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Spotlight

A selection of stories from across the Federation

 "Stigma, myths and cultural practices can have a damaging effect on sexual  health, family planning and women’s rights"

Nepal

Story

How cultural traditions affect women’s health

High up in the mountains of central northern Nepal, not far from the Tibetan border

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Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal
story

| 11 August 2017

Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal

 “When I was about to give birth, we called for an ambulance or a vehicle to help but even after five hours of calling, no vehicle arrived,” recalls 32-year-old Mona Shrestha. “The birth was difficult. For five hours I had to suffer from delivery complications.” Mona’s story is a familiar one for women in rural Nepal. Like thousands of women across the country, she lives in a small, remote village, at the end of a winding, potholed road. There are no permanent medical facilities or staff based in the village of Bakultar: medical camps occasionally arrive to dispense services, but they are few and far between. Life here is tough. The main livelihood is farming: both men and women toil in the fields during the day, and in the mornings and evenings, women take care of their children and carry out household chores. The nearest birthing centre is an hour’s drive away. Few families can afford to rent a seat in a car, and so are forced to do the journey on foot. For pregnant women walking in the searing heat, this journey can be arduous, even life-threatening. “Fifteen years ago, there was a woman who helped women give birth here, but she’s no longer here,” Mona says. “It’s difficult for women.” Giving birth without medical help can cause severe problems for women and babies, and even death. Infant mortality remains a major problem in Nepal, and maternal mortality is one of the leading causes of death among women. Only 36% of births are attended by a doctor, nurse or midwife.  A traumatic birth can cause long-term physical, psychological, social and economic problems from which women might never recover. Access to contraception and other family planning services, too, involves walking miles to the nearest health clinic. Mona says she used to use the contraceptive injection, but now uses an intrauterine device. Like many villages in Nepal, Bakultar is awash with myths and gossip about the side-effects of contraception. “There are so many side effects to these devices – I’ve heard the coil can cause cancer,” Mona says. “This is why we want to have permanent family planning like sterilisation, for both men and women.” These complaints heard frequently in villages like Bakultar. As well as access to facilities and contraception, people here desperately need access to education on contraception and sexual health and reproductive rights. Misinformation as well as a lack of information are both major problems. “It would be really helpful to have family planning services nearby,” says Mona.

Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal
story

| 28 March 2024

Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal

 “When I was about to give birth, we called for an ambulance or a vehicle to help but even after five hours of calling, no vehicle arrived,” recalls 32-year-old Mona Shrestha. “The birth was difficult. For five hours I had to suffer from delivery complications.” Mona’s story is a familiar one for women in rural Nepal. Like thousands of women across the country, she lives in a small, remote village, at the end of a winding, potholed road. There are no permanent medical facilities or staff based in the village of Bakultar: medical camps occasionally arrive to dispense services, but they are few and far between. Life here is tough. The main livelihood is farming: both men and women toil in the fields during the day, and in the mornings and evenings, women take care of their children and carry out household chores. The nearest birthing centre is an hour’s drive away. Few families can afford to rent a seat in a car, and so are forced to do the journey on foot. For pregnant women walking in the searing heat, this journey can be arduous, even life-threatening. “Fifteen years ago, there was a woman who helped women give birth here, but she’s no longer here,” Mona says. “It’s difficult for women.” Giving birth without medical help can cause severe problems for women and babies, and even death. Infant mortality remains a major problem in Nepal, and maternal mortality is one of the leading causes of death among women. Only 36% of births are attended by a doctor, nurse or midwife.  A traumatic birth can cause long-term physical, psychological, social and economic problems from which women might never recover. Access to contraception and other family planning services, too, involves walking miles to the nearest health clinic. Mona says she used to use the contraceptive injection, but now uses an intrauterine device. Like many villages in Nepal, Bakultar is awash with myths and gossip about the side-effects of contraception. “There are so many side effects to these devices – I’ve heard the coil can cause cancer,” Mona says. “This is why we want to have permanent family planning like sterilisation, for both men and women.” These complaints heard frequently in villages like Bakultar. As well as access to facilities and contraception, people here desperately need access to education on contraception and sexual health and reproductive rights. Misinformation as well as a lack of information are both major problems. “It would be really helpful to have family planning services nearby,” says Mona.

Non-governmental organisation in Maldives establishes a family planning clinic
story

| 11 January 2017

Helping families bond together

Mariyam a 25-year-old woman, who lived in Addu Atoll in Maldives, was having a battle of wits with Ahmed, her young three year old. He threw temper tantrums and just couldn’t be disciplined. Thankfully, one day Mariyam attended a session on better parenting skills organised by Society of Health & Education (SHE). SHE was the first non-governmental organisation in Maldives to establish a family planning clinic where couples could get information, education and counselling to plan their families. It also provides psycho-social support and counselling to children and adults. Through various approaches such as play therapy, children as well as adults are helped to develop life skills and cope with the grief, anger, anguish and possible abuse in their life. During the session on parenting, Mariyam requested for help in dealing with Ahmed. Thereafter through extended telephonic counselling sessions; it was revealed that Mariyam was currently pregnant with her fourth child. Her husband worked away from home and visited occasionally during holidays. Her pregnancy, combined with childcare needs at home, was taking a toll on Mariyam, making her feel weak and irritable, even overwhelmed at times. Understanding this, the counsellor suggested that she set aside a time to play with her son every day. When Mariyam put it into practice, she discovered that all her son wanted from her was some attention. The counsellor then helped her and her husband explore different family planning options when her husband came visiting the household. Together they decided to adopt a family planning option once Mariyam had delivered. He also decided to stay on the island for a few months and work at his father’s carpentry in order to help his wife to look after the children post-delivery. The couple visited SHE clinic for counselling on contraceptives post delivery and Mariyam has been a client ever since.

Non-governmental organisation in Maldives establishes a family planning clinic
story

| 28 March 2024

Helping families bond together

Mariyam a 25-year-old woman, who lived in Addu Atoll in Maldives, was having a battle of wits with Ahmed, her young three year old. He threw temper tantrums and just couldn’t be disciplined. Thankfully, one day Mariyam attended a session on better parenting skills organised by Society of Health & Education (SHE). SHE was the first non-governmental organisation in Maldives to establish a family planning clinic where couples could get information, education and counselling to plan their families. It also provides psycho-social support and counselling to children and adults. Through various approaches such as play therapy, children as well as adults are helped to develop life skills and cope with the grief, anger, anguish and possible abuse in their life. During the session on parenting, Mariyam requested for help in dealing with Ahmed. Thereafter through extended telephonic counselling sessions; it was revealed that Mariyam was currently pregnant with her fourth child. Her husband worked away from home and visited occasionally during holidays. Her pregnancy, combined with childcare needs at home, was taking a toll on Mariyam, making her feel weak and irritable, even overwhelmed at times. Understanding this, the counsellor suggested that she set aside a time to play with her son every day. When Mariyam put it into practice, she discovered that all her son wanted from her was some attention. The counsellor then helped her and her husband explore different family planning options when her husband came visiting the household. Together they decided to adopt a family planning option once Mariyam had delivered. He also decided to stay on the island for a few months and work at his father’s carpentry in order to help his wife to look after the children post-delivery. The couple visited SHE clinic for counselling on contraceptives post delivery and Mariyam has been a client ever since.

Women’s collective pools money and resources to get a clinic in their area.
story

| 11 January 2017

Changing lives across generations

Indumati, her (now departed) mother-in-law and her three daughters-in-law represent three generations of women in Maharashtra, India who have benefitted from the services of Family Planning Association of India. All three generations have been a part of women’s collectives’ movement encouraging women to participate in the socio-economic life of the family and community. Becoming a member of the women’s collectives helped Indumati to step beyond the boundaries of her home and begin participating in the community life of the village. Be it cleanliness drives in the village or celebrating all festivals with equal fervour created spaces for the women to contribute to the social wellbeing of the village. The next stop was micro-savings for economic independence. When the women realised that the women of their and neighbouring villages don’t have any healthcare services, they approached Family Planning Association of India (FPAI) to start a clinic in their area. When FPAI agreed the women’s group pooled money and contributed towards the building of the clinic. With increased access to healthcare services came increased awareness. Most women’s group imparted training on SRHR to the collective members. Some collective members even began to stock the contraceptives provided by FPAI so that women could access them in privacy and confidentiality. Indumati has three sons and one daughter. Each of her three sons has two children each. Her daughters-in-law were able to get information and adopted family planning methods due to her involvement with the women’s collectives. The inter-generational impact of access to family planning services is clearly visible in her household.

Women’s collective pools money and resources to get a clinic in their area.
story

| 28 March 2024

Changing lives across generations

Indumati, her (now departed) mother-in-law and her three daughters-in-law represent three generations of women in Maharashtra, India who have benefitted from the services of Family Planning Association of India. All three generations have been a part of women’s collectives’ movement encouraging women to participate in the socio-economic life of the family and community. Becoming a member of the women’s collectives helped Indumati to step beyond the boundaries of her home and begin participating in the community life of the village. Be it cleanliness drives in the village or celebrating all festivals with equal fervour created spaces for the women to contribute to the social wellbeing of the village. The next stop was micro-savings for economic independence. When the women realised that the women of their and neighbouring villages don’t have any healthcare services, they approached Family Planning Association of India (FPAI) to start a clinic in their area. When FPAI agreed the women’s group pooled money and contributed towards the building of the clinic. With increased access to healthcare services came increased awareness. Most women’s group imparted training on SRHR to the collective members. Some collective members even began to stock the contraceptives provided by FPAI so that women could access them in privacy and confidentiality. Indumati has three sons and one daughter. Each of her three sons has two children each. Her daughters-in-law were able to get information and adopted family planning methods due to her involvement with the women’s collectives. The inter-generational impact of access to family planning services is clearly visible in her household.

Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal
story

| 11 August 2017

Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal

 “When I was about to give birth, we called for an ambulance or a vehicle to help but even after five hours of calling, no vehicle arrived,” recalls 32-year-old Mona Shrestha. “The birth was difficult. For five hours I had to suffer from delivery complications.” Mona’s story is a familiar one for women in rural Nepal. Like thousands of women across the country, she lives in a small, remote village, at the end of a winding, potholed road. There are no permanent medical facilities or staff based in the village of Bakultar: medical camps occasionally arrive to dispense services, but they are few and far between. Life here is tough. The main livelihood is farming: both men and women toil in the fields during the day, and in the mornings and evenings, women take care of their children and carry out household chores. The nearest birthing centre is an hour’s drive away. Few families can afford to rent a seat in a car, and so are forced to do the journey on foot. For pregnant women walking in the searing heat, this journey can be arduous, even life-threatening. “Fifteen years ago, there was a woman who helped women give birth here, but she’s no longer here,” Mona says. “It’s difficult for women.” Giving birth without medical help can cause severe problems for women and babies, and even death. Infant mortality remains a major problem in Nepal, and maternal mortality is one of the leading causes of death among women. Only 36% of births are attended by a doctor, nurse or midwife.  A traumatic birth can cause long-term physical, psychological, social and economic problems from which women might never recover. Access to contraception and other family planning services, too, involves walking miles to the nearest health clinic. Mona says she used to use the contraceptive injection, but now uses an intrauterine device. Like many villages in Nepal, Bakultar is awash with myths and gossip about the side-effects of contraception. “There are so many side effects to these devices – I’ve heard the coil can cause cancer,” Mona says. “This is why we want to have permanent family planning like sterilisation, for both men and women.” These complaints heard frequently in villages like Bakultar. As well as access to facilities and contraception, people here desperately need access to education on contraception and sexual health and reproductive rights. Misinformation as well as a lack of information are both major problems. “It would be really helpful to have family planning services nearby,” says Mona.

Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal
story

| 28 March 2024

Waiting for an ambulance that never arrives: childbirth without medical help in rural Nepal

 “When I was about to give birth, we called for an ambulance or a vehicle to help but even after five hours of calling, no vehicle arrived,” recalls 32-year-old Mona Shrestha. “The birth was difficult. For five hours I had to suffer from delivery complications.” Mona’s story is a familiar one for women in rural Nepal. Like thousands of women across the country, she lives in a small, remote village, at the end of a winding, potholed road. There are no permanent medical facilities or staff based in the village of Bakultar: medical camps occasionally arrive to dispense services, but they are few and far between. Life here is tough. The main livelihood is farming: both men and women toil in the fields during the day, and in the mornings and evenings, women take care of their children and carry out household chores. The nearest birthing centre is an hour’s drive away. Few families can afford to rent a seat in a car, and so are forced to do the journey on foot. For pregnant women walking in the searing heat, this journey can be arduous, even life-threatening. “Fifteen years ago, there was a woman who helped women give birth here, but she’s no longer here,” Mona says. “It’s difficult for women.” Giving birth without medical help can cause severe problems for women and babies, and even death. Infant mortality remains a major problem in Nepal, and maternal mortality is one of the leading causes of death among women. Only 36% of births are attended by a doctor, nurse or midwife.  A traumatic birth can cause long-term physical, psychological, social and economic problems from which women might never recover. Access to contraception and other family planning services, too, involves walking miles to the nearest health clinic. Mona says she used to use the contraceptive injection, but now uses an intrauterine device. Like many villages in Nepal, Bakultar is awash with myths and gossip about the side-effects of contraception. “There are so many side effects to these devices – I’ve heard the coil can cause cancer,” Mona says. “This is why we want to have permanent family planning like sterilisation, for both men and women.” These complaints heard frequently in villages like Bakultar. As well as access to facilities and contraception, people here desperately need access to education on contraception and sexual health and reproductive rights. Misinformation as well as a lack of information are both major problems. “It would be really helpful to have family planning services nearby,” says Mona.

Non-governmental organisation in Maldives establishes a family planning clinic
story

| 11 January 2017

Helping families bond together

Mariyam a 25-year-old woman, who lived in Addu Atoll in Maldives, was having a battle of wits with Ahmed, her young three year old. He threw temper tantrums and just couldn’t be disciplined. Thankfully, one day Mariyam attended a session on better parenting skills organised by Society of Health & Education (SHE). SHE was the first non-governmental organisation in Maldives to establish a family planning clinic where couples could get information, education and counselling to plan their families. It also provides psycho-social support and counselling to children and adults. Through various approaches such as play therapy, children as well as adults are helped to develop life skills and cope with the grief, anger, anguish and possible abuse in their life. During the session on parenting, Mariyam requested for help in dealing with Ahmed. Thereafter through extended telephonic counselling sessions; it was revealed that Mariyam was currently pregnant with her fourth child. Her husband worked away from home and visited occasionally during holidays. Her pregnancy, combined with childcare needs at home, was taking a toll on Mariyam, making her feel weak and irritable, even overwhelmed at times. Understanding this, the counsellor suggested that she set aside a time to play with her son every day. When Mariyam put it into practice, she discovered that all her son wanted from her was some attention. The counsellor then helped her and her husband explore different family planning options when her husband came visiting the household. Together they decided to adopt a family planning option once Mariyam had delivered. He also decided to stay on the island for a few months and work at his father’s carpentry in order to help his wife to look after the children post-delivery. The couple visited SHE clinic for counselling on contraceptives post delivery and Mariyam has been a client ever since.

Non-governmental organisation in Maldives establishes a family planning clinic
story

| 28 March 2024

Helping families bond together

Mariyam a 25-year-old woman, who lived in Addu Atoll in Maldives, was having a battle of wits with Ahmed, her young three year old. He threw temper tantrums and just couldn’t be disciplined. Thankfully, one day Mariyam attended a session on better parenting skills organised by Society of Health & Education (SHE). SHE was the first non-governmental organisation in Maldives to establish a family planning clinic where couples could get information, education and counselling to plan their families. It also provides psycho-social support and counselling to children and adults. Through various approaches such as play therapy, children as well as adults are helped to develop life skills and cope with the grief, anger, anguish and possible abuse in their life. During the session on parenting, Mariyam requested for help in dealing with Ahmed. Thereafter through extended telephonic counselling sessions; it was revealed that Mariyam was currently pregnant with her fourth child. Her husband worked away from home and visited occasionally during holidays. Her pregnancy, combined with childcare needs at home, was taking a toll on Mariyam, making her feel weak and irritable, even overwhelmed at times. Understanding this, the counsellor suggested that she set aside a time to play with her son every day. When Mariyam put it into practice, she discovered that all her son wanted from her was some attention. The counsellor then helped her and her husband explore different family planning options when her husband came visiting the household. Together they decided to adopt a family planning option once Mariyam had delivered. He also decided to stay on the island for a few months and work at his father’s carpentry in order to help his wife to look after the children post-delivery. The couple visited SHE clinic for counselling on contraceptives post delivery and Mariyam has been a client ever since.

Women’s collective pools money and resources to get a clinic in their area.
story

| 11 January 2017

Changing lives across generations

Indumati, her (now departed) mother-in-law and her three daughters-in-law represent three generations of women in Maharashtra, India who have benefitted from the services of Family Planning Association of India. All three generations have been a part of women’s collectives’ movement encouraging women to participate in the socio-economic life of the family and community. Becoming a member of the women’s collectives helped Indumati to step beyond the boundaries of her home and begin participating in the community life of the village. Be it cleanliness drives in the village or celebrating all festivals with equal fervour created spaces for the women to contribute to the social wellbeing of the village. The next stop was micro-savings for economic independence. When the women realised that the women of their and neighbouring villages don’t have any healthcare services, they approached Family Planning Association of India (FPAI) to start a clinic in their area. When FPAI agreed the women’s group pooled money and contributed towards the building of the clinic. With increased access to healthcare services came increased awareness. Most women’s group imparted training on SRHR to the collective members. Some collective members even began to stock the contraceptives provided by FPAI so that women could access them in privacy and confidentiality. Indumati has three sons and one daughter. Each of her three sons has two children each. Her daughters-in-law were able to get information and adopted family planning methods due to her involvement with the women’s collectives. The inter-generational impact of access to family planning services is clearly visible in her household.

Women’s collective pools money and resources to get a clinic in their area.
story

| 28 March 2024

Changing lives across generations

Indumati, her (now departed) mother-in-law and her three daughters-in-law represent three generations of women in Maharashtra, India who have benefitted from the services of Family Planning Association of India. All three generations have been a part of women’s collectives’ movement encouraging women to participate in the socio-economic life of the family and community. Becoming a member of the women’s collectives helped Indumati to step beyond the boundaries of her home and begin participating in the community life of the village. Be it cleanliness drives in the village or celebrating all festivals with equal fervour created spaces for the women to contribute to the social wellbeing of the village. The next stop was micro-savings for economic independence. When the women realised that the women of their and neighbouring villages don’t have any healthcare services, they approached Family Planning Association of India (FPAI) to start a clinic in their area. When FPAI agreed the women’s group pooled money and contributed towards the building of the clinic. With increased access to healthcare services came increased awareness. Most women’s group imparted training on SRHR to the collective members. Some collective members even began to stock the contraceptives provided by FPAI so that women could access them in privacy and confidentiality. Indumati has three sons and one daughter. Each of her three sons has two children each. Her daughters-in-law were able to get information and adopted family planning methods due to her involvement with the women’s collectives. The inter-generational impact of access to family planning services is clearly visible in her household.