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Safe abortion services in Nepal: initial years of availability and utilization
Shyam Thapa1, Kasturi Malla, Indira Basnett
1Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland. thapas@who.int
World Health & Population
|April 2, 2010
Summary
Nepal
Area of Science:
- Reproductive Health
- Public Health Policy
- Sociology
Background:
- Nepal liberalized its abortion laws in 2002, enabling safe induced abortion services starting in 2004.
- The study focuses on services at Nepal's largest women's hospital post-legalization.
Purpose of the Study:
- To analyze the demographic profile of women seeking abortion services.
- To understand the reasons for seeking abortions and the context of demand.
- To assess service affordability and client satisfaction.
Main Methods:
- A survey was conducted with 672 women who received induced abortion services.
- Data collected included client demographics, reasons for abortion, decision-making process, and satisfaction.
Main Results:
- The median client age was 26; most were married with children, often impregnated by their husband.
- Primary reasons for abortion included desired family size (60%) and financial concerns (42%).
- Most clients were satisfied with services and costs; two-thirds decided jointly with partners.
Conclusions:
- The hospital provides affordable, quality abortion care.
- Findings highlight the need for strengthened family planning services to prevent unintended pregnancies.
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