Original Articles

Prevalence and Risk Factors of Child Marriage Among Madhesi Women in Nepal's Terai Region

Abstract

Objective: Child marriage is a detrimental practice with negative consequences for girls' health and
well-being. This study aims to identify the prevalence of child marriage and associated risk factors within the Madhesi community.
Materials and methods: A cross-sectional study was conducted in a sub-metropolitan city of Lumbini Province, Nepal, in 2023. A total of 352 married women were randomly selected using simple random sampling and interviewed using a structured questionnaire between March 28th and April 17th. Descriptive categorical variables were expressed as proportions. Risk factors associated with child marriage were measured using the Chi-square test and multivariate logistic regression analysis. All statistical analyses were performed using SPSS version 26.
Results: The majority of respondents (36.1%) were in the age group 21-25, with a mean age of 25.90 years ± 4.6 years.  Most respondents (48.9%) received only basic-level education, with the majority (72.4%) reporting their parents as having no formal education. The primary family occupation was farming (40.1%). The prevalence of child marriage was high (77.0%), with a median marriage age of
18 years. Logistic regression analysis revealed significant risk factors including lower education levels of respondents and their parents, husband's occupation, lack of awareness about the legal marriage age, limited decision-making power regarding marriage, belief in the dowry system, discussions with friends about child marriage, and occurrence of child marriage among friends.
Conclusion: Despite legal prohibition, child marriage remains prevalent in the Madhesi community. Educational interventions targeting women and parents, empowering women with decision-making authority, and addressing the dowry system are crucial for reducing this harmful practice.

1. Bhattarai PC, Paudel DR, Poudel T, Gautam S, Paudel PK, Shrestha M, et al. Prevalence of early marriage and its underlying causes in Nepal: a mixed methods study. Social Sciences. 2022;11(4):177.
2. Nour NM. Child marriage: a silent health and human rights issue. Rev Obstet Gynecol. 2009;2(1):51.
3. Petroni S, Steinhaus M, Fenn NS, Stoebenau K,
Gregowski AJAogh. New findings on child marriage in sub-Saharan Africa. Annals of global health. 2017;83(5-6):781-90.
4. Wodon Q, Male C, Nayihouba A, Onagoruwa A, Savadogo A, Yedan A, et al. Economic impacts of child marriage: global synthesis report. 2017.
5. UNICEF. Child marriage. https://www.unicef.org/protection/child-marriage.
6. Adhikari R. Child marriage and physical violence: Results from a nationally representative study in Nepal. Journal of Health Promotion. 2018;6:49-59.
7. Bhandari NR. Early marriage in Nepal: Prospects for schoolgirls. Journal of International Women's Studies. 2019;20(3):88-97.
8. Mahato SK. Causes and consequences of child marriage: A perspective. International Journal of Scientific and Engineering Research. 2016;7(7):698-702.
9. Minstry of Health and Population [Nepal], New ERA, and ICF. Nepal demographic and health survey 2022. Kathmandu, Nepal; 2023.
10. National Statistics Office. 12th National Population
and Housing Census 2021. Kathmandu;2023. Available at: https://nepal.unfpa.org/en/publications/12th-national-population-and-housing-census-2021. Accessed 05-06-2024.
11. Maharjan RK, Karki KB, Shakya TM, Aryal B. Child marriage in Nepal: Research report. Kathmandu: Plan Nepal, Save the Children and World Visioin International. 2012.
12. Shakya DV. Prevalence and some correlates of child marriage in Kapilbastu District, Nepal. Asian Journal of Population Sciences. 2022;1(15):11-22.
13. Thapa AR. Child Marriage on Madeshi Dalits community: A Case Study of Santapurvillagewards, 8 Chandrapurmuniciplity of Rautahat District: Central Department of Rural Development; 2018.
14. Pandey S. Persistent nature of child marriage among women even when it is illegal: The case of Nepal. Children and youth services review. 2017;73:242-7.
15. Thapa B, Macer D. Bases of Early Marriage & Consequences on the Well-being of Mother and Child in Jhirubas, Palpa, Nepal. Eubios Journal of Asian and International Bioethics. 2018;28:72-86.
16. Shahi P, Tamang P, Simkhada P, Rawat K. Child marraige: Knowledge, practive and its attributed consequences among early married women in Jumla, Nepal. Asian Pac J Health Sci. 2019;6:140-8.
17. Manandhar N, Joshi SK. Health co-morbidities and early marriage in women of a rural area of Nepal:
A descriptive cross-sectional study. Journal of the Nepal Medical Association. 2020;58(230):780.
18. Yogi BN. Factors Associated with Early Marriage in Rural Mid-Western Nepal. Journal of Health Promotion. 2020;8:63-72.
19. Paul P. Effects of education and poverty on the prevalence of girl child marriage in India: A district-level analysis. Children and Youth Services Review. 2019;100:16-21.
20. Acharya P, Welsh B. Early and Forced Child Marriages in Rural Western Nepal. Journal of Underrepresented and Minority Progress 2017;1(1):95-110.
21. Sah RB, Subedi L, Shah U, Jha N. Factors affecting Early Age Marriage in Morang District of Nepal. Sch
J App Med Sci. 2014;2:1320-4.
22. Gautam K. Child marriage in Nepal: Stakeholders’ perspective. Journal of Health Promotion. 2019;7:1-6.
23. Sagita R, editor The Effect of Peer Group and Religiosity on Early Marriage Motivation. 5th ASEAN Conference on Psychology, Counselling, and Humanities (ACPCH 2019); 2020: Atlantis Press.
24. Shivan A, Kalikula J, Moses N. Peer Pressure and Early Marriages among School Going Children in Uganda: A Case Study of Kakumiro District Local Government. International Journal of Academic Multidisciplinary Research. 2023;7(2).
Files
IssueVol 18, No 2 (June 2024) QRcode
SectionOriginal Articles
DOI https://doi.org/10.18502/jfrh.v18i2.15932
Keywords
Child Marriage Dowry Nepal Prevalence Risk Factors

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Karki R, Gupta M, Kaphle M. Prevalence and Risk Factors of Child Marriage Among Madhesi Women in Nepal’s Terai Region. J Family Reprod Health. 2024;18(2):94-100.