Photo credit: Dima Gavrysh/On behalf of UNFPA. The existence of fistula is the barometer of maternal...
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Transcript of Photo credit: Dima Gavrysh/On behalf of UNFPA. The existence of fistula is the barometer of maternal...
![Page 1: Photo credit: Dima Gavrysh/On behalf of UNFPA. The existence of fistula is the barometer of maternal health in the country. If year by year fistula decreases,](https://reader036.fdocuments.us/reader036/viewer/2022070408/56649e575503460f94b4fddb/html5/thumbnails/1.jpg)
Photo credit: Dima Gavrysh/On behalf of UNFPA
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The existence of fistula is the barometer of maternal health in the country. If year by year fistula decreases, we know that maternal health is improving.
Dr. Kalilou Ouattarafistula surgeon, Mali
Photo credit: GMB Akash/Panos Pictures
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26-year-old woman, Equatorial Guinea
I endured 5 days with delivery pains. I was finally transferred to the hospital and the foetus was dead. After 3 weeks, I started to feel constant flows in my vagina, and the odour was very bad. The situation has persisted for 10 years.
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Photo credit: Richard Stanley
Photo credit: Sven Torfinn/Panos Pictures
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Photo credit: Sven Torfinn/Panos Pictures
Photo credit: GMB Akash/Panos Pictures
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22-year-old woman, Bangladesh
Woman, Your country
Nobody wants to stay with me due to the smell of urine. Even my husband sometimes blames me for my condition.
Insert quote from woman in your country here.
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Man, Cote d’Ivoire
A woman’s primary doctor is first and foremost her husband. It is necessary that the husband support his wife before or after awareness of the condition.
Photo credit: Lucian Read/WpN/On behalf of UNFPA
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Usually the woman provokes this. When she leaves her husband and has sexual relations with another man, it happens that her husband will cast a spell on her and she will have a fistula.
Elderly woman, Burkina Faso
Photo credit: Richard Stanley
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The results of [pregnancy] management by TBAs are disastrous due to the delays. They [wait] too long, do not know where to start, and do not even know where to stop.
Health care provider, Kenya
Photo credit: Dima Gavrysh/On behalf of UNFPA
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OB/GYNs have shown little interest in learning how to perform fistula repairs. Even providers who have the skills to do simple repairs refuse. One probable reason is stigma.
Health care provider, Mozambique
Photo credit: Richard Stanley
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Eritrea: Reintegration and counselling
Ethiopia: Comprehensive fistula treatment
Malawi: Community empowerment to strengthen health care provision
Niger: Social rehabilitation and reintegration
Sudan: Midwifery school system
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1. Promote legislation and policies to reduce maternal mortality and morbidity, and address underlying socio-cultural factors.
Photo credit: GMB Akash/Panos Pictures
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Strengthen health care system capacity to:
2. Provide skilled maternity care that is accessible, affordable and culturally acceptable.
3. Manage obstetric fistula sensitively, ensuring that care and treatment are subsidised and accessible.
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4. Raise awareness of reproductive rights to address obstetric fistula.
Photo credit: Richard Stanley
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5. Promote and empower the reintegration of women into communities post-surgery.
6. Involve women who have lived with fistula as equal participants in maternal health programme planning, implementation, and evaluation.
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7. Promote partnerships to share key lessons and to catalyse collective action.
Photo credit: GMB Akash/Panos Pictures
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8. Support research on the social, cultural, economic and political factors related to obstetric fistula.
Photo credit: GMB Akash/Panos Pictures Photo credit: Lucian Read/WpN/On behalf of UNFPA
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Insert presenter’s contact information
Photo credit: Lucian Read/WpN/On behalf of UNFPA