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Beatrice-Kenya

Meet Beatrice

Beatrice is 17 she lives in Western Kenya. Many women with fistula suffer for years or decades before they are able to access surgical treatment. Fortunately for Beatrice, who was 16 when she developed fistula, it was less than a month before she received treatment at the Nyanza Provincial General Hospital in Kisumu, Kenya. Beatrice developed fistula after laboring at home for two days in the presence of a traditional birth attendant.

Beatrice's Story

The distance to the hospital was too far for Beatrice to travel, and she stayed at home until her situation was becoming life-threatening. By the time Beatrice arrived at the hospital the baby was stillborn and she had started leaking urine uncontrollably. She also developed foot-drop, which made it difficult and painful for her to walk, as a result of nerve damage caused during the prolonged, obstructed labor.

The staff at Homa Bay Hospital, several of whom had received training in obstetric fistula management during a training camp in November 2011 sponsored by The Fistula Foundation and run by our partner, Direct Relief International, recognized the condition and advised Beatrice and her family that she could receive surgical repair at the Nyanza Provincial General Hospital. Beatrice’s family arranged for her transportation to Kisumu, about two hours from her home, where she was admitted for surgery in May 2012.

Beatrice’s treatment was successful and she is no longer leaking urine. The pain in her leg is feeling better and most of all she is happy to be back in school. She thinks she would like to have children, but only after she has finished her studies and she is ready to have a family. Beatrice’s mother is also very relieved that Beatrice is back to good health, and feels she has a bright future being back in school.

Thanks to the availability of fistula repair at Nyanza Provincial General Hospital and the quick referral from health workers trained to recognize her condition, Beatrice did not suffer the severe stigma and isolation that many women with fistula endure. When girls and young women like Beatrice develop fistula, it is imperative they have treatment as early as possible and a strong support system to minimize the heavy toll that fistula can take on their physical, social, and psychological well-being. Ultimately, neither Beatrice nor any woman should suffer from such a devastating, preventable injury. As we strengthen prevention efforts, it is essential that women living with fistula also have access to the treatment they need.

About Kenya

  • Population: 45,010,056
  • Average Births per Woman: 3.54
  • Female Literacy: 84.2%
  • Population Living in Poverty: 43.4% (less than $1.25/day)
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We’re Making a Difference in Kenya

Read Another Woman’s Story

  • Ndatsaha

    Madagascar

    Ndatsaha developed fistula when she went in to labor with her third child. She sought the services of a traditional birth attendant, as she had with her previous pregnancies, and as most women did in her community. But this time, things were different. The baby did not come, and Ndatsaha labored in excruciating pain for three days.

  • Margaret and Rose

    Kenya

    At the age of 14, Margaret was raped while fetching water at the local stream. She became pregnant as a result, and endured a difficult labor, which resulted in a stillborn baby and an obstetric fistula. An orphan, Margaret had nowhere to go, and nobody to help her through this terrible tragedy – except her sister, Rose.

  • Cellina

    Kenya

    Cellina Nyasugutha is a community health volunteer with Daraja Mbili, an outreach program based in Kisii.

  • Mulamba

    Democratic Republic of Congo

    With her health restored, Mulamba is eager to return to her job as a schoolteacher.

  • Evelyn

    Kenya

    “It was so painful to leave the hospital with the few clothes I had bought for my baby. It was painful to walk out of the gates empty handed [without a baby] and to worsen the matter, with the leaking of urine."

  • Levine

    Madagascar

    Levine never imagined that appendicitis surgery would result in an injury that could devastate her life.

  • Serafina

    Angola

    Serafina is 18 years old and from the Mukubal tribe in southwestern Angola. Married off at a young age and one of several wives, Serafina became pregnant when she was 14. She is very small-boned and was suffering from malnutrition when she came to the hospital, as food is often scarce in that part of the country. As a result of that and other factors, her delivery did not go well.

  • Kabuli, from Afghanistan (photo credit: CURE International)

    Kabuli

    Afghanistan

    Kabuli, from Afghanistan, is the third of four wives. When she developed a fistula after enduring obstructed labor without any emergency medical care, her husband forced her into isolation within his home. Living in shame, Kabuli thought she would be miserable for the rest of her life.

  • Bategna

    Madagascar

    Bategna is from the village of Marerano, 300km from the nearest city, Morondava. As a girl, she attended primary school, but only for a short time. She lived a happy life, until she developed obstetric fistula.

  • Hadija

    Guinea

    By age 27, Hadija had already given birth to four children. Sadly, only two of her children survived. Making things worse, her last pregnancy left Hadija with an obstetric fistula.

  • Mary

    Kenya

    Mary's first two pregnancies progressed normally, giving her two healthy children. But she never could have imagined what would happen when it came time to deliver her third child.

  • Djinto

    Democratic Republic of Congo

    Djinto tried to do everything right. She attended regular prenatal sessions to prepare for the birth of her child. Her pregnancy progressed normally, though she had been warned that the child she carried was too large for Djinto’s young 17 year old body to handle.

  • Salha

    Tanzania

    Salha had a complicated and prolonged labor before she was finally brought to a hospital in the Mtwara region of Tanzania. There she received an emergency C-section section, but it was too late. Tragically, Salha’s baby had already died. A few days later, Salha realized she was leaking urine.

  • Lida

    Afghanistan

    Lida gave birth to her first and only child 12 years ago. Sadly, the baby died shortly after it was born. Not only that, but Lida developed a fistula during the difficult delivery and started leaking urine constantly from that day.

  • Chepotyeltyel

    Kenya

    Chepotyeltyel is a Pokot woman from a remote, rural area in northwestern Kenya. After suffering with fistula for nearly 50 years, she was finally able to receive free fistula treatment in July 2016.

  • Nathi-Uganda

    Nathi

    Uganda

    Nathi* lives in Uganda. She was married at the age of 13 and two years later was pregnant with her first child. After enduring a difficult labor, Nathi lost her baby and was left with obstetric fistula, incontinent and leaking wastes. Her husband abandoned her and soon after, her family did, too. At 15, she was alone and scared.

  • Mary A.

    Kenya

    Mary waited her whole life to have a child. At the age of 47 she finally became pregnant. But her labor was difficult, and her child did not survive. She developed fistula as a result. She was ostracized by her family and shunned by the entire community, until finally, at the age of 73, she finally accessed a free surgery that would change the rest of her life, and remind her what it felt like to feel "human" again.

  • Betty

    Kenya

    Betty developed fistula during her first pregnancy, after laboring at home for seven days. Her baby did not survive. Today, she is healthy once again thanks to free surgery provided through the Action on Fistula program.