Project for the Prevention of Uterine Prolapse
Postpartum uterine prolapse is a common issue among Nepali women and a problem for the whole society as well.
More than one million Nepali women suffer from uterine prolapse. There are many causes of this condition. Some of these include having one’s first child as a teen-ager, a large number of children or a number of childbirths in rapid succession, heavy labor during pregnancy or following childbirth, poor nutrition, etc.
Uterine prolapse is part of a much wider issue, however. It is associated with weakness of the pelvic floor muscles, which in turn is associated with many other problems, such as incontinence, rectal prolapse, and following hysterectomy, even small bowel prolapse through the surgical incision.
In Nepal, uterine prolapse is an issue related mainly to the culture of the country, occurring frequently in areas where the position of women is most disadvantaged.
In these areas, school attendance and literacy is the privilege of men, while women are expected to do all the heavy labor, to tend the farmlands, and feed the animals.
Throughout Nepal, one will see women carrying home huge loads of tree foliage for animal feed. They carry grain to the mill and sacks of flour back home up steep mountainsides.
The project is based on human rights, changing attitudes and helping to prevent uterine prolapse. Discrimination against women, inequality between genders, lack of proper healthcare and upbringing along with decades of indifference regarding the matter are some of the reasons why uterine prolapse is so common in Nepal. Ultimately, the matter at stake is that women in Nepal cannot decide their matters for themselves: not even matters related to their own health. With the project, we wish to influence this state of affairs.
The project strives to improve Nepali state of health and prevent uterine prolapse with the following measures:
Support to Nepalis for the appreciation of motherhood and protection of women, especially those who have just given birth,
Advice on breast-feeding and infant care,
Lessons on proper lifting methods and working habits,
Guidance in healthy living and eating routines,
Encouragement for non-smoking living without intoxicants or fear of AIDS.
The main figures of the project for 2015 are given below.
Orientation to the causes and prevention of uterine prolapse for 232 health and education authorities, 676 village public health nurses, 363 health teachers in 20 localities, educational sessions for 8,821 lower and higher secondary level students and street dramas that reached more than 20,000 Nepalis.
This is a three-year project involving the local Scheer Memorial Hospital as project partner and ETRA Association as expert body from Finland.