102 research outputs found

    ā€œThere are too many naked pictures found in papers and on the netā€: Factors encouraging pre-marital sex among young people of Nepal.

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    Background: A conventional Nepalese society still regards sexuality as a taboo and sexual activities outside marriage are rarely accepted. However, attitudes of young Nepalese people towards sexual relationships have steadily changed with the modernization of society and culture. There is also a view that young men and women in Nepal are now more comfortable in each otherā€™s company and also initiate sexual relations before marriage. Aim: To explore factors encouraging premarital sex among young people of Nepal. Methods: Ten focus groups and 31 individual in-depth interviews with rural and urban young people were carried out by same sex researchers. Results: Most participants were aged 18-22 years. Findings indicate that curiosity towards sex and sexuality issues, personal appearance, peer pressures, exposure to print and electronic media and financial motives are key factors in encouraging premarital sexual intercourse. Conclusion: There is a need to disseminate more information on the risk of sexually transmitted infections and unwanted pregnancies, targeting young people which would encourage them to engage in safer sexual behaviour

    Sexual and Reproductive Health Status among Young Peoples in Nepal: Opportunities and Barriers for Sexual Health Education and Services Utilization

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    This article attempts to summarise the situation of sexual and reproductive health among young people in Nepal. Modernisation and social transformation are occurring rapidly in Nepalese society. Growing expansion of communication and transportation networks, urbanisation and in-migration of population to urban areas is creating a different sociocultural environment, which is conducive to more social interactions between young girls and boys in Nepal. Rising age at marriage has now opened a window of opportunity for pre-marital and unsafe sexual activity among young people in Nepal which creates risks of unwanted pregnancy, STIs/HIV and AIDS. Several socio-economic, demographic and cultural factors have been identifi ed as encouraging factors for risk taking behaviours among young people. Improving access to youth friendly services, implementing peer education programmes for school and out of school going adolescents, developing effective Information, Communication and Education (IEC) materials and curricula have been highly suggested to improve the existing young peopleā€™s sexual and reproductive health status

    ā€œBoys Remain Prestigious, Girls Become Prostitutesā€: Socio-Cultural Context of Relationships and Sex among Young People in Nepal

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    One of the key characteristics of many developing countries compared to more developed countries is that their population is relatively young, and a proportion of those young people are becoming sexually active each year. The last two decades has seen a growing concern worldwide of the spread of HIV/AIDS, but, of course, young people face a range of socio-economic, cultural, psychological and sexual health-related problems at that time of their life. Very little research has been conducted in this area into Nepalese young peopleā€™s problems. Our qualitative study explores key problems faced by Nepalese youths with particular emphasis on sexual and reproductive health issues. The findings of ten focus group discussions with a total of 75 participants and 31 in-depth individual interviews indicated that many young people of Nepal face a range socio-economic, psychological, sexual and reproductive health-related problems. Unemployment, less opportunity for sex and entertainment, stress, curiosity, communication gap and poor sex education and sexual health services were frequently reported problems. In addition there was a gender difference around sex with young women (girls) having fewer opportunities and less freedom than young men (boys). In order improve young peopleā€™s sexual health, more attention needs to be given to rigorous research and the design and implementation of appropriate interventions. Young peopleā€™s ability to make informed choices about their own health and risk behaviour should be enhanced

    Public health impact of earthquakes

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    Dating and Sex Among Emerging Adults in Nepal

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    Social and cultural changes in Nepal, including better communication facilities and transport, more urbanization and a rising age at which people marry, have created more opportunities for young people for ā€œdating.ā€ Our qualitative study explores whether the existence of dating cultures influences young peopleā€™s sexual behavior in Nepal. Focus group discussions with a total of 75 participants and 31 in-depth individual interviews were conducted among young people in Nepal. Most urban and rural young people liked the dating culture. Although it is a new kind of culture in Nepalese society, it is gaining popularity. The mass media were regarded as encouraging and creating an environment for dating. Most participants believed that dating culture encourages premarital and extramarital sexual behavior. The authors underpin their findings by linking it to the ā€œemerging adulthoodā€ framework. In terms of public health, they recommend that dating practice should be discussed in formal and informal education to promote safer sex

    Barriers to sexual health services for young people in Nepal

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    Although sexual and reproductive health education and services are provided to young people, current rates of HIV infection and pregnancy are increasing in Nepal, indicating that young people do not always use sexual health services. Health facilities have apparently failed to provide young people with specialized sexual health education and services. This study explored the barriers to using sexual health services, including condom-use among young people in Nepal. Participants from 10 focus groups and 31 in-depth interviews, carried out by a same-sex researcher, reported many socioeconomic, cultural and physical norms that impose barriers to accessing information on sexual health and relevant services. It is concluded that the establishment of youth-friendly service centres in convenient places might help encourage young people to use sexual health services

    Violence against Women Living with HIV: A Cross Sectional Study in Nepal

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    Background: Violence against Women (VAW) and Human Immunodeficiency Virus (HIV) both constitute major public health issues and there is an increasing evidence of their intersection. Data are sparse on the intersection of VAW and HIV in South Asia region. We aimed to identify different forms and magnitude of violence incurred by women living with HIV, and analyse causes and consequences. Methods: A cross-sectional study was conducted among 43 HIV positive women in three districts of Nepal, in the period of March-May 2008. Data was collected through semi-structured interview questionnaire. Results: The vast majority of the participants (93.02%) had suffered from at least one form of the violence. The prevalence of violence rose up sharply after being diagnosed with HIV positive than before (93.02% vs.53.5%). Forty-five percent of the participants reported their husbands being main perpetrator of violence. Self-humiliation and health and treatment problem were the major consequences of violence as reported by 90% and 77.5% of the participants respectively. Conclusion: Violence was observed to be highly prevalent among women living with HIV in Nepal. Further larger and nationally representative researches are imperative to better understand the cross-section between VAW and HIV. Our finding recommends to prioritizing programs on social aspects of HIV such as violence

    Implication of Air pollution on health effects in Nepal: Lessons from global research

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    The Nepal Health Research Council and recent National Health Policy of Nepal (2015/16) have included ā€˜air pollutionā€™ as a priority research/public health agenda that is guaranteed by the Constitution. There is an urgent need to organise the future policies and actions to ensure the commitments to reduce air pollution
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