This paper presents a feminist analysis of women’s sexual and reproductive health and rights (SRHR) in Nepal, drawing on participatory evidence from Sayapatri Kurakani and integrated women’s health camps implemented by the Women’s Rehabilitation Center (WOREC) between 2023 and 2025. Based on responses from 1,182 women across eight districts of Nepal, the study examines how structural inequalities shape reproductive health outcomes beyond biomedical indicators.
Grounded in feminist epistemology and participatory knowledge production, the paper challenges conventional SRHR approaches that prioritize service delivery and quantitative outcomes while overlooking lived realities. Instead, it foregrounds women’s narratives to explore how patriarchy, caste and class hierarchies, economic dependency, and limited access to education intersect to shape bodily autonomy and reproductive decision-making.
Findings reveal persistent menstrual stigma, early marriage and pregnancy, disproportionate female responsibility in family planning, high prevalence of home births, and significant reproductive morbidity. While national indicators suggest improvements in SRHR services, the analysis highlights deep inequities between policy-level progress and grassroots realities, particularly among rural and marginalized women. These conditions reflect not individual behavioral deficits but structural constraints embedded in social norms, household power relations, and weak health system responsiveness.
The study argues that women’s bodies remain sites of social regulation, where reproduction, sexuality, and mobility are governed by patriarchal norms and institutional neglect. By centering participatory dialogue through Sayapatri Kurakani, the research demonstrates the value of feminist methodologies in capturing stigma, coercion, and emotional dimensions of SRHR that are often absent in conventional surveys.
The paper concludes that meaningful advancement of SRHR in Nepal requires structural transformation that goes beyond service provision to address gender inequality, redistribute decision-making power, and strengthen women’s economic and social autonomy. SRHR is thus positioned not only as a health issue but as a question of justice, dignity, and bodily sovereignty.