Meet Marivelo

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.

Marivelo's Story

Her doctors told her that no one could help. Unable to tolerate the smell of her incontinence, her husband left.

For the first year, Marivelo did not leave her home, and no one visited her. Not long after she decided to finally venture out of her home, Marivelo’s friends noticed her wet clothes. She was forced to tell them the truth, that she had been leaking uncontrollably for the last year.

But: this turned out to be a very positive revelation. She feared that she would be shunned, but in fact, quite the opposite happened. As word spread through Marivelo’s village, her community banded together to help her, even pooling enough money together to help her pay for a doctor.

When she heard a radio advertisement about surgeries being provided by to women suffering from the same symptoms she had, she made preparations to travel to Morondava to access free treatment from SALFA, a Fistula Foundation partner.

In October, 2016, she received surgery that restored her health, and gave her a second chance at life. She plans to “dance the whole way home” from the hospital, and have a big party to celebrate with her family.

And what of her estranged husband? No bother. She’s going to find a new one.

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

  • Blandine

    Madagascar

    Blandine was so happy to be free of her fistula, that "she honestly couldn't stop laughing, which was so heartwarming!"

  • Marizany

    Madagascar

    At the age of 18, Marizany and her husband looked forward to the arrival of their first child. But labor did not go as planned, and Marizany was left with an obstetric fistula, leaking urine uncontrollably. She suffered from fistula for 28 years.

  • Betty

    Zambia

    Betty labored at home for two days before she realized something was terribly wrong with her labor. To reach the nearest hospital, she traveled from her island by boat, someone paddling her there for three hours. Her baby did not survive, and Betty was left with obstetric fistula.

  • Fatima, from Sudan (photo credit: WAHA)

    Fatima

    Sudan

    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.

  • Beauty

    Zambia

    Beauty developed a fistula five years ago after a very complicated delivery. She told doctors at St. Francis Mission Hospital that she prayed every day for a miracle, never knowing that her leaking was actually caused by a medical condition for which free treatment was available.

  • 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.

  • Francine

    Madagascar

    She became pregnant with her first child around age 17. Things did not go as planned, and Francine found herself in labor for three days. Finally, she was taken to a hospital where her baby was delivered via C-section. As a result of her prolonged obstructed labor, Francine had developed an obstetric fistula.

  • NIrmala-Nepal

    Nirmala

    Nepal

    Nirmala is 25. She lives in Doti, in the far western region of Nepal. For many years, she lived in India, where her husband had found work. While living in India, she gave birth to her first child, a stillborn baby that was delivered after 24 hours of difficult labor that left Nirmala with a double fistula, in her bowels and bladder.

  • Rahima

    Bangladesh

    When Rahima was just 13 she was married to save her family money on living costs. She soon became pregnant and suffered through prolonged, obstructed labor that left her incontinent. She lived with obstetric fistula for 12 years before finally finding help through our partners at HOPE Foundation for Women and Children of Bangladesh.

  • Merin’y

    Madagascar

    Merin'y is the mother of three healthy children, but when the time came to deliver her fourth child, things did not go as they had before. Her labor was long and intense, and resulted in an obstetric fistula.

  • Jacqueline

    Zambia

    During her first pregnancy in 2008, Jacqueline was in labor for a day before she was taken to Muyombe Clinic and then on to Isoka District Hospital. Her baby was removed using forceps and the baby was still born. Then she began to leak feces and 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.

  • 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.

  • Fistula Foundation - Lia

    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.

  • Christine

    Kenya

    Despite the efforts of one dedicated doctor who rode over an hour by motorbike late in the evening to help save the life of Christine and her baby, the baby did not survive. Her prolonged labor also resulted in obstetric fistula. Her husband abandoned her because he could not stand the smell of her incontinence, but her brothers defied cultural tradition and insisted she and her five children live with them. Then, a radio advertisement changed her life.

  • Tahinomenjanahary

    Madagascar

    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.

  • Nanyoor

    Tanzania

    Nanyoor experienced a terrible obstructed labor when she was only 16 years old. She is a member of the Maasai tribe in northern Tanzania, and her remote community is miles away from any major healthcare facility.

  • 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.