Integrating gender needs into drinking-water projects in Nepal

This article shows what project planners can do to ensure women's true participation in the design and maintenance of development projects, without increasing women's workloads, and with the aim of raising their status in the family and community, as well as challenging men's prejudice

Prevalence and correlates of postabortion long-acting reversible contraceptive (LARC) use among young women (24 and below) in Nepal: Strategy in the search for improvements

Abstract Introduction Postabortion contraceptive use differs across countries, suggesting the need for country-level research to identify barriers and suggest appropriate interventions. This study aimed to identify the prevalence and correlates of postabortion long-acting reversible contraceptive (LARC) use among women aged 24 or younger in Nepal. Methods This is a cohort study using Health Management Information System (HMIS) data where individual case records of women seeking induced abortion or postabortion care were documented using structured HMIS 3.7 records. Analysis was performed on the individual case records of 20,307 women 24 years or younger who received induced abortion or postabortion care services in the three-year period from July 2014 to June 2017 at 433 public and private health facilities. Findings Overall, LARC uptake during the study period was 11% (IUD: 3% and implant: 8%). The odds of LARC acceptance was higher for young women (24 and below) who belonged to Brahmin/Chhetri (AOR = 1.23; 95% CI: 1.02–1.47) and Janajatis (AOR = 1.20; 95% CI: 1.01–1.43) as compared to Dalits; young women who had an induced abortion (AOR = 3.75; 95% CI: 1.75–8.06) compared with postabortion care; and those receiving service from public sector health facilities (AOR = 4.00; 95% CI: 2.06–7.75) compared with private sector health facilities. Conclusion The findings from this study indicate the need to focus on barriers to acceptance of LARC among several groups of young women (24 and below) receiving abortion care in Nepal: Dalits, Madhesis and Muslims; nulliparous women; and those receiving services at private sector health facilities

Intersectionality and water: how social relations intersect with ecological difference

A cornerstone of feminist scholarship, intersectionality theory and method explore how gender intersects with other forms of social difference such as race and class. However, in light of the entangled relationships between nature and society, this article argues that human experience cannot be understood through social analysis alone, as offered by intersectionality. This article interrogates how materialities in the physical world might be incorporated within intersectionality. Drawing on gender and water research, the article explores how intersectionality complicates the social dimensions of water access, use, and control. Yet, applying intersectional thinking to water, scholars show how ecological processes of differentiation are also at play. Case studies from Sudan and Bangladesh exemplify how spatial and temporal aspects of water distribution intersect with the social complexities of water access. The article then returns to examine how intersectionality works to explore a framework for including these spatial and temporal dimensions. Four mechanisms – simultaneity, situated specificity, relationality, and fluidity – are elaborated for facilitating the study of eco-social relations within intersectionality theory. The article concludes that the materiality of water offers theoretical insight for developing intersectionality theory, with implications for gender and water research