Under the aegis of the Centre for Agro-Ecology and Development, Women's Reproductive Rights Program (WRRP) has been working around this issue since 1999. It undertakes its area based programs in some of the most deprived areas of the country in collaboration with local organizations. Its advocacy programs run nationwide in alliance with relevant organizations. WRRP addresses uterine prolapse as an issue of reproductive rights rather than a mere medical problem. It considers the problem as one of the consequences of the sub-ordination of women rooted in prevalent patriarchal structures of the society. WRRP is now being recognized as a resource organization and one of country’s lead institutions working on UP issues.
Focus of the work is in prevention of the problem with both medical and non-medical means. It targets pregnant women, young couples and adolescents for preventive messages.
The medical term 'uterine prolapse' means falling of the womb. It happens when the muscles of the pelvis are strained to a point where they can no longer support the positioning of the uterus or the womb. The uterus descends downwards from its normal position in the pelvic cavity, eventually coming out of the vagina. It is a progressive condition that can occur from early adolescence to post menopausal state of women. It is a widespread chronic reproductive problem drastically affecting women’s quality of life.
Sporadic studies in Nepal have shown the prevalence of uterine prolapse in the range of 7%-35%; estimations suggesting a staggering average of 20%. Uterus prolapse is not an immediately life threatening condition. However, women suffering from uterus prolapse have drastic affects in their quality of life.