Safe Abortion among Underprivileged Group Married Women of Low Resource Country: A Descriptive Cross-sectional Study (original) (raw)
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Knowledge and Practice of Abortion among Women in Nepal
A cross-sectional survey was carried out to assess the knowledge and practice of abortion among women of reproductive age in Nepal. A semi-structured questionnaire was administered to 181 women during their visit to a Marie Stopes Center in Kathmandu Valley. On average, respondents were 28 years of age. Their ethnicity was either janajati or upper caste. Most were married, had secondary or post-secondary education, and had husbands who had a primary and secondary education. Majority were housewives while the rest were working in varying occupational sectors. The average monthly family income was 20,000 rupees. The overall knowledge level of abortion among respondents was low to moderate. Respondents' knowledge of legal abortion in Nepal was associated with their and their husband's educational attainment, and their family income. About half (44.7%) had a history of abortion primarily due to unwanted pregnancies. Sexual reproductive health interventions are needed at community level in order to equip women of reproductive age group with comprehensive knowledge and skills to reduce the likelihood of unsafe abortion. There is a need for more studies on abortion in Nepal.
2018
Background: Abortion is one of the leading causes of maternal death in low-and middle-income countries. In Nepal, abortion is reported to be the third leading cause of maternal death. We aimed to investigate the prevalence and factors associated with abortion and unsafe abortion in Nepal. Methods: This study is based on a nationally representative sample of the Nepal Demographic and Health Survey 2011. Women who had ever had a terminated pregnancy (n = 2395) were studied. The survey elicited information on the most recent abortion. Unsafe abortion was defined according to the providers of abortion services. Binary logistic regression was used to calculate odds ratios (ORs) and 95% Confidence Intervals (CIs) of abortions and unsafe abortions due to demographic, socioeconomic and lifestyle-related characteristics. The interaction of the reason for abortion with age and educational status in predicting unsafe abortion was calculated using the predictive margins and their 95% CI. Results: The five-year prevalence of abortion was 21.1% among women of reproductive age who ever had a terminated pregnancy and 16.0% of total abortions were unsafe. Women of Buddhist religion (OR 2.15; 95% CI 1.04, 4.44), those who were literate (secondary level education OR 1.69; 95% CI 1.22, 2.34), those who knew about legal abortion (OR 1.88; 95% CI 1.41, 2.52) and those who were aware of safe places for abortion services (OR 4.96; 95% CI 3.04, 8.09) were more likely to undergo an abortion. Likewise, women in age group 25-34 years (OR 0.43; 95% CI 0.19, 0.97) and those who were in the richest wealth quintile (OR 0.10; 95% CI 0.04, 0.25) were less likely to undergo an unsafe abortion. Educated women of 25-34 years reporting "health risk" as the reason for abortion had a decidedly lower probability (< 10.0%) than the others of going through the unsafe abortion. Conclusions: The prevalence of abortion in Nepal remains high. Education, religion, age, knowledge about legal abortion and safe places to undergo abortion were the major decisive factors associated with abortion. Young, poorest and uneducated women were more likely to undergo unsafe abortions. Therefore, intervention studies among these target groups are warranted.
Prevalence and factors associated with abortion in Nepal: A national cross-sectional study
2016
Background: Abortion is one of the leading causes of maternal death in low-and middle-income countries. In Nepal, abortion is reported to be the third leading cause of maternal death. We aimed to investigate the prevalence and factors associated with abortion and unsafe abortion in Nepal. Methods: This study is based on a nationally representative sample of the Nepal Demographic and Health Survey 2011. Women who had ever had a terminated pregnancy (n = 2395) were studied. The survey elicited information on the most recent abortion. Unsafe abortion was defined according to the providers of abortion services. Binary logistic regression was used to calculate odds ratios (ORs) and 95% Confidence Intervals (CIs) of abortions and unsafe abortions due to demographic, socioeconomic and lifestyle-related characteristics. The interaction of the reason for abortion with age and educational status in predicting unsafe abortion was calculated using the predictive margins and their 95% CI. Results: The five-year prevalence of abortion was 21.1% among women of reproductive age who ever had a terminated pregnancy and 16.0% of total abortions were unsafe. Women of Buddhist religion (OR 2.15; 95% CI 1.04, 4.44), those who were literate (secondary level education OR 1.69; 95% CI 1.22, 2.34), those who knew about legal abortion (OR 1.88; 95% CI 1.41, 2.52) and those who were aware of safe places for abortion services (OR 4.96; 95% CI 3.04, 8.09) were more likely to undergo an abortion. Likewise, women in age group 25-34 years (OR 0.43; 95% CI 0.19, 0.97) and those who were in the richest wealth quintile (OR 0.10; 95% CI 0.04, 0.25) were less likely to undergo an unsafe abortion. Educated women of 25-34 years reporting "health risk" as the reason for abortion had a decidedly lower probability (< 10.0%) than the others of going through the unsafe abortion. Conclusions: The prevalence of abortion in Nepal remains high. Education, religion, age, knowledge about legal abortion and safe places to undergo abortion were the major decisive factors associated with abortion. Young, poorest and uneducated women were more likely to undergo unsafe abortions. Therefore, intervention studies among these target groups are warranted.
Europasian Journal of Medical Sciences, 2019
Background: Abortion was legalized in Nepal in September 2002 by the amendment to the “MulukiAin”. Legal, moral and ethical issues surrounding abortion make research on all aspects of abortion difficult to undertake. Collecting good information on the reasons for abortion may be especially difficult, because it requires asking women to articulate the often complex and sensitive process that led to the decision. Objective: The objective of this study is to assess knowledge and attitude regarding abortion among women of Reproductive age group (15-45 years). Methods: This study was a Cross-sectional descriptive and conducted in Manipal Teaching Hospital (MTH), Pokhara, Nepal. The tools were demographic proforma, knowledge questionnaire and attitude scale on abortion. Data was collected by asking questions regarding abortion. Total sample was 100 and sampling technique was purposive. The data was analyzed using Excel 2007, SPSS for Windows Version 16.0 Results: Majority (83%) of the res...
Knowledge, Attitude and Practice of Abortion in Slum Area of Kathmandu
Journal of Chitwan Medical College
Background: Abortion is legal up to 12 weeks’ gestation period in Nepal. Due to a lack of proper abortion services and socio cultural stigma, every year many women died due to abortion. The aim of this study was to asses the knowledge, attitude and practice of abortion in the residents of slum area of Kathmandu district. Methods: The cross-sectional study was conducted in slum area of Kathmandu district from 20th December, 2020 to 15th January, 2021. The sample size was 255 and convenient sampling technique was used to select the participant aged above 15years. The collected data were enter in MS excel and analysis was performed using SPSS version 22. Results: The prevalence of abortion was 25.27%.The level of knowledge was found significant with education status. Age, marital status, ethnicity were found significant with attitude of the respondents. Ten percentages of the female respondents had done unsafe abortion. The complications after abortion were the bleeding (54.3%), trauma...
Current Women s Health Reviews, 2021
Background: Unsafe abortion remains one of the major public health problems, especially in developing countries. The objective of this study was to assess the level of knowledge on the legalization of abortion and the practice of abortion among Nepalese undergraduate female students. Methods: An analytical cross-sectional study was conducted among the 490 female students of Pokhara Valley, Nepal. Study populations from the 10 colleges were selected through purposive and systematic random sampling. The semi-structured questionnaire was used as a data collection technique. Results: Only 34% of students have a good knowledge of abortion legalization, compared to 42% who have poor knowledge. While two-thirds of the participants (66.6%) were aware that abortion is legal in Nepal, only a few were aware of the conditions for legalized safe abortion. During sexual intercourse, almost half of the participants (51.3%) did not use any form of contraception. Unintended conception was the primar...
2020
Introduction: Globally, reproductive health and quality of life among female population has been found to be unsatisfactory in developing world. Until 1963, Nepal’s 1854 legal code known as MulukiAin was revised numerous times that banned abortion exempting risk of women’s life. Enactment of New Abortion Policy from 2003 brought landmark reforms to the women’s choice in family planning methods and ended the sufferings of lengthy prison sentences for abortion crimes. This study was conducted to explore the level of awareness about abortion law with regard to health care utilization among women of reproductive age group along with its association with socio-demographic characteristics. Methodology: A cross-sectional study was conducted in March 2014, in Inarwa Municipality among women of reproductive age group (16 to 49 years). Convenient sampling was done to collect data from households. Data was entered and analyzed in SPSS 11.5 and presented in tabular form. Chi-square test was use...
https://www.ijhsr.org/IJHSR\_Vol.11\_Issue.5\_May2021/IJHSR-Abstract.043.html, 2021
Background: Unsafe abortion is one of the health issues of the reproductive age women. In spite of abortion legalization, woman's access to safe abortion is based on the knowledge related to safe abortion. Knowledge is essential part which equips women to get services and prevent from complications of unsafe abortion. Materials and methods: A descriptive cross sectional study was conducted with the objective to identify the knowledge and attitude on safe abortion among bachelor level student. Non probability total enumerative sampling technique was used to select the sample. Total of 310 respondents were included in the study. The structured pretested questionnaire was used to collect data. Pearson chisquare was used to find out the association between demographic variables and knowledge on safe abortion. Result: The result of the study showed that among the respondents majority 247(79.7%) were ≥20 years of age with mean age 21.4 years with SD 1.9. More than half 173(55.8) of respondents were female. Majority 193(62.3%) of the respondents had fair knowledge and nearly half of the respondents 154(49.7%) had positive attitude regarding safe abortion. Respondents' knowledge on safe abortion were not significantly associated with their age, gender, marital status, ethnicity, type of family, area of residence and living arrangement. Conclusion: Despite having fair level of knowledge among majority of respondents, it is seen that half of the respondents had negative attitude towards safe abortion. This shows that there is a need for educational intervention among undergraduate students in order to change their attitude.
International Research Journal of Multidisciplinary Scope, 2020
The aim of the study was to assess the use of contraceptive methods among women seeking safe abortion services in a family planning center, Kathmandu. Methods: It was a descriptive cross sectional study undertaken among 119 women seeking safe abortion services from August 18 to September 2018 at Marie Stopes Center, Gongabu, Kathmandu. Non-probability purposive sampling technique was adopted and data were collected through face to face interview. The collected data was analyzed by SPSS version 16 using descriptive statistics and inferential statistics. Results: Among a total of 119 respondents enrolled in the study, a total of 90 (75.64%) women used post abortion contraceptive methods. Among them, nearly half (44; 48.9%) had used oral contraceptive pills and least users were IUCD (19; 14.4%). More than half (67; 56.3%) had terminated the current pregnancy due to the reason of completed family. Almost three-fifth of them (50; 57.47%) had history of discontinuation of family planning methods in the past due to side effects. Similarly, almost three-fifth (68; 57.1%) had preferred medical abortion for termination of the current pregnancy. There was statistically significant association between post abortion contraceptive use with educational level (p=0.01), parity (p=0.000), contraceptive use in past (p=0.012), plan of future pregnancy (p=0.001), and family planning discussion with husband/partner (p=0.000). Conclusion: There is an increasing trend in the use of some forms of post-abortion contraceptive measures in Nepal from 56.0% in 2014 to 75.64% in 2018 after surgical or medical abortion. Among the post-abortion contraceptive non-users, more than half denied use of post-abortion contraceptives due to fear of side effects. Hence, raising the knowledge, attitude, practice and social awareness of post-abortion contraceptive use among women of reproductive age groups would certainly reduce undue fear of the use of post-abortion contraceptive use, its side effects and also help to raise the acceptance and compliance of its use.
Women Having Abortion in Urban Nepal: 2005 and 2010 Compared
Kathmandu University Medical Journal, 2013
The use of abortion services at the Maternity Hospital clinic, the largest public sector abortion clinic in Nepal, has risen over the years. Whether the profile of the clients, reasons for abortion, and contraceptive use have changed are not known and need to be investigated.