The document discusses uterine prolapse (UP) in Nepal and proposes a sustainable program to address it. Some key points: - UP affects millions of women worldwide and 50% of women who give birth or reach menopause. In Nepal, 600,000 women have UP, with 44% of women aged 20-29 affected. - Current approaches in Nepal rely on health camps with no follow-up care. The proposed program would create a multi-purpose facility in Bhalayatar, Nepal to provide long-term UP awareness, treatment, follow-up, and generate community development and income. - The goal is to create a sustainable program that empowers women and communities while measuring health and socioeconomic

1. The Value of Sustainable
Protocol to Address
Uterine Prolapse in Nepal
Health
Camp, Education, and
Employment Strategy

2. POP Prevalence

POP-weakness in pelvic floor, organs
in pelvic cavity shift downward

5 Types of POP

Millions of women in every country

Currently no accurate stat capture
50% of Women Who Give Birth
50% of Women in Menopause

3. POP Prevalence


POP-weakness in pelvic floor, organs
in pelvic cavity shift downward
5 Types of POP
 Millions

of women in every country
Currently no accurate stat capture
50% of Women Who Give Birth
50% of Women in Menopause

4. POP Prevalence


POP-weakness in pelvic floor, organs
in pelvic cavity shift downward
5 Types of POP
 Millions

of women in every country
Currently no accurate stat capture
50% of Women Who Give Birth
50% of Women in Menopause

5. POP Prevalence


POP-weakness in pelvic floor, organs
in pelvic cavity shift downward
5 Types of POP
 Millions

of women in every country
Currently no accurate stat capture
50% of Women Who Give Birth
50% of Women in Menopause

6. POP Prevalence


POP-weakness in pelvic floor, organs
in pelvic cavity shift downward
5 Types of POP
 Millions

of women in every country
Currently no accurate stat capture
50% of Women Who Give Birth
50% of Women in Menopause

7. Nepal UP Statistics
 600,000
Women with UP
 44%
of Women 20-29 have UP
 14%
of Women under 20 have UP
Nepal Government Initiative to
Increase Awareness

8. Nepal UP Statistics
 600,000
Women with UP
 44%
of Women 20-29 have UP
 14%
of Women under 20 have UP
Nepal Government Initiative to
Increase Awareness

9. Nepal UP Statistics
 600,000
Women with UP
 44%
of Women 20-29 have UP
 14%
of Women under 20 have UP
Nepal Government Initiative to
Increase Awareness

10. Nepal UP Statistics
 600,000
Women with UP
 44%
of Women 20-29 have UP
 14%
of Women under 20 have UP
Nepal Government Initiative to
Increase Awareness

11. Women Won’t Admit UP
Physical
Social
& Emotional Impact
Impact
Intimate
Impact
STIGMA

12. Women Won’t Admit UP
Physical
Social
& Emotional Impact
Impact
Intimate
Impact
STIGMA

13. Women Won’t Admit UP
Physical
Social
& Emotional Impact
Impact
Intimate
Impact
STIGMA

14. Women Won’t Admit UP
Physical
Social
& Emotional Impact
Impact
Intimate
Impact
STIGMA

15. Heavy
Early
Lifting
Pregnancy
Multiple
Childbirths
Improper
Birthing Practices
Inadequate
Period
Post Birthing Rest
Causal Factors

16. Heavy Lifting
Causal Factors

17. Early Pregnancy
Causal Factors

18. Multiple Childbirths
Causal Factors

19. Improper Birthing Practices
Causal Factors

20. Inadequate Post Birthing Rest
Period
Causal Factors

21. Healthcamps Norm
**NO**
FOLLOWUP
CARE
Status Quo Must Change

22. OBJECTIVE
Sustainable Program

23. WHEN-Nepal; Palpa District, Bhalayatar
Phase I-Bhalayatar

24. One Multi-purposed Structure

25. Additional Considerations

26. Income Generation

27.  UP-Awareness,
Diagnostics,
Treatment, Followup
 Village-Financial,
Social, Health,
Gender Balancing, Awareness
Education, Stigma Reduction
Outcome Measures

28. Project Team Members
Sherrie Palm*APOPS
Deepali Thapa*HCN
Suveckshya Shah*HCN
Pushkar Silwal*HCN
Pushpalata Panday*HCN
Sunita Sharma*HCN
Ali Borazjani*GIRHL
Lumbini Medical College
Bhalayatar Community
Resources:
Concept Note, Hamro Chahana Nepal, August 2013.
Ministry of Health and Population, Nepal, New ERA, and ICF International,2012.
Nepal Demographic and Health Survey (UNFPA & IoM), Katmandu, 2011.
Uterine Prolapse, Mobile Camp Approach and Body Politics in Nepal, Madhusdan
Subedi, Dhaulagiri Journel of Sociology and Anthropology, Vol 4, 2010.
Uterine Prolapse: Experts Scorn Health Camp
Surgeries, Ekantipur.com, 9/14/2011.