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Family Planning: The Hidden Need of Married Adolescents in Nepal

Ana Milena Aguilar and Rafael Cortez

No 94085, Health, Nutrition and Population (HNP) Knowledge Briefs from The World Bank

Abstract: In Nepal, both early marriage and motherhood still place adolescents and their children at a great disadvantage. In 2011, one-third of girls aged 15-19 were already married. About 60 percent of them were pregnant or had at least one child, and one in ten had two living children (Nepal Demographic Health Survey, 2011). This brief aims to understand why married adolescents in Nepal have low contraceptive use and a high unmet need for family planning, providing policy recommendations based on a literature review, interviews with key-informants, and a comprehensive analysis of secondary data from household surveys (NDHS 2006-2011). Given that early childbearing in Nepal still occurs primarily within marriage, the brief addresses the needs of female married adolescents which are often overlooked by policy-makers. However, it is important to note that unmarried adolescents are progressively engaging in sexual activity in Nepal increasing their risks for contracting an STI or an unplanned pregnancy that warrants special attention.

Keywords: access to family planning; access to family planning services; adolescent; adolescent access; adolescent friendly services; adolescent girls; adolescent mothers; adolescent ... See More + women; adolescent-friendly services; babies; baby; childbirth; clinics; community health; condom; condoms; contraception; contraceptive distribution; contraceptive needs; contraceptive prevalence; contraceptive use; contraceptives; counseling; DEMAND FOR CONTRACEPTION; demand for contraceptives; demand for family planning; distribution of contraceptives; domestic violence; early childbearing; early marriage; effective contraceptive; emergency contraception; essential health care; ethnic groups; family formation; family members; FAMILY PLANNING; Family Planning demand; family planning methods; Family Planning program; family planning services; female; fertility; fertility regulation; first birth; first births; first sexual experience; health care services; health centers; Health of Adolescents; health posts; health providers; health risks; Health Sector; Health Services; health workers; high-risk; home visits; household surveys; husbands; ideal family size; impact on fertility; informed choice; informed decisions; interpersonal violence; IUD; life skills; Married adolescent girls; MARRIED ADOLESCENTS; married women; medical care; method of contraception; migrant; migrant workers; migration; Ministry of Health; modern contraceptive methods; modern contraceptive use; motherhood; National Family Planning; need for family planning; neonatal mortality; number of children; Nutrition; pediatrics; pharmacies; pill; pills; population data; Population Knowledge; pregnancies; privacy; private clinics; progress; public health; public health programs; quality of care; reproductive age; reproductive health; Reproductive Health of Adolescents; Reproductive Health Status; reproductive issues; reproductive life; reproductive matters; risk groups; sexual activity; Sexual Health; Sexual Health Education; Sexual Violence; Sexual Violence Within Marriage; social norms; unmarried adolescents; unmet Demand; unplanned pregnancies; unplanned pregnancy; unsafe abortions; use of contraception; use of family planning; village health workers; vulnerable populations; work experience; young girls; Young married women; young wives; young women; Youth (search for similar items in EconPapers)
Pages: pages 4 pages
Date: 2015-01
New Economics Papers: this item is included in nep-dem
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