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Himalayan Policy Research Conference 2013
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
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Himalayan Policy Research Conference 2013
- 1. The Value ofSustainable Protocol to Address Uterine Prolapse in Nepal Health Camp, Education, and Employment Strategy
- 2. POP Prevalence POP-weakness inpelvic 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 inpelvic 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 inpelvic 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 inpelvic 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 inpelvic 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 AdmitUP Physical Social & Emotional Impact Impact Intimate Impact STIGMA
- 12. Women Won’t AdmitUP Physical Social & Emotional Impact Impact Intimate Impact STIGMA
- 13. Women Won’t AdmitUP Physical Social & Emotional Impact Impact Intimate Impact STIGMA
- 14. Women Won’t AdmitUP Physical Social & Emotional Impact Impact Intimate Impact STIGMA
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- 20. Inadequate Post BirthingRest Period Causal Factors
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- 23. WHEN-Nepal; Palpa District,Bhalayatar Phase I-Bhalayatar
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- 27. UP-Awareness, Diagnostics, Treatment, Followup Village-Financial, Social, Health, Gender Balancing, Awareness Education, Stigma Reduction Outcome Measures
- 28. Project Team Members SherriePalm*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.
Editor's Notes
- #2 Excited to be here. 3rd yr @ HPRC-lunch-today share vision of project moving forward for UP in Nepal.
- #3 POP basics-Global Prevalence significant -50/50 85+ million women had given birth in US as of 2009 US Census-childbirth leading cause.
- #4 Define POP-Variety of reasons weak/damage to pelvic floor muscle, organs drop
- #5 UTERUS, bladder, rectum, intestines, vagina
- #6 POP prevalence grossly underestimated in all countries
- #7 currently no routine screening protocol, no accurate stat capture
- #8 Nepal only country in world w/gov’t POP Awareness initiative
- #9 200,000 in need of immediate surgery
- #10 Guestimate-women don’t disclose because of stigma
- #11 Damage sustained by young women giving birth is significant
- #12 Stigma keeps POP shrouded in secrecy in all countries
- #13 Vaginal/rectal pain & pressure, vaginal tissue bulge, urinary/fecal incontinence
- #14 Mother-in-law dynamic, family disgrace
- #15 Intimacy can be painful, infection odorous, husband takes new wife
- #16 Multiple causal factors, both global norms and cultural to area
- #17 Nepalese women predominantly farm labor
- #18 Marriage at young age leads to pregnancy at young age pelvic structure not optimal for childbirth
- #19 Impression when first saw pic-young girl
- #20 Foot massage, pushing on abdomen to expedite delivery, pulling baby out cause damage
- #21 Body needs time to heal, early return to farm labor, heavy lifting causes damage 75%
- #22 Healthcamp norm-screen, pessary/surgery-promo pics 4 sponsor org-no follow up
- #23 Found HCN-reputable NGO in Nepal to partner w- via HPRC 2012 + GIRHL-US women’s reproductive nonprofit build SUSTAINABLE program
- #24 Phase 1 WOMEN’S HEALTH AND EMPOWERMENT NETWORK
- #25 UP SCREEN-pessary/surgery- Lumbini-MICRO FINANCE INCOME GENERATION for women-HEALTH EDU, reduce stigma, gender sensitization, shift causal factors
- #26 Water & sanitation-storage and purification+toileting facilities
- #27 Manufacture/marketing of product, sanitary pads from hemp plants, income generation for women & facility upkeep
- #28 Multiple outcome measures tracked for UP and Village impact leave w/w/w/how/why to experts
- #29 feedback -village committee, we don’t know what we don’t know-POP on medical record 4000 years, still shrouded in silence-address 1 step at time