Meet Justine

Justine is 37 years old and lives in Bumasiki , a small village in Bugiri District in Uganda. When her labor pains began, she prepared to go to the hospital but didn’t have enough money to get there. She arrived 20 hours later after gathering sufficient funds from friends and neighbors; but by then, she had developed an obstetric fistula.

Justine's Story

When she found out she was pregnant with her 7th child, Justine began prenatal care visits at a nearby government health center; however, the nurses informed her that she would not be able to deliver her baby there as they did not offer delivery services. When the time came, she labored for nearly 24 hours before reaching the closest hospital. The doctor immediately performed a Cesarean section and was able to save the baby, but Justine had developed an obstetric fistula which left her leaking urine.

Justine leaked for 10 years until she was recently identified by a “fistula ambassador” during a community outreach session organized by our partner Uganda Village Project. She was brought to Kamuli Mission Hospital in Kamuli District and underwent a successful fistula repair surgery. She is now looking forward to going home to her family and wants to start a small business selling tomatoes in the evening market in her village.

About Uganda

  • Population: 38,319,241
  • Average Births per Woman: 4.8
  • Female Literacy: 71.5%
  • Population Living in Poverty: 18.7% (less than $1.25/day)
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We’re Making a Difference in Uganda

The Life You Can Save Charity

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Featured by The Life You Can Save

This month, our partners at The Life You Can Save recommended Fistula Foundation as one of eight recommended charities working to restore vital, long-term services to the people of Nepal. Fistula Foundation’s work to support the Fistula Ambassador Program run by our partners at the Uganda Village Project was also featured: To view the full…

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Our Partner: Uganda Village Project

Uganda Village Project (UVP) works with marginalized populations in Iganga on issues related to health and sustainable development. One of their main projects is a ‘Fistula Ambassador’ program that was launched in 2014. Through this program, fistula survivors are identified and trained to become ambassadors in their communities – they raise awareness and identify and…

Read Another Woman’s Story

  • Fistula Foundation - Binta

    Binta

    Guinea

    Binta is 35 years old and from Fidi, a landlocked village in northwestern Guinea. At 14 years old she was forced to marry a much older man, and soon became pregnant. After five days of painful labor, she lost her baby. A few days later, she realized that she was not able to control her urine. The difficult labor had left her with an obstetric fistula.

  • Rose

    Tanzania

    Rose developed a fistula after her very first pregnancy, and has been suffering because of it ever since. For over fifty years she struggled, never knowing that treatment was available....until recently when she met Sister Anna, the head nurse of Kilimanjaro Christian Medical Center's fistula ward in Moshi.

  • Sokhina

    Bangladesh

    Sokhina endured four days of excruciating labor before delivering a stillborn baby. But her nightmare was just beginning: soon after she began to leak urine and learned that she had an obstetric fistula. She suffered with this injury for eight years before learning that help was available.

  • Vinesy

    Madagascar

    Vinesy had surgery in April 2013 for appendicitis, but something went wrong and she became incontinent as a result. She had developed an iatrogenic fistula as a result of the procedure and had begun to leak urine uncontrollably.

  • Fistula Foundation - Elizabeth Atieno

    Sylvia

    Kenya

    Pregnant at the age of 13, Sylvia labored for two days before delivering a stillborn baby. She developed obstetric fistula, which led to two decades of shame and sadness. Then one day, she heard a radio announcement that would change her life forever.

  • Fistula Foundation - Nazneen

    Nazneen

    Pakistan

    Nazneen is a 47 year old mother of six who resides in the Balochistan region of Pakistan. She had been living with fistula for 14 years after experiencing a prolonged labor while giving birth to her sixth child.

  • Elizabeth

    Madagascar

    Elizabeth is mother to ten children. For nearly a year, she suffered in shame, uncontrollably leaking urine. A doctor misdiagnosed her condition as a urinary tract infection. Without a way to stop the incontinence, Elizabeth went to great lengths to hide her injury.

  • Odeline

    Chad

    As is the norm in Chad, Odeline was married at the age of 23 and soon became pregnant. The pregnancy went well and she delivered a healthy baby boy. Three years later she also delivered her second baby girl without problems. In 2006, she became pregnant with her third child. She carried the baby for nine months and expected the labor to be normal as in her first two deliveries, but after having been in labor for more than two days it was obvious something was seriously wrong.

  • Kaudha

    Uganda

    Kaudha is from eastern Uganda. At age 27, she developed a fistula after spending hours in labor with her third child. Unfortunately, the baby did not survive, and Kaudha’s condition left her feeling isolated from friends and loved ones. But in fall 2015, her story—and her outlook—changed dramatically.

  • Hauwa

    Nigeria

    Hauwa was 60 years old when she became aware that the fistula she had suffered with for over 40 years could be repaired for free at our partner hospital, Evangel Vesico-Vaginal Fistula Center (EVFC).

  • Mary

    Kenya

    Mary, from rural West Pokot, Kenya, received free fistula repair surgery in 2015 after being referred for treatment by a community health worker. With a bright future ahead, she wishes to become a fistula ambassador herself.

  • 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."

  • Zeinabou

    Niger

    Zeinabou comes from a village 100 miles north of Danja, Niger. She was married and became pregnant while still in her teens. As is the local custom, Zeinabou planned to deliver her baby at home because maternity services are not easily accessible.

  • Momakely

    Madagascar

    When it came time to deliver her baby, Momakely made her way to a health facility a great distance away from her home. But her labor was prolonged and difficult, and her baby did not survive. Momakely was left with an obstetric fistula for five years, until she learned about free fistula services offered by SALFA.

  • Maho

    Madagascar

    At 20 years old, Maho is mother to two healthy children. In June 2016, when giving birth to her third child, her labor went quite differently. She endured an excruciating labor that lasted three days and resulted in a C-section. Her child did not survive, and Maho had begun to leak urine.

  • 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.

  • Florinda

    Angola

    Living in a small village in central Angola, Florinda was married in her teens and became pregnant at 16. Without access to emergency obstetric care, her difficult delivery caused her to develop a fistula. But today, she is smiling again.

  • Domitila

    Domitila

    Angola

    In 2012 Domitila became pregnant with her 9th baby. During her final trimester, she had a severe episode of bleeding. Her family realized this indicated the baby had died, but hoped she would still be able to push it out on her own at home. When nothing happened, they finally took her to the hospital where a hysterectomy was done. After this, she no longer was able to control her urine - she had developed a fistula.

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