Table 3.

Recommendations by the implementation team and community members.

	Recommendation	Responsible parties
1	Outreach to disadvantaged, hard-to-reach and marginalised groups to access the POP programme	MoHP Local health facility
2	Community-wide promotion of POP awareness using innovative media, such as the local radio.	NGO partners Local health facility
3	Education initiatives should target both men and adolescent populations to promote a supportive environment for women with POP and address key risk factors.	MoHP/MoE NGO partners
4	Education initiatives should be integrated into the adolescent curriculum (school education and peer education)	MoHP/MoE NGO partners
5	Include silicone ring pessaries to the essential supply list for the local health facilities	MoHP Local health facility
6	Refocus policy from surgical management to preventive measures, such as Kegel’s exercise and ring pessaries	MoHP Donor organisations
7	Include POP in the Nepal Demographic Health Survey to quantify the burden of disease	MoHP
8	Regular monitoring and evaluation of the skills of the local health staff and FCHVs and data reporting systems	MoHP NGO partners
9	Health staff should maintain confidentiality in order to gain women’s trust and not deter them from seeking help	Local health facility Women with POP
10	Refresher training for health staff and FCHVs to build local capacity	MoHP NGO partners

MoHP: ministry of health and population; MoE: ministry of education; NGO: nongovernmental organisation; FCHV: female community health volunteer.