Promoting sexual and reproductive health in development and governance priorities for youth in Nepal

A qualitative exploration using reproductive justice framework

Datos Bibliográficos

ID22945839
AutoresPabitra Neupane (0009-0004-6659-0688, Program Development Advisory Unit, Research and Community Development Centre , Budhanilkantha, Kathmandu 44600, autor de correspondencia), Pari Adhikari (Program Development Advisory Unit, Research and Community Development Centre , Budhanilkantha, Kathmandu 44600), Barsha Luitel (Program Development Advisory Unit, Research and Community Development Centre , Budhanilkantha, Kathmandu 44600), Lirisha Tuladhar (0009-0002-4784-7252, Program Development Advisory Unit, Research and Community Development Centre , Budhanilkantha, Kathmandu 44600), Pratistha Dhakal (0009-0000-0749-0821, Kathmandu University), Amit Timilsina (0000-0002-4465-7835, Program Development Advisory Unit, Research and Community Development Centre , Budhanilkantha, Kathmandu 44600)
Año2026
Volumen41
Número3
Fecha de publicación2026-05-05
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daag070
PMID42216836
OpenAlexW7162859390
IdiomaEN
Referencias citadas30

This qualitative study explores the perceptions of promoting sexual and reproductive health (SRH) as a priority in development and governance among youth in Nepal. Despite progressive national frameworks supporting gender equality and SRH, the SRH indicators and ground reality suggest a pressing need for improved commitment to ensuring safe and quality SRH services. Using a reproductive justice lens, the study engaged 105 diverse participants including youth leaders, former youth leaders, donors, and local government officials through in-depth interviews, key informant interviews, and focus group discussions conducted across all seven provinces of Nepal. While youth-led initiatives demonstrate promising efforts in policy advocacy, and digital engagement, they often encounter systemic and institutional hurdles like tokenism, policy exclusion, limited funding; and socio-cultural barriers such as deep-seated social stigma, and lack of inclusive programming. These barriers disproportionately impact marginalized groups, including sexual and gender minorities, persons with disabilities, and Dalit and Madheshi communities. To enable real progress in promoting SRH, this study identified a shift away from existing top-down approaches towards localized and decentralized strategies fostering youth agency, co-creation, and co-ownership of programs along with local governments, mainstreaming gender, and decentralizing resources and power for effective SRH promotion strategies.

Corporate governance · Economic Justice · Focus group · Gender mainstreaming · Government (linguistics) · Promotion (chess) · Qualitative property · Qualitative research · Reproductive health · Adolescent Sexual and Reproductive Health · Disability Rights and Representation · Global Maternal and Child Health