Hridaya Devkota, MPA, PhD

GHES LMIC Fellow 2017-2018

Home Institution: ISER-Nepal, Pokhara
US: Institution: UC Berkeley

Project Title: A case-control study of Uterine Prolapse in Kaski District, Nepal

It is estimated that in Nepal over 25% of women suffer from uterine prolapse (UP), causing discomfort and urinary incontinence. In the most severe condition, the uterus protrudes through the vagina and is commonly treated by hysterectomy. However, often women in Nepal do not receive medical services–rather they go into seclusion due to the pain and embarrassment of inability to control their urine.

Age and Parity are well-established risk factors; however, it is widely believed in Nepal that carrying heavy-loads could also be a risk factor. Due to the hilly topography, poorly developed road-transport system and traditionally women having the role of transporting supplies to the household, they carry heavy loads on their backs, placing major loads on their necks, spines and low-back muscles.

No study has been conducted yet, investigating the relationship between heavy-load carrying and UP. This study will investigate whether heavy-load carrying is an independent risk factor for UP.