This annual report captures the actions and results of the UNFPA West and Central Africa Regional Office and the 23 Country Offices in the region. It clarifies how we work together to ensure every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled. Our mission is to build the foundations for change by enabling girls and mothers to make choices. We want them to be able to choose when to marry, choose when to give birth and choose how many children they want.

This document is prepared to develop a ‘targeted strategy which takes into account global best practices in the area of ending child marriages, including ending violence and harmful practices against women and girls through engaging communities and involving men and boys in this effort'. The proposed targeted strategy is part of the new Country Plan of Action (CPAP) of UNFPA, the United Nations Population Fund, in Nepal which commenced in 2013 and will end in 2017.

Pelvic organ prolapse (POP) is a significant reproductive morbidity among postmenopausal and women of reproductive age in Nepal. An estimated 600,000 women are suffering from varying degrees of POP (also called uterine prolapse or fallen womb). In the absence of a competency-based training package on POP, health service providers previously did not have standards for performing surgeries and were relying on anecdotal reports, compromising on the quality of care.