Nepal11 – Vignette

Nepal11

Ramshakhi Dev, age 32, second right, stands with her youngest child, Bibek, age 7, left, and her eldest daughter Mamata, age 18, at the entrance to their home in their village Hariharpur 10, outside Janakpur, Nepal, July 7, 2017. Dev had an abortion after getting pregnant again for the fifth time. She wasn’t using contraception because her husband lives abroad and after she realized she was pregnant she went to a pharmacy and got the pills. She took them, without complication, but there was no follow up after the abortion. Nepal legalized abortion 15 years ago, and public and private facilities have been set up to provide the procedure. However, because of issues like stigma, lack of education, and distrust of government facilities, most women don’t ask important questions of the health care providers, to see if a clinic/pharmacy has proper authorization from the government, or what they should do in the event of medical complications. And according to a recently released survey by the Center for Research on Environment, Health and Population Activities (CREHPA) more than half of Nepalese women got abortions by illegal providers in 2014. In January of 2017 the government of Nepal made all abortion and contraception services free in the country, which is an important step to help women get better services. But most women hadn’t heard about the new initiative, and there wasn’t a concerted campaign by the government to get the message out to local communities. This is an example of one of many issues with abortion access in Nepal. (Photo Credit/Tara Todras-Whitehill/European Journalism Centre/Vignette Interactive)

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