Conflict followed by political instability in Nepal is affecting universal access to health services especially for the poor and marginalized people who live in remote and inaccessible areas. Women and adolescents girls suffer the most. A common problem is uterine prolapse after child birth. Women‚Äôs health camps in remote areas create access to help this problem and disseminate health information.
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Registered Charity in England and Wales (255249)
Despite significant improvements in socio-economic and health status of Nepalese population, Nepal is less likely to attain Millennium Development Goal 3 on gender equality and women‚Äôs empowerment and MDG 5 on Universal Access to reproductive health services. A national study on reproductive health morbidity in Nepal found that Pelvic Organ Prolapse (POP) or uterine prolapse (UP) was a common problem, which interfered with quality of life. POP prevalence among women aged below 35 years was 25% while 52% women aged 35 and above had this problem. The mean age of the UP women was 28 years. The problem was detected both in the hills and plains. Mean years of suffering was 8 years (UNFPA and Institute of Medicine, 2007). Access to reproductive health is a basic right which is neither claimed by women (the rights holders) nor provided adequately by health-workers (duty-bearers). Recognizing this fact, BNMT over the years has been promoting rights based approaches to health services and has also conducted several health camps. In recent years BNMT has organized more than 18 health camps where more than 7400 patients were treated of which 73 percent were women. Number of women detected with UP were 1147 of which 693 were treated with a Ring Pessary and the rest were scanned and referred to clinics. Organizing health camps involves partnership with many stakeholders. BNMT has mobilized local communities, health facility management committees, government health service delivery points and NGOs and INGOs while conducting these camps. BNMT would like to replicate this successful model for women. Uterine Prolapse is a condition of stigma and disability. BNMT will organize health camps in 2 districts in the eastern and western regions and provide Ring Pessaries to 150 women and treat 75 women and refer the complicated cases to clinics/hospitals. The camps will also serve as sources of information on services provided by various tiers of health facilities and create awareness on prevention for many sexual health diseases. Upon its success implementation, other funding sources will be explored to replicate and scale out the project in other districts of Nepal.
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