About Us
Despite great advances in infrastructure, the health and social challenges faced by women below poverty line in hills are rampant. We are still grappling with providing adequate basic amenities in the form of water supply, sanitation, nutrition and health services to this group. Add to it the burden of illiteracy, lack of health awareness, large family size, poor hygiene, malnutrition, gender inequality and backward thinking. One can now imagine the plight of a woman belonging to this background. She is malnourished, often not sent to school, eats her brothers, leftovers, is married off early, has frequent childbirths unattended by birth attendant, has limited access to health facilities, hardly ever voices her woes and worries in this male dominated world and has to return to strenuous work in the immediate postpartum period which includes lifting heavy weights over long distances. This explains the high prevalence of uro-gynaecological disorders in these women, the commonest being uterovaginal prolapse and stress incontinence. Once her productive years are over, she is the typical elderly recluse in the family with no one to give her an ear and not a spare penny to spend on her. Most of the times she is too shy to discuss her problems with her children and has never ever sought any kind of medical help.

A series of free Surgeries have been carried out by our Department of Obstetrics & Gynecology, Sant Parmanand Hospital in collaboration with Simla Sanitorium and Lehman Hospital Harbertpur from 2005 to 2014. 45 such camps have been conducted and nearly 4250 surgeries were carried out. The patients came from far and near often traversing life threatening natural conditions in the hope of receiving long awaited health care. 85.7% of the gynae surgeries were for indication of prolapse in the age group ranging from 30 to 70 years.. The other indications for surgery were abdominal pain and menstrual disorders. The surgeries carried out were Vaginal hysterectomy and repairs, Manchester repair, Anterior colporrhaphy with mesh, Vault suspension, Nondescent vaginal hysterectomy and abdominal hysterectomy. The incidence of anterior compartment prolapse was highest amongst these cases since women carry heavy load or their shoulder uphill. Despite limited resources and operating in subzero temperatures, the dedication and determination of the medical and the paramedical staff helped in alleviation of lifelong surgical ailments with minimal complications in these women.

In patients of prolapse, vaginal hysterectomy is patient evaluated efficient treatment. The advantages are surgery via natural access, can be performed under spinal anesthesia and in skilled hands has excellent results in terms of patient satisfaction and correction of symptoms. The incidence of vault prolapse following surgery is only 0.2 -12.8 %.

The need of the hour is to provide adequate and prompt surgical services to women suffering from prolapse and save them from prolonged morbidity and embarrassment pertaining to bladder and bowel movements thereby resulting in improved quality of life. But the obstacle is how to reach these unreached women. There is dearth of medical facilities in the remote areas and these women neither have the money nor the means to travel to the cities. They sit in a corner with part of their body hanging out, at times with a dirty stench coming from them due to involuntary passage of urine.

The Okti Foundation started with an initiative of "Project Prolapse" to free surgical services to the poor elderly women suffer from prolapse.