Literature Review: Exploring Abortion Experiences and Factors in Nepal

Abortion is a complex and multifaceted issue that intersects with social, cultural, legal, and
healthcare domains. The literature surrounding abortion in Nepal sheds light on various aspects,
ranging from women's experiences seeking abortion services to the legal framework and factors
influencing abortion decisions. This review aims to synthesize key findings from five selected
studies that provide valuable insights into the intricate landscape of abortion in Nepal.

1. Abortion Experiences and Provider Challenges

Shrestha DR et.al (2018)1conducted a mixed-methods study focusing on women's experiences
seeking abortion services in Nepal, while also addressing the challenges faced by healthcare
providers. This research underscores the significance of understanding the perspectives of both
service users and providers. By delving into the ground realities and obstacles encountered
within healthcare facilities, this study contributes to a comprehensive comprehension of the
abortion landscape.

2. Youth Knowledge, Attitudes, and Behaviors Towards Abortion

Navin Bhatt et.al(2021)2shed light on the younger demographic's knowledge, attitudes, and
behaviors concerning abortion following its legalization in Nepal. The research underscores the
importance of studying the youth's perception of the legal and social implications of abortion.
This exploration is vital in comprehending how changing laws impact the youth's reproductive
decisions and awareness.

3. Grassroots Approach to Legalizing Abortion

1
Shrestha DR, Regmi SC, Dangal G. Abortion: Still Unfinished Agenda in Nepal. J Nepal Health Res Counc. 2018
Mar 13;16(1):93-98. PMID: 29717298.
2
Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal:

A qualitative study
Navin Bhatt ,Bandana Bhatt,Bandana Neupane,
Ashmita Karki,Tribhuwan Bhatta,
Jeevan Thapa,Lila Bahadur Basnet,Shyam Sundar Budhathoki Published: May 26,
2021 ,https://doi.org/10.1371/journal.pone.0252184
Mousumi Upadhyay et al. (2016) 3provides a comprehensive overview of Nepal's journey
towards legalizing abortion, highlighting the role of advocacy groups and grassroots efforts. The
study offers valuable insights into the socio-political dimensions of the process, showing how
concerted efforts from various stakeholders can influence policy changes in sensitive areas like
reproductive rights.

4. Knowledge of Unsafe Abortion Among Female Students

Chandra mania Acharya et al. (2021)4 specifically target female students to gauge their
understanding of abortion, particularly focusing on knowledge levels related to safe and unsafe
pregnancy. The research acknowledges the role of education in shaping awareness about
reproductive health and highlights the need for targeted interventions to bridge knowledge gaps
among young women.

5. Factors Influencing Abortion Decisions in Nepal

Sangita Khapung (2020)5 conducts a literature review dedicated to analyzing the factors
influencing abortion decisions in Nepal. By synthesizing existing studies, this research
underscores the importance of geographical conditions, familial support, and access to healthcare
institutions in shaping women's choices regarding abortion. The review offers a comprehensive
perspective on the interplay of external factors in reproductive decision-making.

3
Pandey PL, Seale H, Razee H (2019) Exploring the factors impacting on access and acceptance of sexual and
reproductive health services provided by adolescent-friendly health services in Nepal. PLoS ONE 14(8): e0220855.
https://doi.org/10.1371/journal.pone.0220855
4
[A Peer-Reviewed, Open Access Multidisciplinary Bilingual Journal; Indexed in NepJOL] ISSN 2705-4888
[Print]; ISSN 2705-4896 [Online]; JPPS Star-Rated Journal Volume 3; 15 December 2021; pp. 61-68 eJournal Site:
http://ejournals.pncampus.edu.np/ejournals/pjri
5
56th Master of Public Health/International Course in Health Development KIT (Royal Tropical Institute) Vrije
Universiteit Amsterdam (VU