Training on Uterine Prolapse in Bhartey, Lamjung

As a part of partnership project between PSRN-SC of IOM and IMCC Nepal, a field visit on Uterine Prolapse was conducted on Bhartey VDC of Lamjung from 5th to 8th march 2016. Our group of 13 members from PSRN-SC IOM participated in the field visit. As the long term goals of the project is to create awareness regarding the uterine prolapse, enhance the level of understanding and promote health service seeking behaviours in our learners, our activities were totally directed towards meeting those goals. Our targeted group were local FCHVs and Secondary level students. We used interactive discussion sessions to deliver the knowledge.

On 5th of march we left Kathmandu and headed towards our destination. Enjoying the beautiful views and discussing on our work plans we successfully overcome the tedious yet a very fascinating journey. Our six hours long journey came to an end when we finally reached bhoteodar lamjung at around evening time. That day we made all the plans for the following days. The teaching materials and drama scripts were also prepared. Different works were assigned to different individuals and everyone showed active participation in preparation of the materials. Local FCHVs and school principle were informed about the programme on the same day.

On the following day, we climbed a massive hill to reach Bhartey VDC of Lamjung. As decided in our plans, we conducted interactive teaching session for two days for the school children in Class 9 of Suryodaya Higher Secondary School. The teaching session was started with a small story of a female with uterine prolapse and children were asked to brainstorm on the problem emphasized in the story. Afterward, the session ran smoothly with overall anatomical briefing of female reproductive system, introduction to uterine prolapse, signs and symptoms, degree of uterine prolapse, management, prevention and at the end datas of female suffering from uterine prolapse in case of Nepal was also put into light. Each part were thoroughly explained by different members of our field group and in each sub topics we conducted pretest and post-test to add to our evaluation. By doing post-test we evaluated the effectiveness of our programmme and level of awareness aroused in our participants. 40 students participated in the programme in the first day and 37 students in the second day. Being not so openly discussed topic, female participants were found quite embarrassed, yet they tried their best in participating in the discussion. Around 80% of the students expressed their enhanced level of knowledge in the topic verbally. At the end everything was briefly summarized and also the doubts and confusions were cleared.

On the third day, we conducted a speech programme in the school as an evaluation. The programme was a success and the students participating had developed a good knowledge on Uterine Prolapse.

Our other target groups were FCHVs of the VDC. Nine FCHVs participated in the programme. Along with them 18 members from local mothers group also showed their active involvement in the programme. Similar to that of the school programme, the programme here also started with the brief introduction. Initially brain storming was done in order to evaluate the preexisting level of understanding of our participants. Few FCHVs elaborated little on uterine prolapse. The teaching session here also consisted of overall anatomical briefing of female reproductive system, introduction to uterine prolapse, signs and symptoms, degree of uterine prolapse, management and prevention of uterine prolapse. At the middle of the session a role play was also done. It was a story of a female named Sabitri who was on her peurperium and was suffering from uterine prolapse. The main part focused in the play was prevention and early diagnosis of the uterine prolapse and upgrading the health service seeking behavior in female suffering from the problem. In order to make the drama more effective we even asked one of the FCHV to take a role of a mother in law. In overall, the drama helped to the state the take home message of our teaching session more creatively. Finally, the participants were given the evaluation form. Among total 22 participants those who were able to write, filled the evaluation sheet and the other group expressed their understanding verbally.

On the second day, we had them themselves prepare the materials they would give training with the next day based on the interactive session of the first day. We were just the moderators and helpers. They did quite well in the session.

On the third day, we had collected a mass of local women after informing them through FCHVs. The FCHVs tried their best to educate the mass on Uterine Prolapse using the materials they had prepared on the second day. They had even written a song on Uterine Prolapse.

Hence, the overall field visits to Lamjung remained educative and productive for everyone. Though we will not be able to identify the actual behavior modification in our learners, we gave our all effort to accomplish our overall goals and helped to enhance the level of knowledge of our target group.

-Sabita Baral