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)
Read More

We’re Making a Difference in Madagascar

News
Field Notes: On the road in Madagascar

By Bill Mann, Fistula Foundation Board Chair I’m going to introduce you to Vavizely in a second. I warn you, her story is fairly difficult to imagine and a little hard to take. I met Vavizely at Freedom from Fistula’s surgical center in Toamasina, Madagascar. Toamasina is a compact, neat, prosperous coastal town, the commercial…

News
Spotlight on Where You’re Helping: Madagascar

Despite being known for its rich biodiversity, Madagascar’s people face extreme poverty—three-quarters of the population live on less than $1.25 per day. Fertility rates are high, and child marriage is prevalent in poor, rural areas. Many women lack access to skilled health care providers during delivery, significantly increasing the risk of childbirth complications like fistula….

Read Another Woman’s Story

  • Ravony

    Madagascar

    For the last eight years, Ravony has suffered with obstetric fistula, which caused her to leak urine uncontrollably. Her fistula was the result of a five day labor that ended in the death of her child.

  • 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.

  • 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.

  • Fistula Foundation - Hellen Aoko

    Margaret

    Kenya

    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.

  • 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.

  • 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.

  • Ana-Angola

    Ana

    Angola

    Today, Ana is 18 years old, with an enthusiastic outlook and bubbly smile. That wasn’t always the case. Ana was just shy of 16 years old when she became pregnant. Everything went well, until it was time to deliver. Her labor was excruciating, and lasted for days.

  • Alitash

    Ethiopia

    Alitash is 56 years old and lives in a small village about 50 kilometers east of Aira, a large town in western Ethiopia. She has given birth three times – her first two children died as teenagers, and the third was stillborn.

  • Esther

    Kenya

    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.

  • Zeinabou

    Niger

    Zeinabou comes from a village 100 miles north of Danja, Niger. She was married and became pregnant while still in her teens. As is the local custom, Zeinabou planned to deliver her baby at home because maternity services are not easily accessible.

  • Fistula Foundation - Binta

    Binta

    Guinea

    Binta is 35 years old and from Fidi, a landlocked village in northwestern Guinea. At 14 years old she was forced to marry a much older man, and soon became pregnant. After five days of painful labor, she lost her baby. A few days later, she realized that she was not able to control her urine. The difficult labor had left her with an obstetric fistula.

  • 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.

  • Umuhoza

    Rwanda

    Umuhoza arrived at the hospital with two massive fistulas and could barely walk. She was so traumatized by her labor that she could not remember any details. Today she is healed, but the road to recovery has been long and difficult.

  • Jacklyn

    Kenya

    Jacklyn is just 29 years old, but has faced enough heartbreak to last a lifetime. Born and raised in Kisii County in western Kenya, Jacklyn was raised by her older sister because their parents abandoned them when she was a small child. She was never able to go to school because she had to do odd jobs along with her older sister in order to have enough food to eat at the end of the day.

  • 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.

  • 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.

  • Fistula Foundation - Elizabeth Atieno

    Sylvia

    Kenya

    Pregnant at the age of 13, Sylvia labored for two days before delivering a stillborn baby. She developed obstetric fistula, which led to two decades of shame and sadness. Then one day, she heard a radio announcement that would change her life forever.