Fistula Foundation - Hellen Aoko

Meet Margaret

Margaret is 36 years old and from a very remote village in southwestern Kenya. In this area, child marriage and polygamy are very common. At 16 years old, Margaret’s parents arranged for her to become the third wife of a man more than three times her age. She tried to resist, but eventually gave in to the marriage due to pressure from her family and community.

Margaret's Story

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.

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)
Read More

We’re Making a Difference in Kenya

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Fistula Foundation Board Chair Bill Mann has been passionate about delivering life-changing care to women suffering from obstetric fistula since his first visit to the Addis Ababa Fistula Hospital in 2011. This January, he had a little time to fill, so he booked a plane ticket to visit Fistula Foundation partners in Malawi, Kenya, Madagascar…

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A Dream Realized: Gynocare Women’s and Fistula Hospital

Last year, hundreds of supporters stepped in to help us build a hospital in Eldoret, Kenya. Thanks to an outpouring of support from one generous anonymous donor, employees of Astellas Pharma EMEA, and Fistula Foundation donors, the new Gynocare Women’s and Fistula Hospital celebrated its grand opening in fall 2016. The hospital welcomed its first…

Read Another Woman’s Story

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    Fatima lives in Sudan. She went into labor at the age of 16, but initially didn't have access to a hospital. By the time she was taken to the hospital, the baby was dead, and Fatima developed an obstetric fistula. Her husband divorced her, leaving Fatima emotionally shattered by the loss of her husband and first born child.

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    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.

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    Khadijah

    Chad

    Khadijah lived with fistula for 18 years, and it isolated her from everything and everyone around her. Originally from Chad's northern region of Bar Elgazel, she was married when she was only 14 years old. Her first pregnancy came three years afterwards and, not knowing the importance of seeking health care or treatment, she never received any prenatal care.

  • Helen

    Kenya

    Helen went into labor with her second child about four years ago. She gave birth in her home, where she labored for many hours, completely alone without anyone present to assist her. Her baby was stillborn and she began leaking urine immediately.

  • Confidence from Liberia (WAHA)

    Confidence

    Liberia

    Pregnant with her second child, Confidence went to a local hospital to deliver her baby. But when her labor became obstructed, hospital staff weren’t able to perform the necessary Cesarean section and transferred her to a larger facility. Sadly, it was too late.

  • Aidah

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    72 year old Aidah lived with obstetric fistula for an astounding 41 years before accessing treatment at Evangel Vesico-Vaginal Fistula Center in Jos. Her family stuck by her side the entire time, and recounted to hospital staff how fistula severely limited her (and their) opportunities and success in life.

  • 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.

  • Rasoanandrasana

    Madagascar

    Rasoanandrasana's body had gone through a great deal of trauma from childbirth. At the tender age of 15, she was married, and it wasn't long after that she became pregnant. Her labor lasted more than 12 hours before her doctor delivered via Caesarian section. Her baby did not survive, and Rasoanandrasana was left with obstetric fistula.

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    Lia

    Angola

    Lia arrived at CEML with great misgivings - she had sought help at many places for her fistula but was given no hope. A friend told her that she might find help at CEML and urged her to go, which she eventually did. She told staff there that she sat on some rocks nearby, cried and repeated “God help me” over and over before coming through the doors.

  • Celestine

    Kenya

    In obstructed labor with her sixth child, Celestine was rushed to her local health facility, only to be told she couldn’t have emergency surgery until her family made a down payment. Anxious and afraid, she waited for her husband to return with the money needed.

  • Siana

    Siana

    Burundi

    Siana is 17 years old and from Katanga Province in the Democratic Republic of the Congo. She developed an obstetric fistula after going through a difficult pregnancy at just 14.

  • Esther

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    Esther gave birth to her second child, Manuel, less than one year ago. She was encouraged to stay at home to deliver the baby, where she labored for three days with the help of a traditional birth attendant. Fortunately, she gave birth to a lively baby boy. However, after four days she noticed she was leaking urine and was unable to control it.

  • Everlyn

    Kenya

    Everlyn developed fistula during her second pregnancy. Shunned and stigmatized by her own family, her husband stood by her side until she received successful treatment through the Action on Fistula program.

  • Tahinomenjanahary

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    Tahinomenjanahary went in to labor at the age of 17. Her labor was excruciating, but she did not begin the journey to the nearest hospital until she had been in labor for more than a day. In total, she labored for three days. The baby did not survive.

  • Naomi

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