Nepal

Associations of women's position in the household and food insecurity with family planning use in Nepal

Nadia Diamond-Smith
Anita Raj
Ndola Prata
Sheri D Weiser
2017

Background: Women in Nepal have low status, especially younger women in co-resident households. Nepal also faces high levels of household food insecurity and malnutrition, and stagnation in uptake of modern family planning methods.

Objective: This study aims to understand if household structure and food insecurity interact to influence family planning use in Nepal.

Methods: Using data on married, non-pregnant women aged 15-49 with at least one child from the Nepal 2011 Demographic and Health Survey (N = 7,460), we explore the...

Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study.

Hridaya Raj Devkota
Tula Ram Sijali
Carisa Harris
Dirgha J Ghimire
Ndola Prata
Michael N Bates
2020

Objective: To investigate whether heavy load carrying, wearing a patuka, and body position at work are risk factors for uterine prolapse among Nepali women.

Methods: Community-based case-control study of 448 women (170 cases of uterine prolapse; 278 controls) aged 18-60 years in Kaski district, Nepal was conducted. Women diagnosed with uterine prolapse were cases. Two controls were recruited for each case, frequency-matched by residential area and age. Multivariate logistic regression was used to investigate associations between outcome and...

Heavy Load Carrying and Symptoms of Pelvic Organ Prolapse among Women in Tanzania and Nepal: An Exploratory Study

Aybüke Koyuncu
Jillian L Kadota
Agatha Mnyippembe
Aybüke Koyuncu
Prosper F Njau
Tula Ram Sijali
Sandra I McCoy
Michael N Bates
Carisa Harris-Adamson
Ndola Prata
2021

Heavy load carrying of water, firewood, and sand/stones is a ubiquitous activity for women living in developing countries. Although the intra-abdominal pressure associated with heavy load carrying is hypothesized to increase the risk of pelvic organ prolapse (POP) among women, relevant epidemiologic data are lacking. We conducted a comparative study involving two exploratory cross-sectional studies among convenience samples of women carrying heavy loads, with different characteristics: (1) as part of their activities for daily living, in Shinyanga region, Tanzania; and (2) working as...

Availability of medical abortion medicines in eight countries: a descriptive analysis of key findings and opportunities.

Amy Grossman
Ndola Prata
Natalie Williams
Bela Ganatra
Antonella Lavelane
Laurence Läse
Chilanga Asmani
Hayfa Elamin
Leopold Ouedraogo
Mahmudur Rahman
Musu Julie Conneh‑Duworko
Bentoe Zoogley Tehoungue
Harriet Chanza
Henry Phiri9, Bharat Bhattara
Narayan Prasad Dhakal
Olumuyiwa Adesanya Ojo
Kayode Afolabi
Theopista John Kabuten
Binyam Getachew Hailu
Francis Moses
Sithembile Dlamini‑Nqeketo
Thembi Zulu
Ulrika Rehnström Loi
2023
Background

In recent years a growing number of manufacturers and medical abortion products have entered country markets and health systems, with varying degrees of quality and accessibility. An interplay of factors including pharmaceutical regulations, abortion laws, government policies and service delivery guidelines and provider’s knowledge and practices influence the availability of medical abortion medicines. We assessed the availability of medical abortion in eight countries to increase understanding among policymakers of the need to improve availability and affordability of quality-...

New global guidance supports community and lay health workers in postpartum hemorrhage prevention

VSI
2013

VSI CEO, Pam Norick; Family Care International President, Ann Starrs; and Drs. Clara Ejembi (Ahmadu Bello University, Nigeria) and Kasum Thapa (Jhpiego-Asia Region), published a commentary highlighting new global recommendations and case examples from Nigeria and Nepal that illustrate community engagement and empowerment as critical strategies in successful postpartum hemorrhage (PPH) programming with misoprostol.

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