WHEN program (Women's Health and Empowerment Network) is APOPS global initiative to address POP in developing zones. The APOPS WHEN program will address uterine prolapse (UP) concerns in Nepal. Sherrie Palm traveled to Nepal in April 2014 to touch the hands and hearts of women with uterine prolapse.
The types and severity of pelvic organ prolapse vary from area to area around the globe; in developing zones women suffering with severe POP are often ostracized from their communities while they navigate the physical pain or discomfort of pelvic organ prolapse. Uterine prolapse is one of the leading causes of ill health and social issue for women in Nepal; this condition creates an environment of rejection for these women, often from entire communities.
UP impacts the lives of 600,000 women in Nepal. Over 200,000 women currently are in need of immediate surgical intervention for advanced UP including procidentia (uterus has shifted completely outside the vaginal canal); hundreds of thousands more are in need of pessary fittings or maintenance. Heavy lifting, return to work soon after giving birth, malnutrition, and the practice of applying pressure to the abdomen prior to and post delivery are cultural norms in Nepal that result in a high rate of uterine prolapse. Additional information about the WHEN-Nepal vision is available in Sherrie Palm's academic paper: