Time for preventive way
Where are you from? Do you put Norplant? It took a moment to get to a lean woman with cigarette in her hand, may be because we were very tired. Well, my obvious answer was NO. After a minute we found out that she has uterine prolapsed (UP). She got herself screened twice and also used ring pessary. “They inserted a ring inside but it was not comfortable at all, keeps on falling. So I took off. If possible I want to do operation (hysterectomy). Do you know anyone who can help me? I got pregnant for six times. I was 20 when my parents marry me off. Next year I gave birth to a baby boy but unfortunately we couldn't safe him. My second baby also died in the very next year of my first child. After that I had four daughters. Elder daughter is 15 and younger one is one and half years, one more child died. I experience my prolapsed in my fifth delivery. My husband still desire for son and pressure me for that. That’s why I want to get operated.” A woman from Matela Bazar, Jajarkot, Nepal said to me. And by that time we were already surrounded by her neighbors, who were encouraging her to share her stuff to us.
There are millions of women suffering from uterine prolapsed and it feels great to know that Nepal government is showing some interest to deal with it but still the best of government is not enough when the interest is limited to curative only. Hysterectomy is not the permanent solution. It's a high time to go for preventive approach. Also need to focus on the quality of hysterectomy services being operated, should proved ring pessary for free and give importance to pre and post counseling to women with uterine prolapsed and family before operating them. It is women's right to have a quality life and the range of uterine prolapsed shows that millions of Nepali women have no quality of life.