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How Do Women Learn They Are Pregnant? The Introduction of Clinics and Pregnancy Awareness in Nepal
dc.contributor.authorMusse, Isabel
dc.contributor.authorThornton, Rebecca
dc.contributor.authorGhimire, Dirgha
dc.date.accessioned2022-04-08T18:03:35Z
dc.date.available2023-04-08 14:03:33en
dc.date.available2022-04-08T18:03:35Z
dc.date.issued2022-03
dc.identifier.citationMusse, Isabel; Thornton, Rebecca; Ghimire, Dirgha (2022). "How Do Women Learn They Are Pregnant? The Introduction of Clinics and Pregnancy Awareness in Nepal." Studies in Family Planning 53(1): 43-59.
dc.identifier.issn0039-3665
dc.identifier.issn1728-4465
dc.identifier.urihttps://hdl.handle.net/2027.42/172004
dc.description.abstractThe earlier a woman learns about her pregnancy status, the sooner she can make decisions about her own and infant’s health. This paper examines how women learn about their pregnancy status and measures how access to pregnancy tests affects earlier pregnancy knowledge. Using 10 years of individual‐level monthly panel data in Nepal, we find that, on average, women learn they are pregnant in their 4.6th month of pregnancy. Living approximately a mile further from a clinic offering pregnancy tests increases the time a woman knows she is pregnant by one week (5 percent increase) and decreases the likelihood of knowing in the first trimester by 4.5 percentage points (16 percent decrease). Women with prior pregnancies experience the most substantial effects of distance within the first two trimesters, while, for women experiencing their first pregnancy, distance does not affect knowledge. These results suggest that, while access to clinics can increase pregnancy awareness for women who recognize pregnancy symptoms, other complementary policies are needed to increase pregnancy awareness of women in their first pregnancy.
dc.publisherWorld Bank
dc.publisherWiley Periodicals, Inc.
dc.subject.otherPregnancy Testing
dc.subject.otherReproductive Health
dc.subject.otherNepal
dc.titleHow Do Women Learn They Are Pregnant? The Introduction of Clinics and Pregnancy Awareness in Nepal
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172004/1/sifp12183.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172004/2/sifp12183_am.pdf
dc.identifier.doi10.1111/sifp.12183
dc.identifier.sourceStudies in Family Planning
dc.identifier.citedreferencePuri, Mahesh C. 2020. “ Providing Medical Abortion Services through Pharmacies: Evidence from Nepal.” Best Practice & Research Clinical Obstetrics & Gynaecology 63: 67 – 73.
dc.identifier.citedreferenceLamina, Mustafa Adelaja. 2013. “ The Effect of Urine Pregnancy Testing on Timing of Accessing Antenatal Care and Abortion Services in Western Nigeria.” Open Journal of Obstetrics and Gynecology 03 ( 6 ): 486 – 492. https://doi.org/10.4236/ojog.2013.36089.
dc.identifier.citedreferenceLu, Yao, and David J.G, Slusky. 2016. “ The Impact of Women’s Health Clinic Closures on Preventive Care.” American Economic Journal: Applied Economics 8 ( 3 ): 100 – 124.
dc.identifier.citedreferenceMoller, Ann‐Beth, Max Petzold, Doris Chou, and Lale Sa. 2017. “ Early Antenatal Care Visit: A Systematic Analysis of Regional and Global Levels and Trends of Coverage from 1990 to 2013.” The Lancet Global Health 5 ( 10 ): 977 – 983.
dc.identifier.citedreferenceMorroni, Chelsea, and Jennifer Moodley. 2006. “ The Role of Urine Pregnancy Testing in Facilitating Access to Antenatal Care and Abortion Services in South Africa: A Cross‐Sectional Study.” BMC Pregnancy and Childbirth 6: 26. https://doi.org/10.1186/1471‐2393‐6‐26.
dc.identifier.citedreferencePeacock, N. R., M. A. Kelley, C. Carpenter, M. Davis, G. Burnett, N. Chavez, and V. Aranda. 2001a. “ Pregnancy Discovery and Acceptance among Low‐Income Primiparous Women: A Multicultural Exploration.” Maternal and Child Health Journal 5 ( 2 ): 109 – 118. https://doi.org/10.1023/A:1011301232549.
dc.identifier.citedreferencePeacock, Nadine R, Michele A Kelley, Colleen Carpenter, Margaret Davis, Glenda Burnett, Noel Chavez, Veronica Aranda, Chicago Social Networks Project, et al. 2001b. “ Pregnancy Discovery and Acceptance among Low‐Income Primiparous Women: A Multicultural Exploration.” Maternal and Child Health Journal 5 ( 2 ): 109 – 118.
dc.identifier.citedreferencePuri, Mahesh, Shophika Regmi, Anand Tamang, and Prabhakar Shrestha. 2014. “ Road Map to Scaling‐Up: Translating Operations Research Study’s Results into Actions for Expanding Medical Abortion Services in Rural Health Facilities in Nepal.” Health Research Policy and Systems 12 ( 1 ): 1 – 7.
dc.identifier.citedreferencePuri, Mahesh, Susheela Singh, Aparna Sundaram, Rubina Hussain, Anand Tamang, and Marjorie Crowell. 2016. “ Abortion Incidence and Unintended Pregnancy in Nepal.” International Perspectives on Sexual and Reproductive Health 42 ( 4 ): 197.
dc.identifier.citedreferenceRatzon, Ronit, Eyal Sheiner, and Ilana Shoham‐Vardi. 2011. “ The Role of Prenatal Care in Recurrent Preterm Birth.” European Journal of Obstetrics and Gynecology and Reproductive Biology 154 ( 1 ): 40 – 44. https://doi.org/10.1016/j.ejogrb.2010.08.011.
dc.identifier.citedreferenceRossin‐Slater, Maya. 2013. “ WIC in Your Neighborhood: New Evidence on the Impacts of Geographic Access to Clinics.” Journal of Public Economics 102: 51 – 69.
dc.identifier.citedreferenceRowland, Andrew S, Donna Day Baird, Stuart Long, Ganesa Wegienka, Sioba´n D Harlow, Michael Alavanja, and Dale P Sandler. 2002. “ Influence of Medical Conditions and Lifestyle Factors on the Menstrual Cycle.” Epidemiology 13(6): 668 – 674.
dc.identifier.citedreferenceSaavedra‐Avendano, Biani, Raffaela Schiavon, Patricio Sanhueza, Ranulfo Rios‐Polanco, Laura Garcia‐Martinez, and Blair G Darney. 2018. “ Who Presents Past the Gestational Age Limit for First Trimester Abortion in the Public Sector in Mexico City? ” PloS One 13 ( 2 ): e0192547.
dc.identifier.citedreferenceShaaban, Omar M, and Anna F Glasier. 2008. “ Pregnancy during Breastfeeding in Rural Egypt.” Contraception 77 ( 5 ): 350 – 354.
dc.identifier.citedreferenceSimkhada, Bibha, Edwin R. Van Teijlingen, Maureen Porter, and Padam Simkhada. 2008. “ Factors Affecting the Utilization of Antenatal Care in Developing Countries: Systematic Review of the Literature.” Journal of Advanced Nursing 61 ( 3 ): 244 – 260. https://doi.org/10.1111/j.1365‐2648.2007.04532.x.
dc.identifier.citedreferenceStanback, John, Gwyneth Vance, Gloria Asare, Prisca Kasonde, Beatrice Kafulubiti, Mario Chen, and Barbara Janowitz. 2013. “ Does Free Pregnancy Testing Reduce Service Denial in Family Planning Clinics? A Cluster‐Randomized Experiment in Zambia and Ghana.” Global Health: Science and Practice 1 ( 3 ): 382 – 388.
dc.identifier.citedreferenceStokes, E, I Dumbaya, S Owens, and L Brabin. 2008. “ The Right to Remain Silent: A Qualitative Study of the Medical and Social Ramifications of Pregnancy Disclosure for Gambian Women.” BJOG: An International Journal of Obstetrics & Gynaecology 115 ( 13 ): 1641 – 1647.
dc.identifier.citedreferenceThapa, Shyam. 2004. “ Abortion Law in Nepal: The Road to Reform.” Reproductive Health Matters 12 ( Supp 24 ): 85 – 94.
dc.identifier.citedreferenceWHO. 1998. “ The World Health Organization Multinational Study of Breast‐Feeding and Lactational Amenorrhea. II. Factors Associated with the Length of Amenorrhea.” Edited by World Health Organization Task Force on Methods for the Natural Regulation of Fertility et al. Fertility and Sterility 70 ( 3 ): 461 – 471.
dc.identifier.citedreferenceWHO, U. W. B. G., UNICEF, and the United Nations Population Division. 2019. Trends in Maternal Mortality: 2000 to 2017. Washington, DC: World Bank.
dc.identifier.citedreferenceYabiku, Scott T. 2004. “ Marriage Timing in Nepal: Organizational Effects and Individual Mechanisms.” Social Forces 83 ( 2 ): 559 – 586.
dc.identifier.citedreferenceZabin, Laurie Schwab, Mark R Emerson, Patricia A Ringers, and Valerie Sedivy. 1996. “ Adolescents with Negative Pregnancy Test Results: An Accessible At‐risk Group.” JAMA 275 ( 2 ): 113 – 117.
dc.identifier.citedreferenceAndersen, Kathryn, Anuja Singh, Meena Kumari Shrestha, Mukta Shah, Erin Pearson, and Leila Hessini. 2013. “ Early Pregnancy Detection by Female Community Health Volunteers in Nepal Facilitated Referral for Appropriate Reproductive Health Services.” Global Health: Science and Practice. 1 ( 3 ): 372 – 378.
dc.identifier.citedreferenceAxinn, William G, Dirgha Ghimire, and Nathalie E Williams. 2012. “ Collecting Survey Data during Armed Conflict.” Journal of Official Statistics 28 ( 2 ): 153.
dc.identifier.citedreferenceAxinn, William G, Arland Thornton, Jennifer S Barber, and SA Murphy. 2018. “ Ghimire, Dirgha J., Fricke, Thomas E.(Thomas Earl),… Massey, Douglas S. Chitwan Valley Family Study: Changing Social Contexts and Family Formation, Nepal, 1996–2008.” Ann Arbor, MI: Inter‐university Consortium for Political and Social Research [distributor], 06 – 25.
dc.identifier.citedreferenceAxinn, William G., and Scott T. Yabiku. 2001. “ Social Change, the Social Organization of Families, and Fertility Limitation.” American Journal of Sociology 106 ( 5 ): 1219 – 1261. https://doi.org/10.1086/320818.
dc.identifier.citedreferenceBailey, Martha J. 2012. “ Reexamining the impact of family planning programs on US fertility: evidence from the War on Poverty and the early years of Title X.” American Economic Journal: Applied Economics 4 ( 2 ): 62 – 97.
dc.identifier.citedreferenceBaum, Sarah, Teresa DePiñeres, and Daniel Grossman. 2015. “ Delays and Barriers to Care in Colombia among Women Obtaining Legal First‐and Second‐Trimester Abortion.” International Journal of Gynecology & Obstetrics 131 ( 3 ): 285 – 288.
dc.identifier.citedreferenceBoerma, Ties, Jennifer Requejo, Cesar G. Victora, Agbessi Amouzou, Asha George, Irene Agyepong, Carmen Barroso, et al. 2018. “ Countdown to 2030: Tracking Progress towards Universal Coverage for Reproductive, Maternal, Newborn, and Child Health.” The Lancet 391 (10129): 1538–1548. https://linkinghub.elsevier.com/retrieve/pii/S0140673618301041.
dc.identifier.citedreferenceBranum, Amy M, and Katherine A Ahrens. 2017. “ Trends in Timing of Pregnancy Awareness among US Women.” Maternal and Child Health Journal 21 ( 4 ): 715 – 726.
dc.identifier.citedreferenceBrauner‐Otto, Sarah R, William G Axinn, and Dirgha J Ghimire. 2007. “ The Spread of Health Services and Fertility Transition.” Demography 44 ( 4 ): 747 – 770.
dc.identifier.citedreferenceComfort, Alison B, Slavea Chankova, Randall Juras, C Natasha Hsi, Lauren A Peterson, and Payal Hathi. 2016. “ Providing Free Pregnancy Test Kits to Community Health Workers Increases Distribution of Contraceptives: Results from an Impact Evaluation in Madagascar.” Contraception 93 ( 1 ): 44 – 51.
dc.identifier.citedreferenceDrey, Eleanor A, Diana G Foster, Rebecca A Jackson, Susan J Lee, Lilia H Cardenas, and Philip D Darney. 2006. “ Risk Factors Associated with Presenting for Abortion in the Second Trimester.” Obstetrics & Gynecology 107 ( 1 ): 128 – 135.
dc.identifier.citedreferenceFoster, Diana G, Rebecca A Jackson, Kate Cosby, Tracy A Weitz, Philip D Darney, and Eleanor A Drey. 2008. “ Predictors of Delay in Each Step Leading to an Abortion.” Contraception 77 ( 4 ): 289 – 293.
dc.identifier.citedreferenceFrost, Melanie Dawn, Mahesh Puri, and Peter Richard Andrew Hinde. 2013. “ Falling Sex Ratios and Emerging Evidence of Sex‐Selective Abortion in Nepal: Evidence from Nationally Representative Survey Data.” BMJ Open 3 ( 5 ): e002612.
dc.identifier.citedreferenceGrossman, Daniel, Kelly Blanchard, and Paul Blumenthal. 2008. “ Complications after Second Trimester Surgical and Medical Abortion.” Reproductive Health Matters 16 ( 31 Suppl.): 173 – 182. i https://doi.org/10.1016/S0968‐8080(08)31379‐2.
dc.identifier.citedreferenceHenderson, Jillian T, Mahesh Puri, Maya Blum, Cynthia C Harper, Ashma Rana, Geeta Gurung, Neelam Pradhan, Kiran Regmi, Kasturi Malla, Sudha Sharma, et al. 2013. “ Effects of Abortion Legalization in Nepal, 2001–2010.” PloS One 8 ( 5 ): e64775.
dc.identifier.citedreferenceHochman, Eldar, Matan Elami‐Suzin, Hagar Gur Soferman, Tamar Galil, Yehuda Hershkovitz, Dorit Tzur, Estela Derazne, and Hadar Elad. 2012. “ Early Pregnancy Confirmation—The Role of Urine Pregnancy Test in Military Primary Care Clinics.” Military Medicine 177 ( 8 ): 947 – 951.
dc.identifier.citedreferenceHueston, William J., Gregory E. Gilbert, Lucy Davis, and Vanessa Sturgill. 2003. “ Delayed Prenatal Care and the Risk of Low Birth Weight Delivery.” Journal of Community Health 28 ( 3 ): 199 – 208. https://doi.org/10.1023/A:1022908307844.
dc.identifier.citedreferenceICF 2019. The DHS Program STATcompiler. Funded by USAID. Accessed on June 12, 2019. https://www.statcompiler.com/en/
dc.identifier.citedreferenceIngham, Roger, Ellie Lee, Steve Joanne Clements, and Nicole Stone. 2008. “ Reasons for Second Trimester Abortions in England and Wales.” Reproductive Health Matters 16 ( Supp 31 ): 18 – 29.
dc.identifier.citedreferenceJukic, Anne Marie, Donna D Baird, Clarice R Weinberg, D Robert McConnaughey, and Allen J Wilcox. 2013. “ Length of Human Pregnancy and Contributors to its Natural Variation.” Human Reproduction 28 ( 10 ): 2848 – 2855.
dc.identifier.citedreferenceKennedy, Kathy I, Roberto Rivera, and Alan S McNeilly. 1989. “ Consensus Statement on the Use of Breastfeeding as a Family Planning Method.” Contraception 39 ( 5 ): 477 – 496.
dc.identifier.citedreferenceKozuki, Naoko, Joanne Katz, Subarna K Khatry, James M Tielsch, Steven C LeClerq, and Luke C Mullany. 2016. “ Community Survey on Awareness and Use of Obstetric Ultrasonography in Rural Sarlahi District, Nepal.” International Journal of Gynecology & Obstetrics 134 ( 2 ): 126 – 130.
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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