International Day to End Obstetric Fistula

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Obstetric fistula is one of the most serious and tragic injuries that can occur during childbirth. The condition “is silently robbing millions of women and girls of their health, hope and dignity,” said UNFPA Executive Director Dr. Natalia Kanem in her statement marking the occasion.

Yet the condition is almost entirely preventable. Its persistence is a sign of global inequality and an indication that health systems are failing to protect the health and human rights of the poorest and most vulnerable women and girls. Those without access to modern maternal health services are more likely to suffer from obstetric fistula, for example. And girls who are subjected to child marriage and adolescent pregnancy are also more vulnerable, since the condition is more likely to afflict those who become pregnant while still physically immature.

The United Nations has observed the International Day to End Obstetric Fistula since 2013. The day, 23 May, is meant to raise awareness of this issue and mobilise support around the globe. The theme of this year’s International Day is “Leaving no one behind: Let us commit to ending fisula now!”

A screening of the film “The Ambassador,” about empowering women living with fistula in Ethiopia, will be held at United Nations Headquarters on 23 May from 6:30 to 8:30 p.m. The event, held by UNFPA, the Campaign to End Fistula and Healing Hands of Joy, will include a question-and-answer session featuring the award-winning filmmakers and UNFPA technical experts. Diplomatic missions based in New York are invited to attend. RSVP required by 15 May.

About

Obstetric fistula is a hole in the birth canal caused by prolonged obstructed labour without prompt medical intervention, usually a Caesarean section. The woman is left with chronic incontinence and in most cases a stillborn baby.
The smell of leaking urine, faeces or both, is constant and humiliating, often driving the patients’ family, friends and neighbors away. If left untreated, fistula can lead to chronic medical problems including ulcerations, kidney disease, and nerve damage in the legs, as well as psychosocial and emotional health problems.
Surgery can normally repair the injury. The average cost of fistula treatment and post-operative care is $600. Sadly, most women with the condition do not know that treatment is available, and most times they cannot afford it.
Like maternal mortality, fistula is almost entirely preventable. Yet, hundreds of thousands of women in Africa, Asia, the Arab region and Latin America are living with the condition, with new cases occurring each year. The persistence of fistula signals that health systems are failing to meet the needs of women.
Obstetric fistula occurs most often among impoverished girls and women, especially those living in regions without adequate medical services. Affecting the most powerless members of society, it touches issues related to reproductive health and rights, gender equality, poverty, education, empowerment and adolescent reproductive health.
That is why, in 2003, UNFPA and its partners launched the global Campaign to End Fistula, a collaborative initiative to prevent fistula and restore the health and dignity of those affected by the condition.

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Fast Facts

  • Obstetric fistula is preventable and treatable.

Image result for International Day to End Obstetric Fistula logo

  • Fistula has virtually been eliminated in Europe and North America through improved obstetric care.
  • Women in sub-Saharan Africa suffer almost twice as much illness from sexual and reproductive health causes than women in the whole world.
  • Hundreds of thousands of women live with fistula in developing countries, with new cases occurring each year.
  • About 15 per cent of all pregnancies result in complications that require emergency medical intervention.
  • Only 58 per cent of women in developing countries deliver with the assistance of a professional (a midwife or doctor) and only 40 per cent give birth in a hospital or health centre.
  • The average cost of fistula treatment – including surgery, post-operative care and rehabilitation support – is around $600, which is well beyond the reach of most women with the condition.
  • However, after treatment former fistula patients can often have a normal life again.
  • Prevention is the key to ending fistula.
  • The Campaign to End Fistula, launched by UNFPA and partners in 2003, is now present in more than 55 countries across Africa, Asia, the Arab region and Latin America.

Key strategies to address fistula include:

  • Provide access to timely, high-quality medical care for all pregnant women and adolescent girls.
  • Provide emergency obstetric care for those who develop complications.
  • Increase access to education and family planning services for women, men, and adolescents.
  • Postpone pregnancy for young girls until they are physically mature.
  • Improve girls’ nutrition to  minimise the risk of complications during childbirth.
  • Repair physical and emotional damages through specialised interventions.

05-23 International Day to End Obstetric Fistula


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A. Simple: Telegram is so simple you already know how to use it.
B. Private: Telegram messages are heavily encrypted and can self-destruct.
C. Synced: Telegram lets you access your chats from multiple devices.
D. Fast: Telegram delivers messages faster than any other application such WhatsApp, Signal etc.
E. Powerful: Telegram has no limits on the size of your media and chats.
F. Open: Telegram has an open API and source code free for everyone.
G. Secure: Telegram keeps your messages safe from hacker attacks.
H. Expressive: Telegram lets you completely customise your messenger.


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