The authors declare that they have no competing interests.
Authors contributed in the following ways: study design (KA, RK, AT, SN, SS), implementation (RK, SN, SS), analysis (KA, VA, MG) and writing (KA, MG). All authors reviewed and approved the final version of the manuscript.
Despite liberalization of the Nepal abortion law, young women continue to experience barriers to safe abortion services. We hypothesize that marital status may differentially impact such barriers, given the societal context of Nepal.
We evaluated differences in reproductive knowledge and attitudes by marital status with a probability-based, cross-sectional survey of young women in Rupandehi district, Nepal. Participants (N = 600) were surveyed in 2012 on demographics, romantic experiences, media habits, reproductive information, and abortion knowledge and attitudes. We used logistic regression to assess differences by marital status, controlling for age.
Participants, who comprised never-married (54%) and ever-married women (45%), reported good access to basic reproductive health and abortion information. Social desirability bias might have prevented reporting of premarital romantic and sexual activity given that participants reported more premarital activities for their friends than for themselves. Only 45% knew that abortion was legal, and fewer ever-married women were aware of abortion legality. Never-married women expected more negative responses from having an abortion than ever-married women.
Findings highlight the need for providing sexual and reproductive health care information and services to young women regardless of marital status.
Samandari G, Wolf M, Basnett I, Hyman A, Andersen K. Implementation of legal abortion in Nepal: a model for rapid scale-up of high-quality care. Reprod Health. 2012;9(7):1742–4755.
Pradhan A, Suvedi BK, Sharma SK, Puri M, Poudel P, Chitrakar SR, et al. Nepal maternal mortality and morbidity study 2008/2009. Kathmandu, Nepal: Family Health Division, Department of Health Services, Ministry of Health and Population, Government of Nepal; 2012.
Turner KL, Börjesson E, Huber A, Mulligan C. Abortion care for young women: a training toolkit. Ipas: Chapel Hill, NC; 2011.
World Health Organization, Trust CMA, UNICEF. Orientation programme on adolescent health for health-care providers. Geneva, Switzerland: World Health Organization; 2006.
Klingberg-Allvin M, Van Tam V, Nga NT, Ransjo-Arvidson AB, Johansson A. Ethics of justice and ethics of care values and attitudes among midwifery students on adolescent sexuality and abortion in Vietnam and their implications for midwifery education: a survey by questionnaire and interview. Int J Nurs Stud. 2007;44(1):37–46. CrossRefPubMed
World Health Organization, Department of Reproductive Health and Research. Sexual relations among young people in developing countries: evidence from WHO case studies. Geneva, Switzerland: World Health Organization; 2001.
Ministry of Health and Population (MOHP), New ERA, ICF International Inc. Nepal demographic and health survey 2011. Kathmandu, Nepal: Ministry of Health and Population, New ERA and ICF International, Calverton, Maryland; 2012.
Uprety S, Jha N, Poudel IS, Pokharel PK, Poudel M, Niraula SR. Impact and determinants of gender preference in Duhavi VDC of eastern Nepal. JNMA J Nepal Med Assoc. 2011;51(181):28–33. PubMed
Chhetri UD, Ansari I, Bhandary S, Adhikari N. Sex preferences among mothers delivering at Patan Hospital. Kathmandu Univ Med J. 2011;9(4):229–32.
Center for Research on Environment Health and Population Activities (CREHPA). Sex selection: pervasiveness and preparedness in Nepal. Kathmandu, Nepal: CREHPA; 2007.
Ghimire L, Smith WC, van Teijlingen ER. Utilisation of sexual health services by female sex workers in Nepal. BMC Health Serv Res. 2011;11(79):1472–6963.
Thapa S, Neupane S, Basnett I, Ramnarayan K, Read E. Women having abortion in urban Nepal: 2005 and 2010 compared. Kathmandu Univ Med J. 2012;10(39):8–13.
Central Bureau of Statistics (CBS), International Centre for Integrated Mountain Development (ICIMOD/MENRIS). Districts of Nepal: indicators of development. Kathmandu, Nepal: International Centre for Integrated Mountain Development; 2003.
Central Bureau of Statistics. National population and housing census 2011, Vol 2. National planning commission secretariat. Kathmandu: Central Bureau of Statistics; 2012.
World Health Organization. Safe abortion: technical policy guidance for health systems. 2nd ed. Geneva, Switzerland: World Health Organization; 2012.
Gyan Bahadur BC, Basel PL. Premarital sex behaviors among college youths of Kathmandu Nepal. KUMJ. 2013;41(1):27–31.
Bart Johnston H. Abortion practice in India: a review of literature. Mumbai, India: Centre for Enquiry into Health and Allied Themes; 2002.
Ganatra B, Banerjee SK. Expanding community-based access to medical abortion in Jharkhand: a pre-intervention baseline survey in selected two blocks of Ranchi and Khunti districts. New Delhi, India: Ipas India; 2010.
Karki K, Subedi A, Chaudhary R, Chapagain D, Bajracharya S. Young women and abortion in Rupandehi: a situation assessment report. Lalitpur, Nepal: SOLID Nepal; 2011.
Möller A, Öfverstedt S, Siwe K. Proud, not yet satisfied: the experiences of abortion service providers in the Kathmandu Valley Nepal. Sex Reprod Health. 2012;3(4):135–40. CrossRef
Khatiwada N, Silwal PR, Bhadra R, Tamang T. Sexual and reproductive health of adolescents and youth in Nepal: trends and determinants: further analysis of the 2011 Nepal demographic and health survey. Calverton, Maryland: Nepal Ministry of Health and Population, New ERA and ICF International; 2013.
- Marital status and abortion among young women in Rupandehi, Nepal
Kathryn L Andersen
Ram Chandra Khanal
Valerie N Acre
Maria F Gallo
- BioMed Central
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