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Untitled - Care Nepal

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Background<br />

<strong>Nepal</strong>, a South Asian land-locked<br />

country has a population of 28.6<br />

million. The population growth<br />

rate is just over of 2 percent (CBS, 2003).<br />

The female population is about half of the<br />

total population of <strong>Nepal</strong> (Census 2001)<br />

The literacy rate of <strong>Nepal</strong>ese increased from<br />

39.6 percent in the 1991 census to 53.74<br />

percent in 2001. Hinduism is the major<br />

religion, followed by Buddhism, Islam and<br />

other religions. Amongst Hindus;<br />

Brahmins, Chettris and Dalits are the major<br />

caste groups and there are a multitude of<br />

ethnic groups, often referred to as ‘Janajatis’.<br />

Although women are equal to males in<br />

number in <strong>Nepal</strong>, in social and economic<br />

terms this is certainly not the case. Gender<br />

discrimination against women is a profound<br />

factor that increases vulnerability to a range<br />

of psychosocial and mental health problems.<br />

The Gender Development Index and<br />

Gender Empowerment Index are 0.452 and<br />

0.391 respectively, both at the low end<br />

globally. This reflects the difference<br />

between women and men in burden of labor.<br />

Less than half of adult women (48.9 percent)<br />

receive compensation for their labor<br />

whereas 67.6 percent of men are involved<br />

in compensation-related activities (CBS/<br />

HMG, 2004).<br />

Gender discrimination can be observed at<br />

all socioeconomic levels and across all<br />

ethnic and religious groups. However,<br />

gender discrimination is most profound<br />

among conservative hindu groups and may<br />

be less severe in other ethnic groups.<br />

Women describe greater mental health<br />

problems compared to men in numerous<br />

studies conducted in <strong>Nepal</strong> (Kohrt et al.,<br />

2005b; Tausig et al., 2004; Thapa & Hauff,<br />

2005).<br />

In terms of accessibility, women have much<br />

lower ownership of property. According<br />

to the 2001 Census, only 5 percent women<br />

have ownership of a house, 11 percent of<br />

land and 7 percent of livestock. Ownership<br />

of house and land are higher amongst the<br />

women of urban areas and ownership in<br />

livestock is higher of women in rural areas<br />

(2001 census)<br />

Due to discrimination, lower access to the<br />

services and family restrictions women are<br />

likely to have more psychosocial problems.<br />

It has been found that women who are the<br />

victims of violence are more likely to suffer<br />

from different psychological difficulties<br />

such as depression, anxiety, and post<br />

traumatic stress disorder. Similarly, women<br />

who are victims of discrimination, injustice<br />

are likely to have the problems of<br />

personality disorder, substance abuse, sexual<br />

dysfunction and low self esteem. Violence<br />

against women can have negative effects for<br />

families, communities and economy (DE<br />

Stewart - World Psychiatry, 2006).<br />

6<br />

Psychosocial Issues of<br />

Women affected by conflict

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