In most cases, POP can be prevented. But, because of shame and ignorance, most Nepalese mothers suffer in silence. “Nepal is a very patriarchal society, explains Surya Bhatta, Project Coordinator. Talking about woman’s personal health is still taboo. This is why we decided to train female Community Health Volunteers from the villages, rather than outsiders. It is easier for women to talk to someone from their community. ”
In each village, a medical volunteer has been selected and trained in basic screening and various preventive techniques, such as pelvic floor muscle training. When a case is detected, the volunteer refers the patient to the appropriate local medical staff for complete screening and, if required, adequate treatment. In most cases, this prevents a partial or full collapse of the uterus and, therefore, the use of surgery.
(reprinted from http://karuna-shechen.org/non-classe-en/addressing-nepals-silent-tragedy/ )