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Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study
BACKGROUND: Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women empowerment and gender equality, which direc...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863411/ https://www.ncbi.nlm.nih.gov/pubmed/33541377 http://dx.doi.org/10.1186/s12978-021-01087-x |
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author | KC, Heera Shrestha, Mangala Pokharel, Nirmala Niraula, Surya Raj Pyakurel, Prajjwal Parajuli, Surya Bahadur |
author_facet | KC, Heera Shrestha, Mangala Pokharel, Nirmala Niraula, Surya Raj Pyakurel, Prajjwal Parajuli, Surya Bahadur |
author_sort | KC, Heera |
collection | PubMed |
description | BACKGROUND: Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women empowerment and gender equality, which directly affects the reproductive health issues. This can be achieved by addressing the issues of the poor and marginalized communities. In this context, we aimed to find the association of women’s empowerment with abortion and family planning decision making among marginalized women in Nepal. METHODS: A cross sectional study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. A mixed method approach was used, where 316 married marginalized women of reproductive age (15–49 years) and 15 key informant interviews from representative healthcare providers and local leaders were taken. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. RESULTS: Women’s empowerment was above average, at 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36–0.98). We could not find any statistically significant differences among levels of women’s empowerment, including those women with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s decision for future use of modern contraceptives (p 0.977). Most key informants reported that unsafe abortion was practiced. CONCLUSIONS: Women’s empowerment has no direct role for family planning and abortion decision making at marginalized communities of Morang district of Nepal. However, different governmental and non-governmental organizations influence woman for seeking health care services and family planning in rural community of Nepal irrespective of empowerment status. |
format | Online Article Text |
id | pubmed-7863411 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78634112021-02-05 Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study KC, Heera Shrestha, Mangala Pokharel, Nirmala Niraula, Surya Raj Pyakurel, Prajjwal Parajuli, Surya Bahadur Reprod Health Research BACKGROUND: Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women empowerment and gender equality, which directly affects the reproductive health issues. This can be achieved by addressing the issues of the poor and marginalized communities. In this context, we aimed to find the association of women’s empowerment with abortion and family planning decision making among marginalized women in Nepal. METHODS: A cross sectional study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. A mixed method approach was used, where 316 married marginalized women of reproductive age (15–49 years) and 15 key informant interviews from representative healthcare providers and local leaders were taken. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. RESULTS: Women’s empowerment was above average, at 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36–0.98). We could not find any statistically significant differences among levels of women’s empowerment, including those women with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s decision for future use of modern contraceptives (p 0.977). Most key informants reported that unsafe abortion was practiced. CONCLUSIONS: Women’s empowerment has no direct role for family planning and abortion decision making at marginalized communities of Morang district of Nepal. However, different governmental and non-governmental organizations influence woman for seeking health care services and family planning in rural community of Nepal irrespective of empowerment status. BioMed Central 2021-02-04 /pmc/articles/PMC7863411/ /pubmed/33541377 http://dx.doi.org/10.1186/s12978-021-01087-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research KC, Heera Shrestha, Mangala Pokharel, Nirmala Niraula, Surya Raj Pyakurel, Prajjwal Parajuli, Surya Bahadur Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study |
title | Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study |
title_full | Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study |
title_fullStr | Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study |
title_full_unstemmed | Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study |
title_short | Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study |
title_sort | women’s empowerment for abortion and family planning decision making among marginalized women in nepal: a mixed method study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863411/ https://www.ncbi.nlm.nih.gov/pubmed/33541377 http://dx.doi.org/10.1186/s12978-021-01087-x |
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