Prevalence and Factors Associated with Chhaupadi in Nepal: Evidence from Nepal Multi-Cluster Indicator Survey (NMICS) 2019

Chhaupadi, a harmful menstrual exile practice, persists in parts of Nepal despite legal bans. This study examines the prevalence of Chhaupadi and its sociodemographic determinants in Sudurpaschim province, Nepal. Researchers analyzed data from the Nepal Multiple Indicator Cluster Survey (NMICS) 2019, a publicly available dataset from the United Nations Children’s Fund (UNICEF), and the Multiple Indicator Cluster Survey (MICS). The study was limited to 1,117 women in the Sudurpaschim province of Nepal. The analysis applied chi-square, bivariate, and multivariable logistic regression. The findings reveal that a significant proportion of women in Nepal’s far western region still adhere to menstrual restrictions. Results indicate that 94% of respondents avoid performing religious activities during menstruation, and 14% are kept away from school. Chhaupadi remains practiced by 17% of women overall. The practice is less prevalent among younger women (17%) than older women (21%). Logistic regression further confirmed that women with no education level (OR = 2.36, 95% CI [1.10, 5.45], p < .05), those living in rural areas (OR = 2.04, 95% CI [1.49, 2.79], p < .001), and those belonging to the lowest wealth quintiles (OR = 4.24, 95% CI [2.51, 7.17], p < .001) were significantly more likely to practice Chhaupadi. Despite criminalization, the persistence of Chhaupadi highlights deep-rooted sociocultural norms, economic disadvantage, and gender power relations. Effective interventions must therefore move beyond legal enforcement to include community-based norm change, female education, and gender sensitive empowerment initiatives to advance menstrual health equity and social justice.