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Sex-selective abortion in Nepal: a qualitative study of health workers' perspectives.
MedLine Citation:
PMID:  21530837     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Sex-selective abortion is expressly prohibited in Nepal, but limited evidence suggests that it occurs nevertheless. Providers' perspectives on sex-selective abortion were examined as part of a larger study on legal abortion in the public sector in Nepal.
METHODS: In-depth interviews were conducted with health care providers and administrators providing abortion services at four major hospitals (n = 35), two in the Kathmandu Valley and two in outlying rural areas. A grounded theory approach was used to code interview transcripts and to identify themes in the data.
RESULTS: Most providers were aware of the ban on sex-selective abortion and, despite overall positive views of abortion legalization, saw sex selection as an increasing problem. Greater availability of abortion and ultrasonography, along with the high value placed on sons, were seen as contributing factors. Providers wanted to perform abortions for legal indications, but described challenges identifying sex-selection cases. Providers also believed that illegal sex-selective procedures contribute to serious abortion complications.
CONCLUSION: Sex-selective abortion complicates the provision of legal abortion services. In addition to the difficulty of determining which patients are seeking abortion for sex selection, health workers are aware of the pressures women face to bear sons and know they may seek unsafe services elsewhere when unable to obtain abortions in public hospitals. Legislative, advocacy, and social efforts aimed at promoting gender equality and women's human rights are needed to reduce the cultural and economic pressures for sex-selective abortion, because providers alone cannot prevent the practice.
Authors:
Prabhat Lamichhane; Tabetha Harken; Mahesh Puri; Philip D Darney; Maya Blum; Cynthia C Harper; Jillian T Henderson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Women's health issues : official publication of the Jacobs Institute of Women's Health     Volume:  21     ISSN:  1878-4321     ISO Abbreviation:  Womens Health Issues     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-05-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9101000     Medline TA:  Womens Health Issues     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S37-41     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
Affiliation:
Center for Research on Environment Health and Population Activities (CREHPA), Kusunti, Lalitpur, Nepal.
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