Meet Landy

Landy became pregnant at 14 years old. When it came time to deliver, she labored at home as most women do in her village. But after a day of excruciating pain, her labor did not progress and her family took her to the village hospital. The baby did not survive.

Landy's Story

Landy grew up in a rice farming family in the village of Soaseragna, about 80km from the closest city of Morondava. She became pregnant at 14 years old. When it came time to deliver, she labored at home as most women do in her village. But after a day of excruciating pain, her labor did not progress and her family took her to the village hospital. The baby did not survive.

Almost immediately after the baby was removed, Landy began to leak urine. The prolonged obstructed labor had resulted in an obstetric fistula.

Life became very difficult for her. Her aunt explained that others in the community began to neglect her and treat her poorly. But one day, her luck changed. Landy met a woman who had suffered from the same symptoms she was exhibiting. The woman explained that the condition was called obstetric fistula, and that doctors at the SALFA hospital in Morondava had healed her fistula, and could heal Landy’s, too.

With her aunt at her side, Landy made her way to Morondava for treatment. When the Fistula Foundation team met her, she was full of hope and looking forward to surgery. She cannot wait to return home to tell everyone in her village that she is healed.

About Madagascar

  • Population: 24,430,325
  • Average Births per Woman: 4.12
  • Female Literacy: 62.6%
  • Population Living in Poverty: 75.3% (less than $1.25/day)
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Your Donations at Work – Madagascar

Obstetric fistula happens most frequently in rural areas, where emergency medical care is not easily accessible. A woman’s risk of developing fistula is also exacerbated by cultural misunderstanding about doctors and surgery. Madagascar faces both of these challenges: its infrastructure is poor, which can make travel to the hospital complicated and dangerous. Also, there is…

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Fistula Foundation’s work in Madagascar wouldn’t be the same without the amazing support of our partner, Icon. Read their Giveback recap blog post below, and the stories of women at SALFA, our partner in Madagascar: How You Changed These Women’s Lives 12/19/17 written by Natalie Pattillo How You Changed These Women’s Lives As a women-led…

Read Another Woman’s Story

  • 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.

  • Yvonne

    Zambia

    After suffering from obstetric fistula for 17 years, Yvonne boarded a bus that would take her to treatment. She was hopeful that on her return ride, she would be traveling in a dry dress for the first time in nearly two decades.

  • Towanda

    Zimbabwe

    Towanda is 20 years old and from a rural area just outside of Harare, Zimbabwe’s capital city. Four years ago at the age of 16, she became pregnant. When the time came to deliver, there were a lot of complications.

  • Seline

    Kenya

    Seline lives in a small village in the remote region of West Pokot, Kenya. She did not go to school and married young, as is tradition in this pastoralist community. She went into labor with her fourth child about three years ago, preferring to give birth at home with a traditional birth attendant from her village. Only 18% of women give birth in a health center in this region of Kenya, far below the national average of 44%

  • Fistula Foundation - Maria

    Maria

    Zimbabwe

    Maria is 42 years old. She is HIV-positive and currently on antiretroviral therapy. Maria doesn’t have a permanent place to live – she cannot work because of her incontinence, and has no real income to live on. She survives through the ongoing support of her relatives and friends.

  • 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.

  • Marivelo

    Madagascar

    In May, 2013, Marivelo went in to labor with her first child. Her labor lasted for four days. The child did not survive, and Marivelo was left incontinent of urine. She had developed an obstetric fistula as a result of the prolonged, unrelieved labor.

  • 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.

  • Naresia Kenya

    Naresia

    Kenya

    Naresia is a Masai girl from a rural village in Kenya. Only five months ago, at the age of 14, Naresia gave birth to a baby. After a prolonged and difficult labor, she awoke to find her bed soaked with urine. The doctors informed her that the delivery process had left her with an obstetric fistula and she was now incontinent.

  • 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.

  • Padma

    Nepal

    “I have a second life. I am so thankful to Dr. Shirley, and so thankful to my husband who stood by me.”

  • Fistula Foundation - Kamala

    Kamala

    Nepal

    Kamala is a 47 year old mother of four and from a very remote area of western Nepal known as Dailekh. She lived with fistula for eight years, but thankfully is one of few patients who had the support of her husband the entire time.

  • Pastor Raphael

    Kenya

    The fact that he is blind has never slowed him down, and at 45 years, Pastor Raphael is feeling young and energetic. As a child, Pastor Raphael was unable to finish school as he had tend to the family’s cattle, but he always felt a calling to become a pastor and to serve his community.

  • Soazara

    Madagascar

    Soazara's husband abandoned her, because he could not stand her smell. Life became almost unbearable for her.

  • Hamida-Bangladesh

    Hamida

    Bangladesh

    Hamida is a young woman of twenty five from Teknaf in the Cox's Bazar District, a town remotely located at the southernmost point of mainland Bangladesh, at the Myanmar border. When Hamida was only thirteen years old, she was married. She became pregnant and gave birth at home with no medical help, preferring home as a safe place for delivery as more than 95 percent of women do in her region, for fear of hospital costs.

  • Halima, from Somalia (photo credit: WAHA)

    Halima

    Somalia

    Halima is yet another brave fistula survivor from Somalia. “When I went to labour, the pain got stronger and stronger and lasted on and on. Something was not right. It took two days to convince my husband to bring me to a health facility. The doctors that saw me decided to immediately carry out a cesarean section. But they had no anesthesia. The pain was unbearable, and when I screamed they started beating me. My baby could not be saved and I developed what I later learned was an obstetric fistula. My husband left me because he could not stand the smell caused by my injury.”

  • Beatrice-Kenya

    Beatrice

    Kenya

    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.

  • Felana

    Madagascar

    At the tender age of 15, Felana became pregnant. She suffered a prolonged obstructed labor, and by the time her stillborn baby was delivered, she had developed obstetric fistula.