Reducing maternal mortality ratio in Nepal still a daunting challenge

Reducing maternal mortality ratio in Nepal still a daunting challenge

Published: September 15, 2019
Sabitri Dhakal

Considering the investment and efforts put in by the government in the field of maternal health, it is unlikely that the government will meet the target of reducing maternal mortality ratio to 70 per 100,000 live births by 2030 as outlined in the Sustainable Development Goals for Nepal, 2016-2030.

According to the National Demographic Health Survey 2016, the maternal mortality ratio for Nepal was 239 per 100,000 live births for the seven year period before the survey. The confidence interval for the 2016 maternal mortality ratio ranges from 134 to 345 deaths per 100,000 live births.

Continued: https://thehimalayantimes.com/kathmandu/reducing-maternal-mortality-ratio-in-nepal-still-a-daunting-challenge/


Nepal – Youths in Rolpa resorting to unsafe abortion instead of using contraceptives

Youths in Rolpa resorting to unsafe abortion instead of using contraceptives
According to the research of 2014 done by Guttmacher Institute in Nepal, out of the total maternal deaths in Nepal, seven percent death is caused by unsafe abortion.

Published On: September 8, 2019
Dinesh Subedi

ROLPA, Sept 8: At least 12 health institutions including Rolpa District Hospital in Rolpa provide safe abortion, a non-surgical abortion that is done by using medicines, for unwanted pregnancy of up to nine weeks free of cost. The hospital and two primary health centers also provide safe clinical abortion, which is done by using medical equipment, for fetus up to 12 weeks for free.

But, an increasing number of youths are found to be resorting to unsafe abortion instead of using contraceptives even as such abortion practice is not only costly but also risks their own life.

Continued: https://myrepublica.nagariknetwork.com/news/youths-in-rolpa-resorting-to-unsafe-abortion-instead-of-using-contraceptives/


Nepal – Editorial: Make regulations

Editorial: Make regulations
The Act is vague in that it does not explain the standards prescribed for non-governmental and private health institutions that can provide obstetric care

Published: August 28, 2019
The Himalayan Times

Mere passage of a law holds little meaning if the regulations, that is, the guidelines for executing the provisions in the law, 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 endorsement by the Parliament for want of related regulations. In the absence of the regulations, many women are unable to enjoy their rights and seek compensation when their reproductive health rights are violated. Due to the delay in formulating the regulations, health institutions have no option but to keep working as per the old act. The law, among others, has given women the right to decide on when and how many children to have, and also the requirement of her consent on a prescribed format of a health institution should she want a safe abortion.

Continued: https://thehimalayantimes.com/opinion/editorial-make-regulations/


New report details the devastating impact of President Trump’s Global Gag Rule

New report details the devastating impact of President Trump’s Global Gag Rule

Wednesday, 5 June 2019

Experts at the Women Deliver 2019 Conference discuss the impact of US funding restrictions and the need for data-driven programs and policies to increase access to safe abortion

(Vancouver, Canada) – A new report released today at the Women Deliver 2019 Conference reveals that the Global Gag Rule is reducing the quality and availability of care, particularly for marginalized communities, in four countries studied. Advocates, researchers and implementing partners discussed the findings from the International Women’s Health Coalition (IWHC) detailing the effects of the expanded US Global Gag Rule, as well as a new evidence-gathering initiative by several partner organizations designed to increase access to safe abortion.

Continued: https://mailchi.mp/0789a23add38/press-releaseglobal-gag-rule-expansion-and-the-future-of-us-global-health-policy?e=695642389f


Unsafe abortion: 13-year-old girl’s life hangs by thread in Banke, Western Nepal

Unsafe abortion: 13-year-old girl’s life hangs by thread in Banke, Western Nepal

May 15th, 2019

BANKE: A 13-year-old girl in Nepalgunj sub-metropolitan city in Banke, in Western Nepal who conceived a baby after being sexually exploited by yet-to-be identified person has her life at stake after she attempted an unsafe abortion.

According to the District Police Office, Banke 8th-grader Alina (name changed) had attempted to terminate the three-month-old baby through medication abortion process.

She suffered excessive bleeding thereafter. Superintendent of Police (SP) Arun Poudel shared the girl was currently receiving treatment at Nepalgunj Medical College Teaching Hospital at Kohalpur.

She was rescued from Nepalgunj sub-metropolitan city-10 during police’s routine patrolling, shared SP Poudel, adding she was immediately admitted to the hospital given her critical health condition.

Police have already contacted her family and launching investigation into the case relating to the girl’s unwanted pregnancy and unsafe abortion.

Police has also urged those with AB negative blood group to donate blood for the girl who only has 2.7 pints of blood left in her body, according to the hospital.

Source: https://www.nepal24hours.com/unsafe-abortion-13-year-old-girls-life-hangs-by-thread-in-banke-western-nepal/


When the U.S. Pulls the Funding Plug, How Do Reproductive Health Providers Proceed?

When the U.S. Pulls the Funding Plug, How Do Reproductive Health Providers Proceed?

Yam Kumari Kandel Senior Reporter
Linda Mujuru Reporter
Prudence Phiri Lead Reporter
Nakisanze Segawa Reporter
May 12, 2019

In 2017, the United States reenacted a policy that dramatically limited how reproductive healthcare providers around the world could use its money. But proving the policy’s actual impact on reproductive health programs worldwide, from Nepal to Zimbabwe, is difficult: Some providers found funding elsewhere, while others are reluctant to share information about their work, leading to a lack of data.

SURKHET, NEPAL — Kaushila BK and her husband, Dilip BK, have a son and a daughter. They say they can’t afford any more children.

Continued: https://globalpressjournal.com/world/u-s-pulls-funding-plug-reproductive-health-providers-proceed/


Nepal – Unsafe abortion puts women’s lives at risk in Ilam

Unsafe abortion puts women’s lives at risk in Ilam

- BIPLAV BHATTARAI, ILAM
May 7, 2019

Although 21 health facilities including the district hospital in Ilam have been providing safe abortion services free of cost, many women are still risking their lives opting for unsafe abortion procedures in Ilam Municipality.

According to the data of the district hospital, 32 women who had underwent unsafe abortion arrived at the hospital for treatment in the first six months of the running fiscal year. Lack of awareness on safe abortion services and policies among women in the municipality has led to many opting for unsafe abortions.

Continued: https://kathmandupost.ekantipur.com/news/2019-05-07/unsafe-abortion-puts-womens-lives-at-risk-in-ilam.html


Nepal – Eliminate unsafe abortion

Eliminate unsafe abortion
In Nepal, abortion is legal and provided free of cost in government health centres.

Dr Bal Krishna Shah
Apr 23, 2019

An abortion is the ending of a pregnancy by the removal or expulsion of the embryo or fetus before it can survive outside the uterus. Nepali women were granted abortion rights in 2002; and in 2004, abortion service was expanded throughout the country. In 2009, medical abortion service was introduced. There were 1,124 government and non-government hospitals and health institutions providing safe abortion services as of 2016-17. Both manual vacuum aspiration and medical abortion services are used for safe abortions in Nepal. All legal provisions need to be fulfilled in order to perform abortions, and the health institution should have the logo of safe abortion service.

Continued: https://kathmandupost.ekantipur.com/news/2019-04-23/eliminate-unsafe-abortion.html


Women’s Groups and Funders Respond to Global Gag Rule

Women’s Groups and Funders Respond to Global Gag Rule
Four successful strategies to mitigate the effects of a restrictive funding policy that the Trump administration reinstated.

By Leila Hessini
Apr. 10, 2019

As one of his first acts as president of the United States, Donald Trump reinstated a policy prohibiting organizations from receiving US government aid if they provide services, referrals, and advocacy related to abortion abroad. In late March 2019, the Trump administration expanded this policy to include subcontractors serving groups that provide or discuss abortion.

The United States is the world’s largest donor to global health, and abortion-related services are often integrated into general health care involving HIV, contraceptives, and families. The policy, known as the Mexico City Policy and dubbed the global gag rule by women’s groups to reflect the act’s intentions and impact, was first introduced by President Ronald Reagan in 1984. Since then, each Democratic president has rescinded it and each Republican president has reinstated it. Under Trump, the policy covers all $8.8 billion in US global health aid, nearly 15 times the reach of previous iterations.

Continued: https://ssir.org/articles/entry/womens_groups_and_funders_respond_to_global_gag_rule#


Unsafe and Illegal Abortions in Nepal

Unsafe and Illegal Abortions in Nepal

By Bryan Kulka
March 1, 2019

Despite the fact that abortion has been legalized in Nepal since 2002, the number of unsafe and illegal procedures remains dreadfully high. The main reasons being: lack of awareness and cultural shame. For a country that has 50% unwanted pregnancies, this is a large scale sanitary crisis.

“We [Neplali] have different mentalities about health care. We never think about tomorrow which is really bad. We all need to think about it now and act.” A Volunteer from Awareness Programs

Continued: https://kathmandutribune.com/unsafe-and-illegal-abortions-in-nepal/