Guinea is home to 11.5 million people, nearly half of whom are under the age of 24, and either entering, or in the midst of their reproductive years. Access to basic health care in Guinea is limited, and women in particular face difficulties obtaining family planning services and maternal health care. Guinean women have a 1 in 26 lifetime risk of maternal death. Gender-based violence also negatively impacts health outcomes.
From 2006 to 2013, EngenderHealth worked in Guinea to address obstetric fistula, a devastating childbirth injury. The Fistula Care Project [link] supported nine public hospitals to provide fistula treatment and prevention, including the training of doctors, nurses, midwives, and community volunteers. By 2013, EngenderHealth had supported a total of 2,779 fistula repair surgeries, and trained more than 150 volunteers to conduct community outreach on early marriage, gender-based marriage, and danger signs during pregnancy and childbirth.
Following political unrest in September 2009, which resulted in large-scale sexual violence, EngenderHealth worked to support survivors by increasing access to medical care, psychosocial services, and social and economic reintegration. We also trained medical providers to identify and treat survivors and worked with the Guinean government to integrate gender-based violence services into family planning services.