Abortion in Nepal: perspectives of a cross-section of sexual and reproductive health and rights professionals.

Rogers, C; Sapkota, S; Tako, A; Dantas, JAR

Abortion in Nepal: perspectives of a cross-section of sexual and reproductive health and rights professionals.

Rogers, C

Sapkota, S Tako, A Dantas, JAR

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Publisher:: BMC
Publication Type:: Journal Article
Citation:: BMC Womens Health, 2019, 19, (1), pp. 40
Issue Date:: 2019-02-26

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Field	Value	Language
dc.contributor.author	Rogers, C https://orcid.org/0000-0002-9021-7443
dc.contributor.author	Sapkota, S
dc.contributor.author	Tako, A
dc.contributor.author	Dantas, JAR
dc.date.accessioned	2022-09-27T06:21:00Z
dc.date.available	2019-02-15
dc.date.available	2022-09-27T06:21:00Z
dc.date.issued	2019-02-26
dc.identifier.citation	BMC Womens Health, 2019, 19, (1), pp. 40
dc.identifier.issn	1472-6874
dc.identifier.issn	1472-6874
dc.identifier.uri	http://hdl.handle.net/10453/162146
dc.description.abstract	BACKGROUND: Globally, women face many barriers in the attainment of sexual and reproductive health and rights (SRHR). Since 2002, the legalisation of abortion in Nepal has seen significant progress in the expansion of safe abortion and family planning services. METHODS: This qualitative, exploratory study was conducted in 2014 and uses nine in-depth, open-ended interviews with a cross-section of SRHR professionals, to explore their perspectives on abortion in Nepal. The study was underpinned by the Assets Focused Rapid Participatory Appraisal (AFRPA) research methodology and used the health information pyramid conceptual framework. RESULTS: Thematic content analysis revealed emerging themes relating to barriers to access and uptake of skilled safe abortion services and post-abortion family planning. Findings also emphasised current practical and legal components relating to the provision of medical abortion through pharmacies and highlighted issues of sex-selective abortion within the predominantly patriarchal society. CONCLUSION: Effective and ongoing sector-wide monitoring and evaluation of safe abortion services and their staff is essential for women in Nepal to have adequate access to effective and efficient safe abortion services, access to contraception and sexual and reproductive health (SRH) information post-abortion and to ensure adherence to current Safe Abortion Policy. It is critical that the unsafe (less and least safe) provision of medical abortion through pharmacies and sex-selective abortion continues to be investigated and that innovative strategies are formulated to ensure the cultural, reproductive and sexual health and rights of Nepali women are realised.
dc.format	Electronic
dc.language	eng
dc.publisher	BMC
dc.relation.ispartof	BMC Womens Health
dc.relation.isbasedon	10.1186/s12905-019-0734-1
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Abortion, Induced
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Contraception
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Female
dc.subject.mesh	Health Policy
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Human Rights
dc.subject.mesh	Humans
dc.subject.mesh	Interviews as Topic
dc.subject.mesh	Nepal
dc.subject.mesh	Reproductive Health
dc.subject.mesh	Reproductive Medicine
dc.subject.mesh	Safety
dc.subject.mesh	Sexual Health
dc.subject.mesh	Social Stigma
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Humans
dc.subject.mesh	Contraception
dc.subject.mesh	Abortion, Induced
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Reproductive Medicine
dc.subject.mesh	Safety
dc.subject.mesh	Human Rights
dc.subject.mesh	Health Policy
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Nepal
dc.subject.mesh	Female
dc.subject.mesh	Interviews as Topic
dc.subject.mesh	Social Stigma
dc.subject.mesh	Reproductive Health
dc.subject.mesh	Sexual Health
dc.title	Abortion in Nepal: perspectives of a cross-section of sexual and reproductive health and rights professionals.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.date.updated	2022-09-27T06:20:41Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	19
utslib.citation.issue	1

Abstract:

BACKGROUND: Globally, women face many barriers in the attainment of sexual and reproductive health and rights (SRHR). Since 2002, the legalisation of abortion in Nepal has seen significant progress in the expansion of safe abortion and family planning services. METHODS: This qualitative, exploratory study was conducted in 2014 and uses nine in-depth, open-ended interviews with a cross-section of SRHR professionals, to explore their perspectives on abortion in Nepal. The study was underpinned by the Assets Focused Rapid Participatory Appraisal (AFRPA) research methodology and used the health information pyramid conceptual framework. RESULTS: Thematic content analysis revealed emerging themes relating to barriers to access and uptake of skilled safe abortion services and post-abortion family planning. Findings also emphasised current practical and legal components relating to the provision of medical abortion through pharmacies and highlighted issues of sex-selective abortion within the predominantly patriarchal society. CONCLUSION: Effective and ongoing sector-wide monitoring and evaluation of safe abortion services and their staff is essential for women in Nepal to have adequate access to effective and efficient safe abortion services, access to contraception and sexual and reproductive health (SRH) information post-abortion and to ensure adherence to current Safe Abortion Policy. It is critical that the unsafe (less and least safe) provision of medical abortion through pharmacies and sex-selective abortion continues to be investigated and that innovative strategies are formulated to ensure the cultural, reproductive and sexual health and rights of Nepali women are realised.

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http://hdl.handle.net/10453/162146