Meet Naomi

Naomi arrived at Tanga Health Center in northeastern Tanzania as a glowing 24 year old expectant mother and businesswoman with a supportive family and a bright future. She returned home with a healthy baby, but also a devastating condition that threatened to diminish that future - obstetric fistula.

Naomi's Story

Despite a traumatic 12 hour delivery, Naomi’s baby survived. The baby was too big to fit through her pelvis and in a breech position that made the delivery even more difficult. Staff at the Tanga Health Center were able to safely deliver the baby boy, but the damage to Naomi’s body had already been done. Five days after returning home, she noticed she was leaking urine.

“I did not know what fistula was before I developed it and I was not sure why I was leaking. After I developed fistula, I stayed at home with my parents. I was very sad that I could not go to any celebrations or see my neighbors because I was ashamed for anyone to see my leaking,” Naomi explained. Thankfully, Naomi’s relatives were understanding and supportive and refused to separate from her. She did, however, experience a different type of loss: the loss of her business.

“Before I had fistula, I owned a cosmetics shop. After my baby was born, I could not go back to my shop because I had spent  the money that I would need to purchase more supplies for my business on my health and fistula expenses. I also had to spend more time washing my clothes because I was leaking in them a lot and I did not want to leak in front of my customers.”

Naomi lived with fistula for seven months before a doctor in Tanga told her about CCBRT in Dar es Salaam and informed her that her condition was treatable. Thanks to CCBRT’s M-PESA program (a program where transport money is provided via mobile phones in order to help women get to the hospital), Naomi made the 200 mile journey to CCBRT and was admitted for fistula repair surgery. In a new city and preparing to undergo surgery, she naturally had concerns. “Before surgery, I was worried that I would be in pain and that it would not be successful.”

Naomi’s surgery WAS successful in fact, and she is now recovering pain-­free at CCBRT. She is happy to be completely dry, and to have her beautiful, healthy son with her. She will soon be able to return home to her family and community. When asked what message she would like to send to other women in Tanzania who are living with fistula, she replied, “Fistula IS treatable. When you have fistula, go to CCBRT for treatment.”

About Tanzania

  • Population: 49,639,138
  • Average Births per Woman: 4.95
  • Female Literacy: 60.8%
  • Population Living in Poverty: 67.9% (less than $1.25/day)
Read More

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Read Another Woman’s Story

  • Fistula Foundation - Khadija

    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.

  • 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.

  • Djinto

    Democratic Republic of Congo

    Djinto tried to do everything right. She attended regular prenatal sessions to prepare for the birth of her child. Her pregnancy progressed normally, though she had been warned that the child she carried was too large for Djinto’s young 17 year old body to handle.

  • 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.

  • Pushpa

    Nepal

    Pushpa is approximately 50 years old and from a remote village in western Nepal. When she arrived at Kathmandu Model Hospital, she was leaking urine and feces uncontrollably and was severely depressed.

  • Alradya-Sudan

    Alradya

    Sudan

    Alradya is 17 years old and lives in northern Sudan. When she was 15, she was married to her cousin, a farmer. She became pregnant and when she went into labor, had only her mother at her side. She endured excruciating labor for two days, but there was still no sign of the baby, which she could no longer feel moving. A traditional birth attendant was summoned to examine Alradya, who ordered that she be sent to the nearest hospital.

  • Evelyn

    Kenya

    “It was so painful to leave the hospital with the few clothes I had bought for my baby. It was painful to walk out of the gates empty handed [without a baby] and to worsen the matter, with the leaking of urine."

  • Kaudha

    Uganda

    Kaudha is from eastern Uganda. She developed a fistula after spending hours in labor with her third child. Unfortunately, the baby did not survive, and Kaudha’s condition left her feeling isolated from friends and loved ones. But in fall 2015, her story—and her outlook—changed dramatically.

  • 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.

  • 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.

  • Zatindravelo

    Madagascar

    When it came time to deliver her baby, Zatindravelo dutifully made her way to a medical facility to deliver, but her labor took a turn for the worse when there were no doctors or nurses present to assist her when she needed them most. She labored for 17 hours with her first child. The child did not survive. As a result of her prolonged, unrelieved labor, she had developed obstetric fistula.

  • 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.

  • Action on Fistula - Jane

    Jane and Elizabeth

    Kenya

    After suffering five miscarriages, Jane prepared to deliver her first child. But two days of difficult labor left Jane with an obstetric fistula. At home, she became traumatized by isolation and mistreatment from her husband, who had taken another wife. Her sister, Elizabeth, stepped in.

  • 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.

  • 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.

  • Jahanara

    Bangladesh

    Jahanara is just 23 years old. She was in labor for a full day at home before going to a hospital for an emergency C-section. By then, unfortunately, the damage had already been done.

  • Salha

    Tanzania

    Salha had a complicated and prolonged labor before she was finally brought to a hospital in the Mtwara region of Tanzania. There she received an emergency C-section section, but it was too late. Tragically, Salha’s baby had already died. A few days later, Salha realized she was leaking urine.

  • Beatrice-Kenya

    Beatrice

    Kenya

    Beatrice is 17 she lives in Western Kenya. Many women with fistula suffer for years or decades before they are able to access surgical treatment. Fortunately for Beatrice, who was 16 when she developed fistula, it was less than a month before she received treatment at the Nyanza Provincial General Hospital in Kisumu, Kenya. Beatrice developed fistula after laboring at home for two days in the presence of a traditional birth attendant.

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