Why Do We Work in Guinea?
Despite substantial progress in its reduction, Guinea still has the 13th highest maternal mortality rate in the world. It also has one of the highest incidences of early marriage, resulting in an epidemic of teenage pregnancies. Many of these young mothers deliver with no prenatal care or medical assistance, especially in rural areas. General poverty, pockets of conflict and political unrest, poor weather conditions, and an influx of refugees from neighboring countries have also had an effect on women’s access to quality healthcare in Guinea.
Two of the biggest challenges related to fistula in Guinea are inadequate facilities and difficulty in identifying patients. There are currently five hospitals in the country with the capability to treat fistula, however these facilities are severely limited in the number of surgeries they can perform due to insufficient training – most surgeons can only operate on simple cases of fistula – and lack of even the most basic supplies such as medication and surgical instruments. It is also difficult to identify patients in rural areas and convince them to seek treatment due to lack of awareness, high transport costs and the isolating social stigma attached to their condition.
What You Help Us Do in Guinea
We’re helping fund:
- Updated facilities and equipment
- Surgeon training
- Fistula surgeries
- Community outreach
National University Hospital Ignace Deen, Conakry
Kissidougou District Hospital, Kissidougou
Labé Regional Hospital, Labé
Jean Paul II Socio-Medical Center, Conakry
How much funding have we granted?
WAHA – National University Hospital Ignace Deen
$149,600 in FY2016
$211,250 in FY2014
$379,700 in FY2013
EngenderHealth – Kissidougou, Labé and Jean Paul II Hospitals
$31,000 in FY2015
$150,000 in FY2014
Who are our partners?
We provide grant support to National University Hospital Ignace Deen through Women and Health Alliance International (WAHA).
We provide grant support to Kissidougou District Hospital, Labé Regional Hospital and Jean Paul II Socio-Medical Center through EngenderHealth.
How will this help women in Guinea?
Through our partner WAHA, we are funding provision and expansion of high-quality fistula care in Guinea by supporting the National University Hospital Ignace Deen in the capital city of Conakry. Support from Fistula Foundation has allowed the hospital to renovate the urology and fistula ward and purchase critical medical supplies and equipment. An ongoing training program has been established for surgeons at the hospital, allowing them to operate on more complex cases of fistula on a routine basis. in 2015, 75 new surgeries and 3 fistula training visits were conducted.
Another important component of support from Fistula Foundation is outreach. The hospital is expanding its community mobilization and outreach campaigns with the goal of reaching more women and informing them that free treatment is available. They also engage in dialogue with communities to address the social stigma attached to fistula and provide accurate information in an effort to raise awareness and establish social support networks for fistula patients before and after surgery.
EngenderHealth has been supporting obstetric fistula programs at three hospitals in Guinea since 2006, providing women in the rural areas of Kissidougou, Labé and the capital city of Conakry with obstetric fistula repair services. But the overwhelming need in the area has meant that less than two-thirds of women seeking treatment were able to actually receive treatment due to lack of funding. This is where Fistula Foundation comes in – we provide supplemental funding for more surgeries and more training for surgeons at these hospitals. Our goal, in partnership with EngenderHealth, is to ensure that every woman who comes to these hospitals receives treatment, and that more women suffering from fistula will be identified in villages and towns across Guinea and referred for treatment.
Where is Guinea?
Facts About Guinea
- Average births per woman:4.96
- Physicians per 10,000 people:1
- Births attended by skilled personnel:45.3%
- Lifetime risk of maternal death:1 in 30(chances a woman will die during childbirth)
- Female life expectancy:61.17 years
- Female literacy:30%
- Population living in rural areas:64.1%
- Population living in poverty:47%(less than $1.25/day)
- Surgeries completed through Fistula Foundation funding to date:455
Sources: CIA World Fact Book; WHO, UNFPA.