Publication: Community Perception of Abortions in Different Districts of Nepal
Date
2025
Article Type
Original Article
Journal Title
Journal ISSN
1999-6217
Volume Title
Pages
Pages: 704 - 708
Publisher
Nepal Health Research Council
Abstract
Abstract:
Background: Abortion remains a significant public health concern in Nepal, contributing to maternal mortality and posing a complex challenge to women’s reproductive health. This study explores the complex nature of community perceptions regarding attitudes and perceptions on abortion, perceived factors influencing abortion, perceived consequences of abortion, and existing modern and traditional practices of abortion in Nepal.
Methods: A qualitative study was conducted across 12 districts in Nepal, involving 228 community members, including community healers, Female Community Health Volunteers, women leaders, in-laws, and men. Data was analyzed by applying a thematic analysis approach.
Results: Findings highlighted a dichotomy in knowledge of abortion, encompassing both progressive views (considering it a women’s right) and regressive notions (viewing it as a sin). Participants also recognized the positive aspects of abortion, such as its role in reducing maternal mortality ratios and improving child health. The study identified factors influencing abortion decisions like the desire to limit family size, entrenched gender dynamics with strong son preference, and pregnancies resulting from relationships outside marriage. Furthermore, abortion was also perceived as a solution for pregnancies arising from rape, incest, or with fetal disabilities. Participants shared a range of consequences associated with abortion, including prevalent misconceptions. They indicated that modern abortion practices like the use of abortion pills were on the rise compared to traditional methods. Nevertheless, unsafe self-medication remained a concern, particularly among rural women.
Conclusions: To address these challenges effectively, it is imperative to understand the underlying reasons behind these perceptions and develop targeted interventions that enhance women’s access to safe abortion in Nepal.
Description
Suruchi Shahi
AUW, Bangladesh
Sanju Maharjan
AIUB, Bangladesh
Manish Gautam
KU Nepal
Kriti Lamichhane
University of Philipinnes Manila
Parash prasad Phuyal
Ipas Nepal
Bhogendra Dotel
TU Nepal
Sujan Karki
TU Nepal
Keywords
Abortion, Community perception, Unsafe abortion practices
Identifier
https://doi.org/10.33314/jnhrc.v23i04.4846