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Uterine Prolapse, Mobile Camp Approach and Body Politics in Nepal

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Uterine Prolapse, Mobile Camp Approach and Body Politics in Nepal
Dhaulagiri Journal of Sociology and Anthropology Vol. 4, 2010

| 21

22 | Madhusudan Subedi
1. Introduction

Uterine Prolapse, Mobile Camp
Approach and Body Politics in Nepal
Madhusudan Subedi
Abstract
Various studies show that more than 600,000 women in Nepal are suffering from prolapsed uterus and that 200,000 of those needed immediate surgery. Many of the women with prolapse could recall the exact moment they first felt the prolapse and found difficulty to share the problems due to fear of stigma. Stories ranged from seven days immediately after the first delivery to after the birth of the fifth or sixth child; during cooking rice to sneezing and long coughing; fetching water in a big bucket to working in the field. If detected at an early stage, uterine prolapse (UP) can be controlled by pelvic exercises. For severe cases, the remedy is to insert a ring pessary to stop it from descending which has to be changed every four months. In extreme cases, uterine tissue protrudes from the vagina causing extreme discomfort. The only remedy is hysterectomy in which the uterus is surgically removed. The operation costs are about NRs 20,000. The Government of Nepal and other donor organizations have allocated funds to provide services to about 10,000 to 12,000 women suffering from uterine prolapse as humanitarian support each year and services are likely to be expanded in future. Women suffering from UP have not been able to get benefit from such assistance due to deep rooted sociocultural perceptions and practices. The number of suffering women, on the other hand, would not decrease from existing curative management policy without hammering the root causes of
UP. Moreover, a clear vision and strategy is needed to shift from humanitarian aid to a more sustainable public health intervention.
Keywords: Camp Approach, Humanitarian Aid, Socio-cultural
Practices, Sustainable Policy, Uterine Prolapse

Although the women’s health agenda has



References: Bodner-Adler, Barbara, Chanda Shrivastava and Klaus Bodner (2007) Bonetti, Tiphaine, Anne Erpelding and Laxmi Raj Pathak (2004). Dangal, Ganesh (2008). A Study of Reproductive Morbidity of Women in Eastern Terai Region of Nepal Durkheim, Emile (1995). The Elementary Forms of Religious Life. Foucault, M. (1979). The History of Sexuality, Volume One: An Introduction Foucault, M. (1975). The Birth of the Clinic: an Archaeology of Medical Perception Henslin, James M. and Mae A. Biggs (1991). The Sociology of Vaginal Examination Institute of Medicine and UNFPA (2006). Status of Reproductive Morbidities in Nepal Inhorn, Marcia C. (2006). Defining Women 's Health: A Dozen Messages from More than 150 Ethnographies Lupton, Deborah (2003). Medicine as Culture. London: SAGE Publication. 40 | Madhusudan Subedi Marahatta, RK and Arati Shah (2003) of Bhaktapur. Nepal Medical College Journal, 5(1):31-33 MoHP, New ERA and Macro Int’l (2007) Naresh Pratap KC and Louise Hulton (2010). Nepal Maternal Mortality and Morbidity Study 2008/2009 Schaaf, Jelle, Anjana Dongol and Loes van der Leeuw-Harmsen (2007) Subedi, Madhusudan (2001). Medical Anthropology of Nepal. Uberoi, Patricia (1996). When is a marriage not a marriage? Sex, sacrament and contract in Hindu marriage UNFPA and Sancharika Samuha (2007). Booklet on Uterine Prolapse

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