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  • Title: Women's health in Nepal: the neglected dimension.
    Author: Baker J.
    Journal: JNMA J Nepal Med Assoc; 1994; 32(111):214-8. PubMed ID: 12154943.
    Abstract:
    Limited data, mainly derived from hospitals, exist on the status of women's health in Nepal, a country with a high level of fertility (5.6). A review of more than 1000 documents on primary health care and related topics in Nepal uncovered only one article on women's morbidity. 70-80% of women of reproductive age in Nepal, especially pregnant and lactating women, have anemia. More than 90% of women nationwide do not receive any obstetric care during their last pregnancy. Among the current AIDS cases in Nepal, female cases outnumber male cases 3 to 1. The maternal mortality rate is 515/100,000 live births, one of the highest rates worldwide. In fact, maternal mortality is the major cause of death among women of reproductive age. The maternal morbidity rate is 3-4 times higher than the maternal mortality rate. A central theme of the current literature on women's health is the social and legal discrimination against women. Females in Nepal face many disadvantages beginning at birth. Society has a strong preference for sons and prefers to educate boys over girls. Female family members receive inferior and less food than male members. Females have fewer legal rights than men. Even though the Nepalese government has publicly committed to reduce maternal mortality and morbidity, program implementation and policy change are slow. Both the government and the private sector should take action geared to improve women's health. The action should begin with formulation and implementation of a reproductive health care strategy that includes improved maternal care, increased access to family planning, legalized abortion, and legislation to improve the status of women.
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