Women and Girls’ Health
Reproductive and maternal health is of particular concern among Nepali women. As due to a gender stereotypical role in the society as a child bearer, early and excessive childbearing weakens women, many of whom die or are chronically disabled from complications of pregnancy. It is not uncommon for Nepali women to experience a prolapsed uterus following birth. Often, the prolapse remains untreated and women continue their remaining reproductive life miserable due to pain and suffering. On the other hand, there is risk of sex selective abortion, discrimination in nutrition and post natal care among girl and boy children. A mother giving birth to girl children are treated less favourably in the traditional society. Additionally, the family, school or community at many cases is not well equipped to support a girl child transiting to adolescent with offering her information or services on many pertinent topics like adolescence, menstrual hygiene or even sexual abuse. This may attribute to the dropout rate among young girls that was 22% according to Nepal Adolescent and Youth Survey 2012. Additionally, girl children are subject to child marriage in order to avoid the burden of dowry by parents. The child marriage rate was 58.2% in 2012. This results into unwanted pregnancy, unsafe abortion and health complications including extreme risk of premature or still birth as well as miscarriage. Thus, girl children and women face numerous health challenges. Women in Nepal have been a victim of malnutrition, especially pregnant women that result into a birth of underweight child. Women have less say on family planning due to cultural barriers and unwanted pregnancies continue to be high due to the unavailability of contraceptives as well as unwillingness of their spouse to use contraceptive.
Goal:
Girls and women lead a healthy live and free of risk from Sexual reproductive health related diseases.
Major Activities:
- Orientation on STI, dignified menstruation, menstrual hygiene management , puberty changes , Safe motherhood, and prevention of pelvic organ prolapsed,
- Training on Sexual reproductive health management
- Court yard meeting on pregnancy care in
- Primary Health Checkup for pregnant mother and children.
- Skill development orientation to reduce reproductive health related
- Inform women and young girls about new governmental policies like abortion, elimination of chhaupadi through initiating a campaign on Clients Rights
- Accountability in health services and organizing regular health camps and preventive programs to minimize uterine prolapse, cervical cancer, maternal health as well as increase women’s access to contraception and family planning.
- Train more community health volunteers or auxiliary nurse midwife as well as provide follow up trainings to enhance their skills in delivering health care in local level.
- Provide quality health care facilities free of charge with minimum charge for poor women as well as introduce health insurance scheme for all
Major Achievement:
- There is culture of sharing on taboos related on SRHR
- The maternity and infant mortality rate have reduced in the respective area.
- Sexual reproductive health related diseases have reduced.
- The congenial and superstation free environment have establish during pregnancy period in the selective area.
