CEDAW Shadow Report  2011  Reform initiatives no. 154 of Government CEDAW 4th and 5th report states that Government announced a national program on Uterine Prolepses providing surgical treatment to 12,000 needy women in FY 2008/2009 and conducted 25 surgery camps. However, in January 2010, instead of maintaining or increasing this target, the government of Nepal reduced the target of providing surgeries to only 8,000 women. The government stated that the surgical targets were reduced due to pressure by Regional Health Directorates to raise the average per patient cost of each operation by Rs. 4,000 from Rs. 8,333 o Rs. 13,333. While the budget allocation for the uterine prolepses program remained the same, the total number of surgeries able to be provided was reduced by 4,000 women. The government also reduced the travel allocation given to women who are seeking treatment. Women who travel to mobile health camps now only receive half of what they were allocated in Fiscal Year 2008–2009—a reduction from Rs 3,000 to Rs. 1,500 for women in the mountains, Rs. 2,000 to Rs. 1,000 for women in the hills, and Rs. 1,000 to Rs. 500 for women in the Terai. In view of the suffering of rural women, affordability of the population and existing poor condition of health facilities in the rural areas, the reduction in the target would impact on the lives of women. Other Critical Issues  There are Health Posts/Sub-health Posts in each VDC and Primary Health Center in each Ilaka (Area) in the government report, many are not yet reconstructed after the destructions during armed conflict and some are still occupied by the security forces. Women hesitate to visit the health institutions because of such conditions. Although infrastructures exist in many rural public health institutions, there is lack of technology, equipment and skilled professionals in most of those health facilities. Similarly, the equipments and instruments are not disable-friendly such as disable friendly delivery, even in the places where there are facilities (Beijing +5 National Consultation, 2009). The health professionals and the employees in the public health institutions lack gender sensitivity and women-friendly attitude. Women in the rural areas fear of the ill-treatment and misbehavior by male health professionals when they go for health check-ups. Recommendations  The following need to be clarified from the Government of Nepal in view of the Reproductive Health situation of women, especially regarding abortion, nutrition and uterine prolepses: 1) The issues regarding safe abortion have not been adequately addressed in the report submitted by the Government of Nepal to CEDAW Committee. 11  Beyond Beijing Committee, Kathmandu, Nepal