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Record W4408567503 · doi:10.1371/journal.pgph.0004323

Understanding the roots: Local stakeholders’ insights on the causes and challenges in combating child marriage in mountainous Karnali, Nepal

2025· article· en· W4408567503 on OpenAlexafffund
Nished Rijal, Behnoush Ahranjani, Padma Hitan, Sian Fitzgerald

Bibliographic record

VenuePLOS Global Public Health · 2025
Typearticle
Languageen
FieldMedicine
TopicGlobal Maternal and Child Health
Canadian institutionsUniversity of CalgaryUniversity of Ottawa
FundersGlobal Affairs Canada
KeywordsChild marriageNepaliPsychological interventionFocus groupThematic analysisSocioeconomic statusPolitical sciencePsychologyEconomic growthDeveloping countrySociologyQualitative researchPopulationSocial scienceDemography

Abstract

fetched live from OpenAlex

Child marriage remains a pressing issue in Nepal despite a decreasing trend in recent decades. The Nepal constitution prohibits child marriage, and the local governments have implemented various strategies to combat it. Nevertheless, child marriage practice continues, particularly in remote and mountainous regions, posing a challenge to the effectiveness and sustainability of interventions. This study aimed to gather insights from key community stakeholders on the consequences and perceived causes of child marriage, which can serve as a foundation for developing culturally appropriate interventions in Karnali province. Eleven Focus Group Discussions and 13 Key Informant Interviews were conducted with a total of 121 participants, with adult and adolescent participants' mean ages of 35.2 and 15.2 years, respectively. The participants were asked about the significance of child marriage in their community, its consequences, and perceived causes. Discussions were transcribed verbatim in Nepali, and a thematic approach was used for data analysis. There was agreement that child marriage has been declining in the community but continues to be a substantial public health issue. Clear comprehension of the consequences of child marriage, both immediate and long-term, was evident. Child marriage was identified to be influenced by a complex interplay of factors across individual, interpersonal, community, and policy levels. Cultural and gender norms and socioeconomic determinants emerged as interconnected and primary causes. An additional theme highlighted the inequity in accessing information and services, particularly for women and girls. The significance of recognizing the agency of individuals and community groups in their ability to change was also underscored. These findings suggest the stakeholders' awareness of child marriage in their community is significant. To develop and implement effective and sustainable interventions, it is crucial for diverse stakeholder groups to take ownership and actively participate in the planning and execution of interventions led by local government initiatives.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.827
Threshold uncertainty score0.612

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.271
GPT teacher head0.320
Teacher spread0.049 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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