Kathmandu: Difference between revisions

In Nepal, you can purchase oral contraception (birth control pills) without a prescription.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth?]</ref> According to a 2015 report, it's estimated that 52.4% of Nepali women (who are of reproductive age and married or in unions) use some form of contraception, including traditional methods, and 23.9% have unmet family planning needs. The most common forms of contraception were female sterilization (18.3%), injectables (13.2%), birth control pills (4.8%), male sterilization (4.8%) and withdrawal, also known as the "pull-out method" (3.9%). It was found that only 3.8% of Nepali women used condoms as their primary form of contraception. Meanwhile, there was very low usage of IUDs (1.7%) and contraceptive implants (1.3%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>

* You can purchase '''condoms''' in Nepal at pharmacies, general stores, certain department stores and non-governmental organizations, like Marie Stopes International. There are also locally-produced condom brands, such as [http://crs.org.np/page.php?title=dzire-dotted-condom Dzire Dotted Condom] and [http://crs.org.np/page.php?title=dhaal-deluxe-condoms Dhaal Deluxe Condoms], which are produced by Nepal CRS Company. If you go to [http://www.mariestopes.org.np/en/faq/men/contraception/male-condoms?section=men Marie Stopes Nepal], you'll probably get Jodi Condoms, which is the condom brand that MSI International endorses. Finally, if you prefer to purchase condoms online, there are certain online retailers that sell condoms to the Nepalese market and can deliver condoms to your Nepalese address. Some of these online companies are [https://www.meroshopping.com/condom Mero Shopping], which sells brands like Ocean Premium, Kohinoor Moods, or [https://www.caretobeauty.com/np/condoms/?limit=all Care to Beauty], which sells Durex condoms. However, if you purchase online, the price for a box of condoms will typically be much higher than if you purchase them in person in a Nepalese pharmacy or store.

* You can get '''contraceptive implants''', including brands like Norplant and Jadelle, at government hospitals and health care organizations. For Nepali women, it's totally free.<ref>[Conversation with Kathmandu gynecologist, 2017]</ref>

* '''Condoms''' - If you go to Marie Stopes Nepal, you can probably get a box of condoms for a reduced price or free. If you go to a Nepalese store, you can purhcase Dhaal Deluxe Condoms for about Rs. 5 at Nepalese stores, as of 2017.<ref>[http://crs.org.np/page.php?title=dhaal-deluxe-condoms Dhaal Deluxe Condoms]</ref> For a box of Dzire Dotted Condoms, you can expect to pay Rs. 35 at Nepalese stores, as of 2017.<ref>[http://crs.org.np/page.php?title=dzire-dotted-condom Dzire Dotted Condoms].</ref> However, if you would like to buy condoms online, you can expect to pay anywhere between Rs.50-Rs.2300 for a box of condoms.

'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].

In Nepal, it is estimated that 0.2% of the population is infected with HIV, as of 2015.<ref>[http://www.unaids.org/en/regionscountries/countries/nepal UNAIDS - Nepal, HIV & AIDS Estimates]</ref> According to a 2015 UN Report, the majority of new HIV infections (85%) are sexually-transmitted.<ref>[http://www.unaids.org/sites/default/files/country/documents/NPL_narrative_report_2015.pdf Country Progress Report - NEPAL]</ref> The key affected populations include injection drug users, sex workers, transgender people and migrant laborers. However, it is important to remember that HIV impacts all people from all walks of life, and one should always use protection. For a detailed report on HIV in Nepal, click [http://www.unaids.org/sites/default/files/country/documents/NPL_narrative_report_2015.pdf here].

* [http://www.grandehospital.com/department/infectious-diseases Grande International Hospital]: This private hospital will most likely be more expensive than public hospitals, or perhaps even some other private ones. However, if you do want a hospital/clinic that specializes in helping foreigners, this is an option. For an appointment, call +977 15159266, 015159267ENGLISHENG .

* [http://ciwec-clinic.com/service-location/kathmandu/ CIWEC Clinic]: This is another private clinic that provides specialty services for foreigners. They do HIV tests and otehr laboratory tests. Open 24 hours.

* Furthermore, gynecologists are available in nearly all hospitals. each Hospitals. The hospitals which are near to Tribhuwan International Airport are: 1)Om Hospital and Research centre pvt. ltd. chahabil,kathmandu, 2)Kathmandu medical College Teaching Hospital, Sinamangal,kathmandu 3)medicare Hospital,chahabil

Since March 2002, abortion has been legal in Nepal under the 11th Amendment to the Civil Code.<ref>[https://www.womenonwaves.org/en/page/4886/nepal--abortion-law Nepal: Abortion law]</ref> According to the law, abortion is legally available upon request during the first12 weeks of gestation. This means that, for all women, they can obtain an abortion for nearly all reasons during this period. Furthermore, younger women should be turned away or discriminated against because of their age.<ref>[http://asap-asia.org/blog/10-things-you-should-know-about-abortion-service-in-nepal/#sthash.N4ez5hnq.dpbs 10 Things To Know about Abortion Services in Nepal]</ref> However, it is illegal to request an abortion due to the sex of the child.<ref>[https://www.womenonwaves.org/en/page/4887/nepal--organizations-and-clinincs Women on Waves - Nepal: Organizations and clinics]</ref> After 18 weeks of gestation, abortion is only legal if the pregnancy in cases of rape or incest. It should be noted that, if any time in the pregnancy, a physician believes that an abortion is advisable, or if the pregnant woman's physical or mental health is at stake, or if there is serious risk of fetal malformation, an abortion can also be legally permitted.<ref>[http://asap-asia.org/blog/10-things-you-should-know-about-abortion-service-in-nepal/#sthash.N4ez5hnq.dpbs 10 Things To Know about Abortion Services in Nepal]</ref>