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Chapter 27 - Medical Education for Safe Abortion Services in Nepal

from Section IV - Reproductive Health Services & Abortion Training: Global Examples

Published online by Cambridge University Press:  30 July 2021

By
Swaraj Rajbhandari ,
Rajshree Jha Kumar  and
Sirjana Khanal
Edited by
Uta Landy ,
Philip D Darney  and
Jody Steinauer
Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
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Summary

Nepal’s transition from highly restrictive abortion laws and high maternal mortality to liberal laws and many fewer maternal deaths provides one of the world’s most impressive examples of the relationship of the two.Nepal’s expansion of access to abortion through an emphasis on self-determination for women and incorporation of abortion training into medical and nursing training are excellent implementation models for other nations where the constraint of women’s rights and abortion services lead to injustice and early death for women.That Nepal accomplished so much for women despite political instability and only modest economic growth supports the importance of the collaboration of ministries of health and education and non-government organizations (NGOs) to progressively expand abortion training to include a wide range of urban and rural practitioners at early and later stages of their training, set standards for education and performance, and systematically evaluate effects on abortion access and safety.

Keywords

Nepalabortionself-determinationtrainingMinistry of HealthNGOsnursingmaternal mortality
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 273 - 281
Publisher: Cambridge University Press
Print publication year: 2021

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References

Center for Reproductive Law and Policy and Forum for Women, Law and Development. Abortion in Nepal: Women Imprisoned. New York: CRLP; 2002.Google Scholar
Ministry of Law and Justice. Muluki Ain, 2020 (Legal Code, 1963). Kathmandu: Ministry of Law and Justice; 1963.Google Scholar
Shrestha, GB. Yek Tippani (Muluki Ain: A Commentary), 7th ed. Kathmandu: Pairavi Prakashan; 2002.Google Scholar
Thapa, S. Abortion law in Nepal: the road to reform. Reprod Health Matters. 2004;(24 Suppl):85–94.CrossRefGoogle Scholar
Ganatra, B, Gerdts, C, Rossier, C, et al. Global, regional, and subregional classification of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model. Lancet. 2017;390(10110):2372–2381.CrossRefGoogle ScholarPubMed
WHO and Guttmacher Institute. Worldwide, an estimated 25 million unsafe abortions occur each year. Joint news release; 2017.Google Scholar
Ministry of Health. Family Health Survey 2016. Kathmandu: Ministry of Health, New Era, ICF; 2017.Google Scholar
Pathak, LR, Malla, DS, Pradhan, A. Maternal Mortality and Morbidity Study. Kathmandu: Ministry of Health; 1998.Google Scholar
Center for Reproductive Law and Policy and Forum for Women, Law and Development. Abortion in Nepal: Women Imprisoned. New York: CRLP; 2002.Google Scholar
Nepal Law Commission. Nepal Law Commission Report, 1973. Kathmandu: Nepal Law Commission; 1973.Google Scholar
Institute of Law. Report on Law and Population Growth in Nepal. Kathmandu: Institute of Law; 1979.Google Scholar
Law Reform Commission. Law Reform Commission Report, 1982. Kathmandu: Law Reform Commission; 1982.Google Scholar
Population Action International. What You Need to Know about the Global Gag Rule Restriction: An Unofficial Guide. Washington DC: PAI, 2001.Google Scholar
Ministry of Health. National Health Policy. Kathmandu: Ministry of Health, 1991.Google Scholar
United Nations. Report on the International Conference on Population and Development, Cairo, September 5–13, 1994. New York: United Nations, Department of Economic and Social Affairs, Population Division; 1994.Google Scholar
United Nations. Beijing deceleration and platform of action. In Fourth World Conference on Women, Beijing, September 4–15, 1995.Google Scholar
Henderson, JT, Puri, M, Blum, Met al. Effects of abortion legalization in Nepal, 2001–2010. PLoS ONE. 2013;8(5):e64775.CrossRefGoogle ScholarPubMed
Tasnim, N, Mahmud, G, Fatima, S, Sultana, M. Manual vacuum aspiration: a safe and cost effective substitute of electric vacuum aspiration for the surgical management of early pregnancy loss. J Pak Med Assoc. 2011;61(2):149–153.Google Scholar
Basnett, I, Shrestha, M K, Pearson, E, Thapa, K, Anderson, KL. Evaluation of nurse providers of comprehensive abortion care using MVA in Nepal. J Nepal Health Res Counc. 2012;10(1):5–9.Google Scholar
Foster, DG, Biggs, MA, Raifman, S, Gipson, J, Kimport, K, Rocca, CH. Comparison of health, development, maternal bonding, and poverty among children born after denial of abortion vs after pregnancies subsequent to an abortion. JAMA Pediatrics. 2018;172(11):1053–1060.CrossRefGoogle Scholar
Government of Nepal, Ministry of Health and Population, Department of Health Services, Family Health Division. National Facility Based Abortion Study Kathmandu; 2006.Google Scholar
Basnett, I, Sharma, SK, Bhusal, CL, Parajuli, RR, Anderson, KL. Increasing access to safe abortion services through auxillary nurse midwives trained as skilled birth attendants. Kathmandu Univ Med J. 2011;9(36):260–266.Google Scholar
Samandari, G, Wolf, M, Basnett, I, Hyman, A, Anderson, K. Implementation of legal abortion in Nepal: a model for rapid scale up of high quality care. Reprod Health. 2012;9:7.Google Scholar
Tamang, A, Puri, M, Lama, K, Shrestha, P. Pharmacy workers in Nepal can provide the correct information about using mifepristone and misoprostol to women seeking medication to induce abortion. Reprod Health Matters. 2015;(Suppl 44):104–105Google ScholarPubMed
National Safe Abortion Policy and Strategy. Ministry of Health, Department of Health Services, Family Health Division; 2002.Google Scholar
Safe Abortion Service Procedure. Kathmandu: Ministry of Health, Department of Health Services, Family Health Division; 2003.Google Scholar
Abortion Task Force. Workshop Report – National Implementation Plan for Abortion Services. Kathmandu: Ministry of Health, Department of Health Services, Family Health Division; 18–19 November 2002.Google Scholar
Safe Abortion Services Program Implementation Guidelines. Kathmandu: Ministry of Health, Department of Health Services, Family Health Division; 2011.Google Scholar
Shrestha, DR, Regmi, SC, Dangal, G. Abortion: still unfinished agenda in Nepal. J Nepal Health Res Counc. 2018;16(1):93–98.CrossRefGoogle ScholarPubMed

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