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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Read Another Woman’s Story

  • Saran

    Guinea

    After developing a fistula with the birth of her fourth child, Saran received free fistula surgery at our partner site Jean Paul II Hospital in Conakry, Guinea.

  • Kabuli, from Afghanistan (photo credit: CURE International)

    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.

  • Flavia

    Flavia

    Angola

    Flavia is a shy 17 year old girl who was married when she was just 15. Soon after, she became pregnant. Her labor began at home, but the family was unprepared when the labor became obstructed. Not knowing what to do, they finally took her to a hospital.

  • Grace

    Kenya

    Grace got married in 1994, and explained that she immediately felt a burden upon herself to give birth to as many children as possible as quickly as possible in order to earn respect and stability in her marriage. This, she said, is the status quo in the rural African context.

  • Nura

    Chad

    Nura comes from Lai, a region in the south of Chad where she married at age 17. She first became pregnant at 20 and tried to give birth at home, aided only by her family. After 4 days of complicated labor, she was finally taken to the maternity center in Guidari, a nearby village.

  • 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.

  • Debora

    Angola

    Debora lives in a tiny Angolan village quite far from any emergency medical services. In 2008, she was in labor with her fourth child for nearly a week before her uncle finally brought her to a hospital.

  • 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.

  • 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.

  • Betty

    Kenya

    Betty developed fistula during her first pregnancy, after laboring at home for seven days. Her baby did not survive. Today, she is healthy once again thanks to free surgery provided through the Action on Fistula program.

  • Justine

    Uganda

    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.

  • Lucie

    Madagascar

    With a tube down her nose to her stomach, Lucie was unable to talk. Her sister, Elysa, relayed this story on her behalf.

  • Fina

    Tanzania

    Sixteen years ago, a childbirth injury turned Fina’s life upside down. But after losing everything—her health, her husband, even her own family—she was determined to take her future into her own hands.

  • Brenda

    Brenda

    Kenya

    Thanks to a newly opened fistula hospital close to her home in Kisii, Kenya, 17-year-old Brenda was able to get treatment after six months. Now that she is healed, she has dreams of returning to school to become a nurse.

  • 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.

  • 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.

  • Hadija

    Guinea

    Hadija is 27 years old. She has given birth to four children in her life, but sadly two of them did not survive. To make things worse, her last pregnancy left Hadija with an obstetric fistula.

  • 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.

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