Surgical intervention

Gynaecologist in central or peripheral hospitals will cover diagnosis and treatment of POP cases and will do the surgery for POP. But access to surgical care in Nepal is inadequate.1,8,9 To address this, the Nepalese government has been providing since 2008 free POPsurgery to women in mobile surgical camps. During the following 6 years, about 47.000 women have been benefited from this programme. Concerns about the quality of surgery and follow-up care in the camp setting have been addressed by developing and dissemination of a clinical protocol on management of POP in 2012 and a competence-based training manual on surgical management of POP in 2015.2The prospect of surgery faces many barriers including costs, limited availability of trained providers, and lack of transportation to specialized hospitals. Temporary health camps have been established in some rural areas; however, these services are inadequate to address the burden of disease. Over 30% of cases among women aged 15 to 49 years in Nepal are estimated to warrant surgical intervention.