Transcript
Page 1: Himalayan Policy Research Conference 2013

The Value of Sustainable Protocol to Address

Uterine Prolapse in Nepal

Health Camp, Education, and Employment Strategy

Page 2: Himalayan Policy Research Conference 2013

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

Page 3: Himalayan Policy Research Conference 2013

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

Page 4: Himalayan Policy Research Conference 2013

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

Page 5: Himalayan Policy Research Conference 2013

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

Page 6: Himalayan Policy Research Conference 2013

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

Page 7: Himalayan Policy Research Conference 2013

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

Page 8: Himalayan Policy Research Conference 2013

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

Page 9: Himalayan Policy Research Conference 2013

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

Page 10: Himalayan Policy Research Conference 2013

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

Page 11: Himalayan Policy Research Conference 2013

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

Page 12: Himalayan Policy Research Conference 2013

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

Page 13: Himalayan Policy Research Conference 2013

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

Page 14: Himalayan Policy Research Conference 2013

STIGMA

Women Won’t Admit UP

Physical & Emotional Impact

Social Impact

Intimate Impact

Page 15: Himalayan Policy Research Conference 2013

Causal Factors

Heavy Lifting

Early Pregnancy

Multiple Childbirths

Improper Birthing Practices

Inadequate Post Birthing Rest Period

Page 16: Himalayan Policy Research Conference 2013

Causal Factors

Heavy Lifting

Page 17: Himalayan Policy Research Conference 2013

Causal Factors

Early Pregnancy

Page 18: Himalayan Policy Research Conference 2013

Causal Factors

Multiple Childbirths

Page 19: Himalayan Policy Research Conference 2013

Causal Factors

Improper Birthing Practices

Page 20: Himalayan Policy Research Conference 2013

Causal Factors

Inadequate Post Birthing Rest Period

Page 21: Himalayan Policy Research Conference 2013

Status Quo Must Change

Healthcamps Norm

**NO**

FOLLOWUP

CARE

Page 22: Himalayan Policy Research Conference 2013

OBJECTIVESustainable Program

Page 23: Himalayan Policy Research Conference 2013

Phase I-Bhalayatar

WHEN-Nepal; Palpa District, Bhalayatar

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One Multi-purposed Structure

Page 25: Himalayan Policy Research Conference 2013

Additional Considerations

Page 26: Himalayan Policy Research Conference 2013

Income Generation

Page 27: Himalayan Policy Research Conference 2013

Outcome Measures

UP-Awareness, Diagnostics, Treatment, Followup

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

Page 28: Himalayan Policy Research Conference 2013

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


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