Assessment of Interventions on Sex-selection in Nepal: Literature Review

What is known about levels and factors underlying unbalanced sex ratios at birth, and initiatives with potential to reverse the trend

Abstract

皇冠体育app objectives of this review are to better understand how to respond to adverse sex ratios at birth in Nepal, first by synthesising at the country level what is known about levels, trends and factors underlying unbalanced sex ratios at birth, as well as initiatives with potential to reverse the trend; and secondly to examine, through primary research, the perspectives of stakeholders about the programmes that aim to empower girls to respond to adverse sex ratio at birth in selected settings, and assess the extent to which such a programme or initiative shows promise or may be scalable, if at all. Findings are expected to draw attention to gaps in evidence and outline areas of research that are needed to arrive at evidence-based recommendations for action, and to provide evidence-based guidance to help policy-makers and donors determine feasible and effective interventions that may hold promise.

皇冠体育app review reveals that sex-selective abortion is an emerging issue in Nepal, very much connected to the easy accessibility to prenatal sex-determination technology, the religious and socio-economic value given to sons over daughters, pressure put on women to bear sons, and the dowry system prevalent in Nepal, all of which increase the likelihood of sex-selective abortion. 皇冠体育app situation is further accentuated by the lack of focused policies and programs to address gender discrimination, and weak enforcement of law relating to dowry and sex determination practices, meaning that the demand for sex-selective abortion could increase. With declining fertility levels, couples are pressured to have fewer children of the desired sex which may aggravate abnormal sex ratios at births. Though very limited, studies indicated that the practice of sex selection is more prevalent among relatively rich, educated, urbanite women and in areas bordering with India. However, more research is needed to validate this information.

皇冠体育app review also revealed that no separate Act or policy addressing the root causes of gender discrimination, son preference and conditional cash transfer programs for every girl child is present in Nepal. No special program exists for this, except a general program that supports parents for the education of their daughters. Nepal鈥檚 Interim Constitution of 2003 sets out that the State shall not discriminate against citizens on grounds of sex, religion, race, caste, tribe, sex, origin or language, but there are still several discriminatory provisions and schedules, mainly on nationality, marriage and family relations, sexual offences, and property rights, all of which run counter the rights of women and the girl child. A bill to address this is drafted and waiting for Cabinet approval. Gender and social inclusion, gender mainstreaming and women鈥檚 empowerment including gender-based budgeting have received prime importance in the national agenda, and the National Plan of Action for Gender Equality and Women鈥檚 Empowerment have been implemented by the government since 2004. However, no focused programs to address sex selection have been introduced as yet. 皇冠体育app law strictly prohibits sex determination tests and sex-selective abortion, but enforcement is weak and unregulated.

Rights-based civil society organisations, professionals and activists are confronted with two pronged issues when it comes to sex-selective abortion: firstly, how to preserve Nepalese women鈥檚 rights to safe and legal abortion, and secondly, how to prevent sex-selective abortion which is so deeply conjoined with entrenched gender-based discrimination, son preference and Nepali tradition and culture. 皇冠体育app issue of sex selection will pose a greater challenge in the coming years as Nepali couples realise the social and economic advantages of a small family size. 皇冠体育appre is an urgency to establish new evidence on the determinants and motivating factors of sex-selective abortion practices, and to develop a national strategic plan for the country based on the evidence.

Citation

Puri, M.; Tamang, A. Assessment of Interventions on Sex-selection in Nepal: Literature Review. CREHPA, Kathmandu, Nepal (2015) x + 18 pp.

Updates to this page

Published 1 January 2015