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The Impact of Service
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The Nepali Response
In August 2006, the Second National Conference on Safe Motherhood brought diverse stakeholders together from across Nepal to address the situation of reproductive and maternal health. At the urging of the Women's Development and Unity Centre (RUWDUC), the Centre for Eco-Agriculture Development (CAED), and COSAN (among other organizations), separate sessions were scheduled at the conference to discuss uterine prolapse.
From these special sessions emerged the impetus for the Uterine Prolapse Alliance (UPA) a coalition of committed organizations, individuals and experts dedicated to improving the prevention and treatment of uterine prolapse in Nepal.
The mission of the Alliance is to work in a collaborative manner to reduce the prevalence of uterine prolapse amongst Nepalese women of all age groups and diversities, primarily by increasing coordination between various government and non-government stakeholders and by promoting a national consensus strategy on the prevention and treatment of the condition. The alliance hopes to achieve these objectives by raising awareness at the household and community level (through mass media, IEC materials, school curriculums, and professional trainings for health workers), lobbying national and international stakeholders to recognize the urgency of addressing this issue, and increasing access to treatment through surgery camps and a strengthened health care system.
The UPA members include:
- Adventist Development and Relief Agency-Nepal (ADRA-Nepal)
- Britain Nepal Medical Trust (BNMT)
- Women’s Reproductive Rights Program/Centre for Eco-Agriculture Development (WRRP-CAED)
- Community Service Academy Nepal (COSAN)
- Family Planning Association-Nepal (FPAN)
- Helping Hands Nepal
- Kirtipur Volunteer Society
- Nepal Society of Obstetrics and Gynecologists Group (NESOG)
- Public Health Development Centre (PHDC)
- Rural Health Development Project-Swiss Development Cooperation (RHDP/SDC)
- Safe Motherhood Network Federation (SMNF)
- Social Organisation for Women Development (SOWD)
- Stri Shakti
- Society for Empowerment Nepal (STEP Nepal
- United Nation Population Fund (UNFPA)
- UTTHAN
- SAATHI
- Mahila Adarsha Sewa Kendra (MASK)
- Mother & Child Health Product (MCHP)
Other organizations outside of the Alliance:
- WOREC
- Phect-Nepal (a mobile hysterectomy camps traveling to various districts)
- RHEST
The Government response: The government has also begun to prioritize uterine prolapse as an important public health issue. At present the government plans to hold 25 district-based UP surgery camps in 2007-2008. There are 75 districts in Nepal (and travel within districts can be problematic, as rural areas lack proper transportation services), however, so 25 camps can only be seen as a beginning step for nation-wide treatment.
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