CEDAW Shadow Report  2011  One third of the populations in Nepal are below the poverty line (Bharat Raj Gautam, Poverty Alleviation in Nepal; 2007). The women and children, especially the girl children, suffer from the poverty that consequently affects their nutrition intake. Because of son preference and gender based discriminations, vast majority of girls are usually neglected from their childhood, do not have enough to eat, lack nutritious food and suffer from malnutrition. Nepal is one of the countries in Asia that has a high maternal mortality rate. Son preference, women’s limited access to knowledge, food and care, risks of childbirth, early marriage and early pregnancy, poor family planning services, lack of reproductive health supplies, lack of male responsibility for contraception, low literacy and lack of ability to raise up reproductive health issues within the family are among the factors that were identified as contributing to the high rate (CEDAW / 4th – 5th Report / Government of Nepal; 2009).   Uterine Prolepses   The causes of Uterine Prolepses (UP) are generally identified as inaccessibility to quality maternal health care (skilled birth attendant and emergency obstetric 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.). According to a study carried out in the west Nepal, the most common perceived causes of uterine prolepses were lifting heavy loads, including during the post-partum period. Adverse effects reported included difficulty urinating, abdominal pain, backache, painful intercourse, burning urination, white discharge, foul-smelling discharge, itching, and difficulty in sitting, walking, standing and lifting (Policy Brief on UP, BBC). According to UNFPA (2005), 600,000 women in Nepal suffered from prolepses, and that 200,000 of those needed immediate surgery (ICPD +15 Survey Report on Prevalence of Uterine Prolepses). The Government has recently developed guidelines for the screening of UP, use of pessary rings and referral services for primary health workers at public health facilities located in the Village Development Committees (VDCs). Additionally, the GoN plans to initiate new program in the area of reproductive health under the banner of ‘Safe motherhood, Women’s right’, including mobile services with UP. However UP continues to be a significant health problem in Nepal, one that could be easily prevented and addressed with appropriate and accessible quality healthcare services. 10  Beyond Beijing Committee, Kathmandu, Nepal