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n Hall, medical experts, femininists and health officials in the Peshawar Press Club recently gathered not only to distribute information, but also to raise the voice of the most often the case that resolved the lives of silence in Pakistan.
Seminars, organized by the Pakistan National Forum on Women’s Health, hundreds of women, especially in remote areas of Khyber Pakhtunkhwa, in fact poverty, medical neglect, childhood marriages and social notoriety.
Percaste drains, which are caused by long and obstruction of timely medical intervention, produce an unusual opening between the woman’s birth canal and the bladder or rectum, which causes constant elimination of urine or execution. This is a prevention and treatable condition. However, in many rural communities, it is still the cause of the death penalty for troubles.
“This is not just a medical problem, it is also a social problem,” said Dr. Nazesh Hayat, a colleague of females at Lady Reading Hospital. “Women suffering from drains are often isolated. They are limited to separate rooms, abandon their families and are seen as a burden rather than a needy patient.”
Nalwan is the most lively in the countryside, where access to skilled birth attendees and emergency care are low. Many victims are married girls before marriage.
Dr. Nazesh Hayat said how many women quietly tolerate the leakage of uncontrollable urine for years, talking or unaware that their condition is treatable. “They do not know that a nausea can be treated and treated here for free,” he said. “Now, special centers have been set up in different parts of the country, including Morsi Hospital, Peshawar, who offer surgical intervention without any price.”
The problem goes deeper than just medical facilities. In the conservative social fabric of many districts, women are discouraged from discussing health -reproductive issues. People with drains are often accused of their condition.
“We have seen cases where husbands abandon their wives, or families treat them like outscas,” said Dr Matiore Rehman, head of the PMIS Hospital, Peshawar department. “This is not a punishment. It is a disease that can be treated. Instead of turning away from them, the family should support painful women and they need their help.”
The drains are found most in the underground rural areas where access to skilled congenital attendees and emergency care is low. Many victims are married before the marriage of young girls whose bodies are prepared for the birth of a baby.
Dr. Rehman emphasized the role of the government and the non -profit sector in offering free treatment. He regretted that public awareness was dangerously low.
“Free treatment is available in Khyber Pakhtunkhwa, but many women never hear about it,” he said. “There is a urgent need for awareness campaigns at the grassroots level. We are now training community health workers and midwife not only to identify this condition but also to advise women and guide them to the right facilities.”
Nalwran is often born when the baby is born at home without professional supervision, especially in cases of long labor. Low -income background women are the weakest. He says, “In remote areas, more female midwife training and maternal health services must be strengthened.”
Dr. Azra Ghani, a Urologist at LRH, explained the mechanics of this condition and how it opens. “In obstruction wages, the baby’s head presses against the mother’s pelvic bone, which cuts the blood flow to the soft tissues. It forms a hole or nausea between the death of the tissue and the bladder and the vagina. The result is constant control of the urine.”
She noted that women who are married at a very young age or are especially born with many births are particularly at risk. “The tragedy is that these women are punished twice before physical trauma, and then by their community’s rejection.”
Despite the difficulties, she also distributes the hope of hundreds of women who have undergone successful surgery and have returned to normal life. “But for every woman, we arrive, many are hidden in shame,” she said.
Pakistan is advancing maternity and reproductive health care, but there is a difference between ensuring rural access to emergency care and eliminating early marriages.
Dr. Ghani said, “Nalwran is a poor woman’s disease.” But 95 % of cases are treatable. What we need is a sense of urgency among policy makers, communities and healthcarers. “
Dr. Nazesh Hayat demanded the help of women affected by the family and brought them to hospitals. “We have to end this cycle of neglecting. A healthy woman is the backbone of a healthy home. Treat her with dignity, not hate.”
Percotti Nalwran may be a quiet epidemic, but the silence is breaking. With growing awareness, training of healthcare workers, free surgical treatment and community support, it is hoped that Pakistan can eliminate this catastrophic state.
The author is an independent journalist based in Peshawar.
