similar survey conducted in 2006. Variations in the two measures among several population sub-groups are analysed by performing logistic regression. Among women aged 15–44, 38.7% (CI: 37.8, 39.6) were aware of the legal status of abortion and 59.8% (CI: 58.9, 60.7) knew of a place to have an abortion. The percentages of both measures varied considerably by various population sub-groups. Over a 5-year period, knowledge of the legality of abortion increased by 6.4 percentage points, and awareness of service delivery sites increased by 3.3 percentage points. The increases in both measures were, however, largely limited to higher wealth quintiles and those with higher educational attainment. The results suggest the need to intensify efforts to educate women in Nepal, particularly the most disadvantaged women, about abortion law, including the conditions under which abortion is permitted, and where to access safe abortion services.

Type
Articles
Information
Journal of Biosocial Science , Volume 46 , Issue 2 , March 2014 , pp. 266 - 277
Copyright
Copyright © Cambridge University Press 2013 

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References

Martin, T. C. & Juarez, F. (1995) The impact of women's education on fertility in Latin America: searching for explanations. International Family Planning Perspective 21, 52–57 & 80.Google Scholar
Ministry of Health (MoH) (2003) National Policy on Safe Abortion, 2003 (in Nepali). Family Health Division, Department of Health Services, MoH, Kathmandu.Google Scholar
Ministry of Health and Population (MoHP), New ERA & ICF International Inc. (2012) Nepal Demographic and Health Survey 2011. MoHP, New ERA, Kathmandu, Nepal; ICF, International, Calverton, MD.Google Scholar
Ministry of Health and Population (MoHP) (2011) National Communication Strategy for Maternal, Newborn and Child Health, 2011–16. National Health Education Information Communication Centre, MoHP, Government of Nepal, Kathmandu, Nepal.Google Scholar
Phuyal, P. P. (2013) Knowledge of and Access to Abortion in Kalikot and Myagdi Districts: A Mid-term Assessment Report (in Nepali). Ipas/Nepal, Kathmandu.Google Scholar
Retherford, R. D. & Choe, M. K. (1993) Statistical Models for Causal Analysis. John Wiley and Sons, New York.Google Scholar
Rutstein, S. O. & Johnson, K. (2004) The DHS Wealth Index. DHS Comparative Reports No. 6, ORC Macro, Calverton, MD.Google Scholar
Singh, S., Wulf, D., Hussain, R., Bankole, A. & Sedgh, G. (2009) Abortion Worldwide: A Decade of Uneven Progress. Guttmacher Institute, New York.Google Scholar
Thapa, P. J., Thapa, S. & Shrestha, N. (1992) A hospital-based study of abortion in Nepal. Studies in Family Planning 23(5), 311–318.Google Scholar
Thapa, S. (1995) The human development index: a portrait of the 75 districts in Nepal. Asia-Pacific Population Journal 10(2), 3–15.Google Scholar
Thapa, S. (2004) Abortion law in Nepal: the road to reform. Reproductive Health Matters 12 (24 Supplement), 85–94.Google Scholar
Thapa, S. & Mishra, V. (2003) Mass media exposure among youth in urban Nepal. Asia-Pacific Population Journal 18(1), 5–28.Google Scholar
Thapa, S. & Sharma, S. K. (2012) Women's awareness of liberalization of abortion law and knowledge of place for obtaining services in Nepal. Asia-Pacific Journal of Public Health doi: 10.1177/1010539512454165.Google Scholar
United Nations Development Programme (UNDP) (2004) Nepal Human Development Report 2004: Empowerment and Poverty Reduction. UNDP, Kathmandu, Nepal.Google Scholar
United Nations Development Programme (UNDP) (2009) Nepal Human Development Report 2009: State Transformation and Human Development. UNDP, Kathmandu, Nepal.Google Scholar