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