The law on abortion in Nepal is vague in that it does not explain the standards prescribed for non-governmental and private health institutions that can provide obstetric care, including abortion. Mere passage of a law holds little meaning if the guidelines for executing its provisions are not formulated. This has been the case with the Safe Motherhood and Reproductive Health Right Act, whose provisions are facing difficulty in their implementation even a year after its … Continued
Induced abortion is a global concern commonly experienced by women of reproductive age due to unintended pregnancy. Nepal legalized abortion in 2002 and started providing safe abortion services (SAS) free of cost, since 2016 from the certified government health facilities. But, more than half (58%) of the total induced abortion were reported to be done clandestinely in 2015. Young women and adolescent girls are at high risk of unwanted pregnancies that they often resort to unsafe abortion when they cannot have access to safe abortion. Lack of availability, accessibility, acceptability and quality services hinders those women to exercise safe abortion.
In-depth interviews were conducted in 2015 with 19 pharmacy owners and auxiliary nurse-midwives in two districts of Nepal to examine respondents’ views on medication abortion and on potential legal provision of medication abortion from pharmacies.
Uma (not her name) residing in Bajura district underwent two unsafe abortions and had to visit Bayalpata Hospital in Aacham district for treatment. This time around, however, she had an abortion at the local Devalsen Health Centre, because a safe abortion service has been launched there, in the village. Like Uma, the majority of women hesitated to seek safe abortion care at the district Bayalpata Hospital, which involved a two-day journey, even though they were … Continued
There are critical gaps in the provision of post-abortion care at all facilities that offer delivery services. In seven (70%) of ten countries, less than 10% of primary-level facilities could provide basic post-abortion care, and in eight (80%) of ten countries less than 40% of referral-level facilities could provide comprehensive post-abortion care. In no country could all referral facilities provide all the essential services that need to be included in basic post-abortion care.