Attitudes and Practices Toward Sex-Selective Abortion in an Urban District of Nepal: Findings From a Cross-Sectional Study

Author:

Regmi Khusbu1ORCID,Shrestha Binjwala2,Shakya Sujata2,Lamichhane Prabhat3

Affiliation:

1. Save the Children, Bardibas, Nepal

2. Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal

3. School of Psychology and Public Health, La Trobe University, VIC, Australia

Abstract

Nepal, a country with deeply ingrained patriarchal values and culture, has limited evidence regarding the practices of sex selection and sex-selective abortion. This study aims to investigate the attitudes and practices surrounding sex-selective abortion (SSA) and the factors associated with it. A cross-sectional study design was used to collect data from 320 women between the ages of 15 and 49, who had at least one child under the age of 5 and lived in the Bhaktapur district, Nepal. A total of 19.7% of the participants had undergone an abortion, with 39.6% of those being SSAs. Factors like women empowerment and preference for smaller family size are associated with women’s favorable attitude toward SSA. In multivariate analysis, women who faced pressure from their families to have a son and those who were aware of Nepal’s abortion laws were more likely to abort a female fetus.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

Reference27 articles.

1. United Nations Fund for Population Activities. Preventing son preference and undervaluing of girls in Eastern Europe and Central Asia. Published December 2020. Accessed April 10, 2021. https://eeca.unfpa.org/en/publications/preventing-son-preference-and-undervaluing-girls-eastern-europe-and-central-asia

2. Office of the High Commissioner for Human Rights, United Nations Fund for Population Activities, United Nations International Children’s Emergency Fund, United Nations Women, World Health Organization. Preventing Gender-Biased Sex Selection: an Interagency Statement. Geneva, Switzerland: World Health Organization; 2011. https://www.who.int/publications/i/item/9789241501460

3. United Nations Fund for Population Activities, Asia and the Pacific Regional Office. Sex imbalances at birth. Published January 1, 2012. Accessed November 1, 2019. https://asiapacific.unfpa.org/en/publications/sex-imbalances-birth

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