Himalayan Policy Research Conference 2013

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Transcript of Himalayan Policy Research Conference 2013

The Value of Sustainable Protocol to Address

Uterine Prolapse in Nepal

Health Camp, Education, and Employment Strategy

50% of Women Who Give Birth 50% of Women in Menopause

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

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

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

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

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

Nepal Government Initiative to Increase Awareness

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

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

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

Nepal UP Statistics

600,000 Women with UP

44% of Women 20-29 have UP

14% of Women under 20 have UP

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

Causal Factors

Heavy Lifting

Early Pregnancy

Multiple Childbirths

Improper Birthing Practices

Inadequate Post Birthing Rest Period

Causal Factors

Heavy Lifting

Causal Factors

Early Pregnancy

Causal Factors

Multiple Childbirths

Causal Factors

Improper Birthing Practices

Causal Factors

Inadequate Post Birthing Rest Period

Status Quo Must Change

Healthcamps Norm

**NO**

FOLLOWUP

CARE

OBJECTIVESustainable Program

Phase I-Bhalayatar

WHEN-Nepal; Palpa District, Bhalayatar

One Multi-purposed Structure

Additional Considerations

Income Generation

Outcome Measures

UP-Awareness, Diagnostics, Treatment, Followup

Village-Financial, Social, Health, Gender Balancing, Awareness Education, Stigma Reduction

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, MadhusdanSubedi, Dhaulagiri Journel of Sociology and Anthropology, Vol 4, 2010.Uterine Prolapse: Experts Scorn Health Camp Surgeries, Ekantipur.com, 9/14/2011.

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