NIrmala-Nepal

Meet Nirmala

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.

Nirmala's Story

Her husband took her to the best hospitals in India, where they spent all of the money they had on multiple complex operations, x-rays and doctor visits – none of which were able to heal Nirmala. Suffering through the misery of her double fistula, Nirmala and her husband learned of a fistula camp being run by Fistula Foundation’s grantee partner, International Nepal Fellowship (INL).

They may have had doubts about what they could expect from a set-up in a tent after the grand hospitals in India had failed, but they didn’t say so, and they had no money left,” reported a representative from INL.

Surgeons involved with the camp were able to successfully repair both of Nirmala’s fistulas, and she is now dry. She returned home cured and thinking about her future, that perhaps in a few years, she and her husband might be able to bring a baby into their home. (INL is hopeful for her and inspired, having learned this year of their first “fistula baby,” born to a patient healed in a 2010 fistula camp, who delivered safely by C-section.)

About Nepal

  • Population: 29,033,914
  • Average Births per Woman: 2.18
  • Female Literacy: 53.1%
  • Population Living in Poverty: 25.2% (less than $1.25/day)
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Read Another Woman’s Story

  • Wilmina

    Kenya

    “The last 22 years have been years of great pain, loss and very deep sorrows. I lost my baby, later lost my marriage, lost friends, and lost my only family (my parents). Fistula robbed me of everything that I once valued, and I have been left very empty.”

  • Mayeye

    Democratic Republic of Congo

    In the year 2000, Mayeye was pregnant with her fourth child. Not long after giving birth, she felt intense pain in her abdomen and began leaking urine. She had developed obstetric fistula. Despite her injury, Mayeye continued working on her family’s small farm. She had no choice but to work through the pain, because her family was depending on her.

  • 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.

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    Kamala

    Nepal

    Kamala is a 47 year old mother of four and from a very remote area of western Nepal known as Dailekh. She lived with fistula for eight years, but thankfully is one of few patients who had the support of her husband the entire time.

  • 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.

  • Rasoanirina

    Madagascar

    Rasoanirina was 18 when she went into labor with her first child. But her labor did not go as planned: it lasted for three excruciating days before the baby was delivered stillborn, via C-section on July 2, 2015. Her complicated labor left her with more than the pain of losing a child; it also left her with obstetric fistula.

  • 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.

  • 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.

  • Habiba-Niger

    Habiba

    Niger

    Habiba was married at 16 and pregnant with her first child soon thereafter. She began labor at home, as most women do in Niger. After enduring two days of painful, obstructed labor, she was sent in an ox-cart to the nearest hospital. By the time she received a Caesarian section, Habiba had been in labor for four days. Her baby did not survive.

  • Maho

    Madagascar

    At 20 years old, Maho is mother to two healthy children. In June 2016, when giving birth to her third child, her labor went quite differently. She endured an excruciating labor that lasted three days and resulted in a C-section. Her child did not survive, and Maho had begun to leak urine.

  • Solange

    Madagascar

    Solange spent the majority of her teenage years suffering from obstetric fistula.

  • Bilkis

    Bangladesh

    Bilkis is just 20 years old. She developed an obstetric fistula during the delivery of her first baby. Bilkis delivered under the guidance of a traditional birth attendant who encouraged her to continue her labor at home despite the fact that she had already been in labor for two days.

  • 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.

  • Florinda

    Angola

    Living in a small village in central Angola, Florinda was married in her teens and became pregnant at 16. Without access to emergency obstetric care, her difficult delivery caused her to develop a fistula. But today, she is smiling again.

  • Mwajuma

    Kenya

    Mwajuma developed a fistula while in labor with her seventh child. Thankfully, it wasn’t long before she met Mariam, who helped her get free treatment through our Action on Fistula program in Kenya. With her health restored, Mwajuma now has plans to start a new business so she can help support her family.

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    Halima

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    Halima is yet another brave fistula survivor from Somalia. “When I went to labour, the pain got stronger and stronger and lasted on and on. Something was not right. It took two days to convince my husband to bring me to a health facility. The doctors that saw me decided to immediately carry out a cesarean section. But they had no anesthesia. The pain was unbearable, and when I screamed they started beating me. My baby could not be saved and I developed what I later learned was an obstetric fistula. My husband left me because he could not stand the smell caused by my injury.”

  • 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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    Kabuli

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    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.