U.S. News & World Report featured this article from our longtime friend and partner, Dr. Hillary Mabeya. Writing in recognition of International Day to End Obstetric Fistula, he tells the story of his journey— from young medical resident to renowned fistula surgeon and leader. May 23 is International Day to End Obstetric Fistula, and I’m…
After a few months, Margaret became pregnant with her first child. She delivered her baby at home with the help of her co-wives, and over the next few years delivered two additional children at home without issue. In 2010 Margaret became pregnant with her fourth child – the pregnancy went as smoothly as the first three, but the delivery did not. She labored at home for two days with the help of her co-wives, who eventually took her to get medical attention. It took them six hours on a motorbike to reach the nearest health center, and upon arrival the center was so ill-equipped that it lacked even the most basic medical supplies such as aspirin and gloves. It took another four hours for Margaret to reach the district hospital, where a C-section was finally performed.
When Margaret regained consciousness following the procedure, she was in excruciating pain. “I did not only lose my baby, but I also lost my uterus and ability to hold urine,” Margaret said. She soon lost her position as the youngest wife in the household because her husband wanted a new wife who could bear him more children. “I live a lonely life because my husband hardly comes to my house, his attention is on his new young and clean wife. I feel used and dumped, and my co-wives no longer help me as they used to.”
Thankfully, Margaret heard about our Action on Fistula program through a relative. She was linked with our outreach partner, Disciples of Mercy, who referred her for treatment at Gynocare Fistula Center. Her surgery was successful and she is currently in recovery. Margaret looks forward to putting her life back together when she returns home.
- 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)