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Understanding the roots

Local stakeholders’ insights on the causes and challenges in combating child marriage in mountainous Karnali, Nepal

Bibliographic Data

ID19591614
AuthorsNished Rijal (0009-0008-4175-0728, University of Ottawa, corresponding author), Behnoush Ahranjani (0009-0007-8255-2085, University of Calgary, corresponding author), Padma Hitan (Helen Keller International Nepal, corresponding author), Sian Fitzgerald (corresponding author)
EditorsMarie A Brault (0000-0002-7152-785X)
Year2025
Volume5
Issue3
Pagese0004323
Publication date2025-03-18
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004323
PMID40100841
OpenAlexW4408567503
LanguageEN
References cited24

Child marriage remains a pressing issue in Nepal despite a decreasing trend in recent decades. The Nepal constitution prohibits child marriage, and the local governments have implemented various strategies to combat it. Nevertheless, child marriage practice continues, particularly in remote and mountainous regions, posing a challenge to the effectiveness and sustainability of interventions. This study aimed to gather insights from key community stakeholders on the consequences and perceived causes of child marriage, which can serve as a foundation for developing culturally appropriate interventions in Karnali province. Eleven Focus Group Discussions and 13 Key Informant Interviews were conducted with a total of 121 participants, with adult and adolescent participants’ mean ages of 35.2 and 15.2 years, respectively. The participants were asked about the significance of child marriage in their community, its consequences, and perceived causes. Discussions were transcribed verbatim in Nepali, and a thematic approach was used for data analysis. There was agreement that child marriage has been declining in the community but continues to be a substantial public health issue. Clear comprehension of the consequences of child marriage, both immediate and long-term, was evident. Child marriage was identified to be influenced by a complex interplay of factors across individual, interpersonal, community, and policy levels. Cultural and gender norms and socioeconomic determinants emerged as interconnected and primary causes. An additional theme highlighted the inequity in accessing information and services, particularly for women and girls. The significance of recognizing the agency of individuals and community groups in their ability to change was also underscored. These findings suggest the stakeholders’ awareness of child marriage in their community is significant. To develop and implement effective and sustainable interventions, it is crucial for diverse stakeholder groups to take ownership and actively participate in the planning and execution of interventions led by local government initiatives

Child marriage · Developing country · Economic growth · Focus group · Nepali · Political science · Population · Psychological intervention · Qualitative research · Social science · Socioeconomic status · Sociology · Thematic analysis · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Migration, Health and Trauma · Psychology

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