CEDAW Shadow Report  2011  during pregnancy and lactation but also during her life cycle –from childhood to old age. The government programs should focus on this line. Uterine Prolepses The causes of Uterine Prolepses (UP) are generally identified as inaccessibility to quality maternal health care, poverty, gender discrimination on reproductive and maternal health, lack of nutrition (life cycle), workload during the postnatal period, and domestic violence (in the form of no additional food during pregnancy and postnatal period, no work load sharing during pregnancy an, lack of post natal care, etc.). Although the Government has recently developed guidelines for the screening of UP and has plans to initiate new program in the area of reproductive health including mobile services, but UP still continues to be a significant health problem in Nepal, that could be easily prevented and addressed with appropriate and accessible quality healthcare services. Recommendations The government should carry out the following in order to improve the situation of Sexual and Reproductive Health of women so that she could live a healthy and dignified human life: 1. Safe Abortion • disseminate qualitative information and provision of services at the doorstep • focus on sensitizing people, particularly women and adolescent girls, about abortion not to be taken as a means of contraception • increase the access of family planning tools to each and every individual whenever and wherever necessary • provide all the Primary Health Care Centers to have abortion facilities 2. FCHV • proper incentives to the FCHV’s who act as an important part working at the grass root level of the community especially related to the women’s reproductive health • proper training to FCHVs on issues related to SRHR 3. Gender Sensitive and Women-Friendly Services • improve the attitude and behavior of the health and other personnel employed in the health facilities so that rural women feel at ease to visit there 4. Nutrition • take into account of the reality that women has right to nutritious food throughout her life not only during pregnancy and lactation 5. Uterine Prolepses • review the present plan to ensure that uterine prolepses is given special attention • increase budget for women with uterine prolepses • strengthen implementation of programs and policies to prevent and address uterine prolepses 3  Beyond Beijing Committee, Kathmandu, Nepal 

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