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Obstetric Fistula Needs Assessment Report

Findings from Nine African Countries

The "Campaign to End Fistula" information kit—"Obstetric Fistula Needs Assessment Report: Findings from Nine African Countries"—contains results from a groundbreaking needs assessment conducted by EngenderHealth and the United Nations Population Fund (UNFPA) in nine African countries. Obstetric fistula is a surprisingly common yet frequently neglected pregnancy complication that affects an estimated 50,000 to100,000 women each year. Resulting most often from prolonged obstruction of labor, obstetric fistula is an internal tearing between the vagina and bladder, the vagina and rectum, or both. Without surgical repair, fistula can lead to lifelong incontinence and social ostracism. While a global problem, fistula appears to be particularly common in Sub-Saharan Africa.

Prior to this study, the scope of this devastating maternal health issue was unknown beyond a country or two. This rapid needs assessment uses the same tools and approaches to describe the problem in nine countries—Benin, Chad, Malawi, Mali, Mozambique, Niger, Nigeria, Uganda, and Zambia. The findings document existing fistula repair services, note challenges to high-quality care, and identify successful service-delivery models in each country. The needs assessment report and accompanying information kit will help guide appropriate interventions for tackling obstetric fistula—as well as the root causes of maternal mortality and morbidity—in this diverse and needy region.

You can view or download the findings from each of the countries by clicking on the links below. Or click on the first link to access the full report, Obstetric Fistula Needs Assessment Report: Findings from Nine African Countries.

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