Updates

By: Joanna Hoffman, Women Deliver

For the estimated 3,700 Tanzanian women who experience obstetric fistula each year, a daunting landscape of stigma and shame looms before them.  Many are exiled from their families and communities, and are unable to work.  Only about 1,000 of them will receive treatment.  The rest are either unaware that treatment exists or can’t afford to access it. 

This issue led Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula repair surgery, to take action.  CCBRT already provides services free of charge, yet the barrier of transportation costs remained.  In response, in 2009 they began using Vodaphone’s mobile banking system M-PESA—M for “mobile” and PESA for “money” in Swahili—to reduce the burden of transportation expenses. Read more...

By: Madeline Taskier, Strategic Partnerships Associate at Women Deliver 

This fall, the Aberdeen Women’s Centre in Freetown, Sierra Leone is bringing hope to thousands of women affected by obstetric fistula. In October, the centre, which provides a variety of maternal and child health services, began offering a free phone hotline, follow up services, and surgery for women suffering from this debilitating condition.

Obstetric fistula, like maternal mortality, is an almost entirely preventable condition experienced by at least 2 million women in Africa, the Middle East, and Asia every year. When a woman has obstructed labor delaying delivery of her baby, a hole can form in the tissue between her bladder, vagina, and rectum causing uncontrollable leakage of feces or urine and can result in a stillborn birth. Performing surgery to repair the fistula is successful 90 percent of the time, but many women in these regions often do not have access to trained surgeons and have little knowledge of existing treatments. Read more...

By: Natalie Imbruglia, singer, actress and spokesperson for Virgin Unite and the Campaign to End Fistula; originally posted on DFID's blog here

This month, the seven billionth human being will be born. It may be a baby boy or a baby girl, it will probably be born in the developing world, and chances are good that this baby's mother will suffer complications or even a severe birth injury like obstetric fistula. Up to 45,000 women do, every day. Read more...

By: Conrad Person, Director, Corporate Contributions, Johnson & Johnson

Today, the world marks World Health Day with ambitious goals for advancing the wellbeing of all people – with a special focus on women and children, whose fates are inextricably linked to overcoming poverty through the Millennium Development Goals. It is a time to celebrate how much progress we have made on issues like clean water and safe birth, but also a chance to reflect on the staggering gaps in health resources for women that still exist between developed and developing countries, and how we can address them. Read more...

By: Sharon D’Agostino, Vice President, Worldwide Corporate Contributions and Community Relations, Johnson & Johnson

My heart is different this Valentine’s Day, a day when many celebrate love. It has been touched by individuals transforming the world by caring for girls and women who, for many reasons, feel neglected and unloved. Writing Valentine notes over the past several days to people I love, my mind followed a path back to the work that my team and I are privileged to do at Johnson & Johnson, work with community-based partners dedicated to saving and improving the lives of women and children. Read more...

By: Madeline Taskier, Partnership Coordinator at Women Deliver

Obstetric fistula, like maternal mortality, is an almost entirely preventable condition experienced by at least 2 million women in Africa, Asia, and the Middle East every year. When a woman has prolonged or obstructed labor delaying delivery of her baby, a hole can form in the tissue between her bladder, vagina, and rectum causing uncontrollable leakage of feces or urine and often resulting in a stillborn birth. Performing surgery to repair the fistula is successful 90 percent of the time, but many women in these regions often do not have access to trained surgeons and have little knowledge of the existing treatments. Read more...

By: Agnes Odhiambo, originally posted on The Huffington Post

Nairobi -- Nineteen-year-old Christine Nyaboke became pregnant in 2005. She was in labor for three days at home with a traditional birth attendant because her mother had no money to take her to hospital. She had a stillbirth, and later discovered that her body was painfully damaged. Nyaboke, not her real name, had a fistula, a severe childbirth injury that leaves its victims constantly leaking urine and feces. As a result, she was shunned and abused by former friends and others in her community. She could not leave home for social events, to look for work or even to go to church. She became depressed and contemplated suicide.

She was just one of the more than 50 women and girls I interviewed late last year who suffered obstetric fistula. Unless it is surgically repaired, it ruins their lives. With the G-8 planning to discuss maternal health at its summit meeting this week in Canada, I can't help but think of how these girls' and women's lives would not have been torn apart if they had access to appropriate health care, including family planning services, at the time of their pregnancy and childbirth.

Maternal morbidity is an issue that sometimes gets left off the table when it comes to discussing and advocating for maternal health.

Fistula is a heartbreaking injury. That's why we're happy to see this article in the NY Times Science section this morning that sheds some light on the problem.

The Campaign to End Fistula was recognized as a model for championing collaboration between countries in the Global South, receiving an award of excellence from the United Nations Development Programme.