Embracing Positive Change
The issue of uterine prolapse has emerged as a major health concern in the districts of Madhesh Province. During my four years of service in this institution, I have gained substantial knowledge and experience about this matter. Unfortunately, this problem has grown to a significant extent, and despite its gravity, many women continue to conceal it. With the collaboration of ADRA Nepal, BWSN has partnered with hospitals to provide healthcare to women. This collaboration has not only benefited the Madhesh Province but also the surrounding localities.Awareness programs and health counseling initiatives have increased the number of patients seeking treatment for uterine prolapse at hospitals. Previously, only a few patients would come forward with this issue. It's not that the problem was minor; rather, it was due to the concealment of the problem.
In our society, numerous women's health issues remain hidden. Uterine prolapse has unfortunately become a source of shame for many Nepali women. BWSN and ADRA Nepal, through local volunteers and women's health advocates, have brought this issue to the forefront. This awareness has empowered women to openly discuss their health concerns and seek health check-ups at medical facilities. The adverse consequences of uterine prolapse are well understood; women have realized that neglecting this issue might lead to cancer.
Recognizing the severity of the problem, the provincial hospital has acquired additional equipment for its operation theater. This support has enabled us to efficiently perform surgical treatments for uterine prolapse. Previously, utilizing the regular operation theater would incur significant time and expenses for patients. Thanks to this support, in 2022, we conducted surgeries for six cases. In the current year, 2023, surgeries have been performed for 84 cases. The WHaSS project covers all costs associated with these surgeries, making the hospital a sought-after destination for patients. By covering not only patients' expenses but also food and accommodation costs for their attendants, the project has eased the burden on patients and their families.
The issue of uterine prolapse is also addressed in various local health institutions. Cases are also presented in Women's Health Camps organized by the project.Conducting the Visual Inspection with Acetic acid (VIA) test locally enables easier referrals for surgery if necessary, and prepares the community for timely treatment. Previously, the hospital struggled to perform around 20-25 surgeries annually, but this number has more than tripled. Presently, cases are referred to the provincial hospital in Janakpur from Dhanusha, Mahottari, Sindhuli, Sarlahi, Rautahat, Siraha, Saptari, and Udayapur.
In June of this year, seven cases have undergone surgery in 2023. Patients no longer endure prolonged waiting periods due to bed shortages. Moreover, a followup program for post-surgery patients is in place. The dedicated team of doctors at the provincial hospital, including Dr. Ruby Singh, Dr. Ram Naresh Pandit, Dr. Dhirendra Sah, Dr. Vrij Mohan Rajak, Dr. Rajkishor Pandit, Dr. Rajdev Mahato, Dr. Jitendra Singh, and Dr. Chandrarekha Issar, have played a pivotal role in these surgeries. The nursing staff has also significantly contributed. Through collective efforts, we have successfully addressed the issue of patient waiting times by working together. We want to express our gratitude to the supporting agencies, Australian Aid, Open Heart International, ADRA and BWSN for their renovative support to Janakpur hospital and surgery support to the marginalized population.
