Cervical cancer ranks as the number one cancer among women of reproductive age. In 2008 there were an estimated 529,409 new cases and 274,883 deaths in women from cervical cancer. About 86% of the cases occur in developing countries representing 13% of the female cancer. An estimated 95% of the women in developing countries have never been screened for cervical cancer. (IARC/GLOBOCAN 2008) Within Nepal, there is a lack of cervical cancer prevention strategies due to a lack of a nation-wide systematic cervical screening programme. This is particularly true in the rural areas. The WHO recommends that in developing countries, women aged 18-69 should be screened for cervical cancer every three years. In Nepal only 2.4% of women in this category currently meet this standard.
This study aims to find out the epidemiology of gynecological problems amongst married women in rural Nepal with special reference to the absence of spouse for a long period (at least a year) due political conflict related factors. The current study, after ethical approval from NTNU and Dhulikhel Hospital Kathmandu University Hospital, will be conducted in the ten rural health centers of this hospital. Households in the identified villages will be randomly chosen for the data collection. One married woman from each of these chosen households will be informed for the consent to participate in the research. Those who agree to participate will have a complete comprehensive gynecological check-up including history regarding the gynecological morbidities such as menstrual disturbances, lower back and abdominal pain, infertility, Pelvic organ prolapse, urinary incontinence, burning micturition, urinary tract infection, and symptoms of STIs. They will also be asked their general obstetrical history and other relevant history that can give rise to Gynecological problems. They will also be a questionnaire administered that will include various health related and also family and demographic details, including the status of the husband.