WfWF data

In 2004 and 2006 74 women with POP from remote areas around Dhulikhel Hospital underwent POPsurgery.4All these operated women were invited for a followup visit in their own VDC in 2007. Thirty-three patients attended the follow-up. Of them, 28 (85%) found the effect of the surgery as an improvement. A satisfactory anatomic outcome was found in 32 women. A remarkable finding was the reduction in physical labour after the surgical procedure. Problems related to the political situation, the illiteracy and the geographical constraints in the districts were the women lived, were obstacles in carrying out the follow-up.

 

In 2009 a micro level ethnographic study both exploratory and descriptive in nature was done.5The study was conducted in the community where the women lived who have had POP surgery at Dhulikhel Hospital in the preceding years. The researchers used key informant interviews, observation and in-depth interviews techniques to generate information. The study was conducted to find out the effectiveness of POP surgery and to explore the impact and consequences of POP surgery. The effectiveness of the POP surgery has been found varying. Almost all women, especially the elder ones, have opined that the life situation in general has improved significantly in their community. Moreover, they have observed and experienced that suppression of women has declined remarkably in every sphere of their life. Along with the decline of joint family, younger women have found some improvement in their life situation in comparison to that of the women of preceding generation.

 

In 2011 another microlevel, qualitative study was done with the perspective to understand the sexuality of the women in post-surgery situation.6The specific objectives of the proposed study are: 1. to assess the psycho-sexual impact of pelvic organ prolapse surgery on sexuality of the operated women; and 2. to analyse the coping strategies they have developed in the emerging situation. This study included women of different ages from Kabhre and Sindhupalchowk districts, who have had POP surgery. Two medical anthropologists interviewed altogether forty operated women. The operation of POP has mixed results: most of the women have been able to get rid of miseries whereas few others have not found themselves lucky enough to be in such path. Most of the women who got recovery from the ailment, after many years of waiting, a common practice in the research sites, valued their post-operative situation as a new life. It was because most of them had given up hope in their life, or they were living with much compromise in their life. The surgery has assisted them to alter their situation, helped them in resuming normality, including the sexual intercourse, in their life. For these fortunate women, their present situation is the stage of liberation from the past miseries. Not only the operated women, but alsotheir husbands also expected them to emerge as a new person, to be able to contribute in household works and resume sexual relation.