A Political Economy Approach to Understanding Abortion in Nepal Open Access
Sharma, Shreya (Spring 2022)
Abstract
This research explores the cultural and political factors influencing access to abortion in Nepal. Such factors range from foreign influence by means of external funding and foreign policies such as the U.S. Global Gag Rule, to prevailing cultural and religious Nepali norms that inform a spectrum of attitudes towards sexual practice, contraceptive use, and abortions. Methods for this study employed ethnographic practices in a virtual setting, through seven semi-structured interviews with Nepali individuals across time zones. Existing research fails to address possible explanations behind prevailing high rates of illegal abortions in Nepal despite a progressive legal environment. This study hence allows for a nuanced understanding on the issue of abortion and why legal access may still be difficult to achieve, in context of Nepal’s specific circumstances. Ultimately, through data analysis and investigation, we come to address the question: are legal status and affordability enough to ensure access to abortion in Nepal?
Table of Contents
Chapter 1: Introduction to Abortion in Nepal………………………………………………….….1
1.
Narrative Statement of
Personal Interest………………………………………………….1
2.
Overview of Abortion
History…………………………………………………………….7
3.
Women’s Rights and
Healthcare Infrastructure in Nepal………………………………..17
4.
Nepal’s Financial
Dependence on Foreign Aid and NGO Support……………………...23
5.
Outstanding Questions
and Existing Issues ……………………………………………..31
Chapter 2: Methodology…………………………………………………………………………42
1.
Narrative Statement on
Research Process……………………………………………….42
2.
Preparation, Data
Collection, and Data Analysis………………………………………..44
Chapter 3: Access to
Abortions………………………………………………………………….48
1.
Occurrence of Abortion
Prevalence of Abortion Sites………………………………..…48
2.
Demographic Impact on
Differential Access………………………………………….…51
3.
Promotion of Abortion,
Contraceptive Use, and Family Planning………………………55
Chapter 4: Attitudes and
Judgement Regarding Abortions……………………………………...62
1.
General Attitudes………………………………………………………………………...62
2.
Culture and Tradition…………………………………………………………………….67
3.
Contraceptive Usage……………………………………………………………………..73
4.
Medical Providers……………………………………………………………………..…77
Chapter 5: Illegal Abortions……………………………………………………………………...81
1.
What is Considered
“illegal”? …………………………………………………………...82
Chapter 6: Discussion……………………………………………………………………………89
1.
Does Legality Ensure
Access? …………………………………………………………..89
Chapter 7: Conclusion…………………………………………………………………………....93
1.
Statement of Conclusion…………………………………………………………………93
2.
Limitations,
Implications, and Future Research…………………………………………93
Bibliography……………………………………………………………………………….…….95
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