Sun, Jul 08, 2012 - Page 5 News List

Contraception rocks Nepal society

NOT SUCH A BITTER PILL:Opportunities for women in the country are not all they should be and child marriage is widespread, but women there are far from subservient

By Zoe Williams  /  The Guardian

A girl has her hand decorated by a woman during a fair in Pokhara City, about 200km from Kathmandu, Nepal, on April 14.

Photo: EPA

The importance of contraception is something I feel I know my way around; I went to Nepal with Save the Children slightly sceptical about the idea that you need to see it to believe it. I already believe it, but what you see is not what you expect. On the face of it, you would recognise in Nepal everything you have ever heard about the way women are treated outside the West: A third of marriages feature one participant under 15, usually the girl; They still practise chhaupadi in some rural areas, which means that when you are menstruating, you are considered so unclean that you have to go and live in a shed. I thought that was a lot worse before I saw the sheds, which look just like living quarters, except that they tend to be downstairs and have a cow in them; There are villages where, even if you are raped, the act of intercourse results in you being de facto married to the rapist.

Yet, it does not feel that strict — I sat in on a meeting of health visitors undergoing training from a guy who said their BCG vaccination rates were not high enough and they erupted. They said they had vaccinated everybody and they were not meeting their targets because the census data was wrong and that was because — well, it is a labyrinthine story involving Maoists. What struck me is that this is not a place where women are subservient.

Plus, there is no taboo around contraception and since the surest way to keep women subjugated is to give them no control over when they have children, if that does not suggest a degree of equality, then it is a hell of an oversight.

The charity Save the Children supports this network of health workers, who survey their environs like hawks, making sure everybody has the contraception they need, but that is not the limit of the provision — you can end up among some vending shacks near a river, a shopping parade with margins so slim that they are trying to recycle your Coke bottle while you are still drinking it, and there will be a pharmacist trained to give LARC (long-acting reversible contraception) injections, with heavily subsidised pills (12 rupees for a month) and overflowing with condoms called Panther.

“It is not Afghanistan,” the NGOs say, as a kind of pep-talk-cum-mantra — it might look hard, improving the maternal outlook in a country that is so poor, but at least it is not Afghanistan.

So these are the issues: When you marry, you have to leave school and take on all the household duties for your husband’s family. “I wasn’t expecting the work,” said Nisha Darlami, who had married at the age of 13 and is now 19. “Before, I’d only had to cook and cut the grass. [When I arrived with my in-laws] I had to do everything, from the minute the cattle woke up.”

It is almost like a fairytale in its suddenness and non-negotiability — you have a mother-in-law who has been doing all the work since she arrived, and she has been waiting maybe two decades for you to arrive. Given this handover, I was amazed at how well the daughters and mothers-in-law seemed to get on, but it is possible that fighting in front of strangers is a universal taboo.

The reality of child marriage borders on child slavery, but interventions are vexed: Even though it is illegal, enforcement is flaky. Since 2008, there has been a more concerted campaign and arranged marriages are becoming rarer.

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