CEDAW Shadow Report 2011
institutions including negligence of the health professionals and/or workers. This also shows
that unsafe abortion is still in vogue. (Abortion fact sheet BBC; 2008)
According to the reform initiative no.
146, it is said that a 24 hour operation
facility including maternity services
to be provided in selected districts,
but the above fact shows that not all
the Primary Health Care Centers
(PHC) has abortion facility.
Unsafe abortion is not seen as an
issue of its own, not only related to
reduction of maternal mortality and
safe motherhood goals. Young
unmarried women who are not yet
mothers are not included in unsafe
abortion numbers. (Abortion fact
sheet BBC; 2008)
A woman dies undergoing unsafe abortion
Sonia Nagarkoti (Lama), a 17-year old newly married girl of
Rasuwa, died soon after being administered an anesthetic
injection before an abortion process. She had gone to Miteri
Pharmacy in Goldhunga, Kathmandu to terminate her
pregnancy. She fell unconscious after the pharmacy owner
administered the anesthetic that had expired. She was then
rushed to the Janamitri Hospital where she was declared
dead. Police said her husband had recently returned home
from abroad and they had consulted the pharmacy owner
after they decided to carry out abortion. Police have arrested
Min Bahadur KC, the owner of the pharmacy. Police record
suggests that the girl died due to administration of date
expired injection. Mr. KC had provided abortion services
clandestinely from his pharmacy to several women in the
past. Source: http://www.ekantipur.com
Antenatal Care
The Government report also mentions that the Nepalese women start antenatal care at a
relatively later stage i.e. at 4.6 months in an average. This indicates the lack of awareness in
most of the women about her body and health; if a women visits for antenatal care early in
her pregnancy there is a time for early diagnosis and treatment of infection in the mother and
an opportunity to prevent low birth weight and other conditions to the new born. This has
enormous significance for maternal health and child survival (WHO/UNICEF joint press
release 2004).
The roles of Female Community Health Volunteer (FCHV) could be important in the
reduction of MMR in the country like Nepal. However according to the Government report
only less than 2% of the women receive ANC from FCHVs, but they are not getting adequate
facilities from the government for which the government must make some policies.
Nutrition
Adequate nutrition, a fundamental cornerstone of any individual's health, is especially critical
for women because inadequate nutrition wreaks havoc not only on women's own health but
also on the health of their children. Children of malnourished women are more likely to face
cognitive impairments, short stature, lower resistance to infections, and a higher risk of
disease and death throughout their life.
According to the Government report, the nutritional status of the women aged 15-49 years
show that 24% of the women are malnourished. Women’s nutritional status has increased
8 Beyond Beijing Committee, Kathmandu, Nepal