Government officials, representatives of nongovernmental organizations, doctors, and health care providers from around the world will gather in Uganda this week to recognize the advancements made in the prevention and treatment of fistula, a devastating childbirth injury. Global and local leaders from EngenderHealth, the U.S. Agency for International Development (USAID), and Fistula Care, a program led by EngenderHealth and funded by USAID since 2007, will share lessons learned and chart the way forward toward achieving a fistula-free generation.
Obstetric fistula, a hole that develops between the birth canal and one or more of a woman's internal organs, is caused by obstructed labor without access to timely and skilled medical care, such as cesarean section. Women living with fistula uncontrollably and continuously leak urine and/or feces. An estimated 2 million girls and women in Africa and Asia are living with fistula, with approximately 50,000 new cases annually.
"Together, with local governments, regional health care organizations, faith-based groups, and other partners, EngenderHealth and USAID have made significant progress toward transforming the health and lives of women living with fistula, as well as addressing barriers that lead to fistula in the first place," said Dr. Ariel Pablos-Mendez, Assistant Administrator of Global Health at USAID.
USAID, EngenderHealth, and other partners have improved access to and quality of fistula care—both prevention and treatment—at 57 health facilities in 15 countries across Africa and Asia. USAID has funded more than 30,000 fistula repair surgeries, most of which have been through Fistula Care. Also, Fistula Care has trained more than 33,000 individuals, including surgeons, nurses, and health care and community outreach workers, on fistula prevention, surgical repair, and care, thereby creating a sustained network that can provide ongoing treatment for the enormous backlog of women living with fistula and awaiting surgery.
Fistula Care has been a driving force in increasing the evidence about ways in which to standardize fistula care, including prevention services, surgical techniques, and counseling, which can have a huge impact on women's health. For example, Fistula Care collaborated with the World Health Organization (WHO) on a randomized controlled trial on a procedure that could potentially reduce the occurrence of complications and the length of the hospital stay required after surgery.