Spotlight on Where You’re Helping: Madagascar

rasoanandrasana - madagascar

Despite being known for its rich biodiversity, Madagascar’s people face extreme poverty—three-quarters of the population live on less than $1.25 per day. Fertility rates are high, and child marriage is prevalent in poor, rural areas. Many women lack access to skilled health care providers during delivery, significantly increasing the risk of childbirth complications like fistula.

Last year, Fistula Foundation provided our first grant to SALFA, the Malagasy Lutheran Church’s health department, to support their efforts to provide fistula treatment in Madagascar. SALFA manages a network of hospitals, urban dispensaries, and rural health clinics across the island, with six of SALFA’s 10 hospitals providing routine fistula treatment.

In addition to helping provide 100 surgeries, your support also funded lodging, meals, and transportation for each patient and one family member, allowing them to travel to and from the hospital for surgery and for a separate follow-up appointment.

We were honored to have photographer Sam Biddle visit SALFA’s treatment site at Morondava in October 2016.

To see more photos and read stories of the women you’ve helped, visit

This story originally appeared in the Winter 2017 edition of our newsletter, Transformations.

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