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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

  • Romenisoa

    Madagascar

    Today, Romenisoa is happy because her free surgery was successful, and she is no longer leaking. She is happy and grateful that now she can do her farming in peace, free from fistula.

  • 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.

  • Lida

    Afghanistan

    Lida gave birth to her first and only child 12 years ago. Sadly, the baby died shortly after it was born. Not only that, but Lida developed a fistula during the difficult delivery and started leaking urine constantly from that day.

  • Sujata

    Nepal

    Sujata lives in Bajura, a very poor and remote mountain district in western Nepal. She lives with her husband, whom she married when she was 16 years old, and his family in a small house shared by 12 people. One year after their wedding, Sujata was looking forward to the birth of her first child. There was no health facility nearby, so when Sujata’s labor entered its eighth day, the family called on the local birth attendant.

  • Salome

    Kenya

    Salome's labor began at night. She sought help from her mother-in-law, who immediately called Salome's husband - by cultural norms, the only one who could give permission for Salome to seek help at a hospital. But he had turned his phone off for the night and was unreachable. Her mother-in-law tried all she could throughout the night to help Salome deliver her child. By the time Salome's husband returned the call the next morning to advise that she be taken immediately to the hospital, it was too late. The baby did not survive, and Salome had developed an obstetric fistula.

  • Christine A.

    Kenya

    Christine loved her husband and bore him six children. But after he died, Christine's life changed when she was forced to marry her eldest brother-in-law, who cared very little for her or her children. She became pregnant with her seventh child, enduring a prolonged labor that left her with obstetric fistula. Her new husband shunned her and kicked her out of her home. But then she found hope.

  • 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.

  • Cellina

    Kenya

    Cellina Nyasugutha is a community health volunteer with Daraja Mbili, an outreach program based in Kisii.

  • Fistula Foundation - Maria

    Maria

    Zimbabwe

    Maria is 42 years old. She is HIV-positive and currently on antiretroviral therapy. Maria doesn’t have a permanent place to live – she cannot work because of her incontinence, and has no real income to live on. She survives through the ongoing support of her relatives and friends.

  • Seline

    Kenya

    Seline lives in a small village in the remote region of West Pokot, Kenya. She did not go to school and married young, as is tradition in this pastoralist community. She went into labor with her fourth child about three years ago, preferring to give birth at home with a traditional birth attendant from her village. Only 18% of women give birth in a health center in this region of Kenya, far below the national average of 44%

  • Awetu

    Tanzania

    After Awetu developed a fistula following a difficult labor and delivery, her husband left her and married another. She was heartbroken.

  • 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.

  • 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.

  • 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.

  • Tovisoa

    Madagascar

    Tovisoa is hopeful as she waits for fistula surgery that could change her life.

  • 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.

  • Josephine-Congo

    Josephine

    Democratic Republic of the Congo

    Josephine is from the northwestern corner of the Democratic Republic of Congo. 34 years old, she is the mother of two healthy boys, ages 11 and 9, the only surviving children from her four pregnancies.

  • Mary

    Kenya

    Mary's first two pregnancies progressed normally, giving her two healthy children. But she never could have imagined what would happen when it came time to deliver her third child.