Nepal | Ipas

Country: Nepal

Focus on Nepal: The Harmful Impact of the Helms Amendment on People Seeking Abortion Care

The Helms amendment is a law barring U.S. foreign assistance from being used for abortion services. This fact sheet describes the negative impact of the Helms amendment in Nepal. The country liberalized its abortion law in 2002 and the right to safe motherhood and reproductive health was guaranteed by the 2015 Constitution. In 2018 the Right to Safe Motherhood and Reproductive Health Act further ensured that women and girls in Nepal have the right to access safe, legal abortion free of charge at public health facilities. Yet due in great part to U.S. funding restrictions like the Helms Amendment, Nepal’s reproductive health care provision is fragmented and needlessly inefficient, putting the most burden on women and girls seeking abortion care.

A mixed methods evaluation of the Youth Focused Social Network Initiative for safe abortion in Rupandehi, Nepal

The Youth Focused Social Network Initiative was a program to increase young women’s knowledge of and skills in accessing comprehensive abortion care in Rupandehi, Nepal from 2012-2014. The program trained peer educators to provide information and support related to comprehensive abortion care and encouraged adults to support youth in their communities. This study evaluated the effectiveness of the program and found that it had produced positive results in youth knowledge of and attitudes about comprehensive abortion care. Program expansion should be considered in light of continued need in Nepal.

Determination of medical abortion eligibility by women and community health volunteers in Nepal: A toolkit evaluation

The objective of this study was to determine if pregnant, literate women and female community health volunteers (FCHVs) in Nepal can accurately determine a woman's eligibility for medical abortion using a toolkit, compared to...

Pathways to safe abortion in Nepal

Since the liberalization of Nepal’s abortion law in 2002, intensive provider training and facility support have proven successful strategies for increasing the availability of comprehensive abortion care (CAC) services in the country. However, little is known about...

Improving health worker performance of abortion services: An assessment of post-training support to providers in India, Nepal and Nigeria

This paper reports the results of an intervention with 3,471 abortion providers in India, Nepal and Nigeria. Following abortion care training, providers received in-person visits and virtual contacts by a clinical and programmatic...

A better place for women: Abortion care in Nepal a decade after law reform

This publication highlights the work in Nepal since legal reform a decade ago and puts a spotlight on the key ingredients for successful scale-up of abortion care, including partnerships with government and NGOs and integration of...

Empowering women workers through youth-led education on reproductive health and safe abortion in Nepal

From 2011-2012, Ipas and our partners implemented a series of classes on sexual and reproductive health and rights (SRHR)—including information on safe abortion—for women who work at factories across Nepal’s Kathmandu Valley. This...

Enhancing the quality of abortion care: Successful initiatives to improve clinical skills and facility services

This report looks at initiatives in four countries—Nigeria, Nepal, Ghana and Zambia—where Ipas is working with governments, communities and other partners to provide clinical and programmatic support to providers and health-care facilities.

Expansion of safe abortion services in Nepal through auxiliary nurse-midwife provision of medical abortion, 2011-2013

Comprehensive abortion care services remain out of reach for many women in rural and remote areas of Nepal. This article describes a training and support strategy to train auxiliary nurse-midwives (ANMs), already certified as skilled birth attendants, as medical...

Abortion in Nepal

Abortion has been legal in Nepal since 2002, and post-abortion care has been successfully integrated into hospitals. But that does not mean that women can easily obtain safe abortion services. The barriers are many, and women are often stigmatized for the decision to...

What contraception do women use after abortion? An analysis of 319,385 cases from eight countries

Contraception is an essential element of high-quality abortion care. However, women seeking abortion often leave health facilities without receiving contraceptive counselling or methods, increasing their risk of unintended pregnancy. This paper describes contraceptive...

Abortion stigma is global

The stigma that often surrounds abortion and anyone associated with it—women, providers, pharmacists and advocates—contributes to abortion’s social, medical and legal marginalization. At Ipas, we know that stigmatizing abortion is inherently harmful to women’s health — preventing them from getting the care they deserve.

Implementation of legal abortion in Nepal: A model for rapid scale-up of high-quality care

Unsafe abortion's significant contribution to maternal mortality and morbidity was a critical factor leading to liberalization of Nepal's restrictive abortion law in 2002. Careful, comprehensive planning among a range of multisectoral stakeholders, led by Nepal's...

Marital status and abortion among young women in Rupandehi, Nepal

Despite liberalization of the Nepal abortion law, young women continue to experience barriers to safe abortion services. This study evaluated differences in reproductive knowledge and attitudes by marital status. Participants were surveyed on demographics, romantic...

Women’s knowledge of abortion law and availability of services in Nepal

This paper assesses women's awareness of the liberalization of abortion law and their knowledge of a place for obtaining abortion services in Nepal. The data are from the 2011 Nepal Demographic and Health Survey. The results are compared with data from a similar...

Early pregnancy detection by female community health volunteers in Nepal facilitated referral for appropriate reproductive health services

Female community health volunteers (FCHVs) are a possible entry point for Nepali women to access timely reproductive health services at the village level. This evaluation assessed the success of a pilot program that trained FCHVs in early pregnancy detection using...

Safe abortion in Nepal: A success story

Where abortion is illegal, women suffer. Before 2002 when abortion was illegal in Nepal, women were imprisoned, half of all hospital admissions were due to complications from clandestine abortions, and hundreds of women died each year. Ipas worked with the government...

Expanding the Provider Base for Abortion Care: Findings and Recommendations from an Assessment of Pre-Service Training Needs and Opportunities in Nepal

In 2012, Ipas undertook an assessment in Bangladesh, India, Nepal and Pakistan to determine the specific needs and gaps in the pre-service education systems for midlevel providers and to identify opportunities, strategies and recommendations for creating more...

Expanding Horizons: Making Safe Abortions a Reality (Ipas Nepal)

This publication highlights the critical role Ipas Nepal has played in the introduction and expansion of safe abortion services in Nepal since 2002, when abortion was decriminalized. Between July 2011 and December 2013, services provided in Ipas intervention...

Improving sexual and reproductive health services for young people in Nepal

This brief presents results and lessons learned from a youth-focused project in Kailali District implemented between 2012 and 2014. The project demonstrated that, working in consultation with health-care providers and other adults,...

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