Meet Rose

Rose developed obstetric fistula at the age of 16, during her first delivery. Life became very difficult for her, in a number of ways. She is not married, and her father is dead. Survival became a challenge.

Rose's Story

Rose lives in Vohitrambo Village, about 15km from the nearest hospital in the small village of Vangaindrano. She developed obstetric fistula at the age of 16, during her first delivery. Like most women in her community, she had given birth at home under the care of a traditional birth attendant. But her labor did not progress as expected and Rose endured painful labor for three days.

Life became very difficult for Rose, in a number of ways. She is not married, and her father is dead. Survival became a challenge.

But one day, Rose learned of free surgery available through Fistula Foundation partner SALFA, through another woman who had suffered from the same condition.

Her surgery was successful, and Rose feels like a new woman. She will be able to earn a living now that she is no longer leaking or smelling, and she is excited about the happy future ahead of her.

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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We’re Making a Difference in Madagascar

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Your Donations at Work – Madagascar

Obstetric fistula happens most frequently in rural areas, where emergency medical care is not easily accessible. A woman’s risk of developing fistula is also exacerbated by cultural misunderstanding about doctors and surgery. Madagascar faces both of these challenges: its infrastructure is poor, which can make travel to the hospital complicated and dangerous. Also, there is…

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Icon: How You Changed These Women’s Lives

Fistula Foundation’s work in Madagascar wouldn’t be the same without the amazing support of our partner, Icon. Read their Giveback recap blog post below, and the stories of women at SALFA, our partner in Madagascar: How You Changed These Women’s Lives 12/19/17 written by Natalie Pattillo How You Changed These Women’s Lives As a women-led…

Read Another Woman’s Story

  • Annonciata

    Uganda

    Annonciata is a 56-year old mother and farmer from a small village in Budaka District in Uganda. She had previously given birth to six children without significant complications, but her seventh delivery did not go as planned.

  • 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.

  • 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.

  • 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.

  • Mary

    Kenya

    Mary, from rural West Pokot, Kenya, received free fistula repair surgery in 2015 after being referred for treatment by a community health worker. With a bright future ahead, she wishes to become a fistula ambassador herself.

  • 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.

  • NIrmala-Nepal

    Nirmala

    Nepal

    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.

  • 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.

  • 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.

  • Harka Maya

    Nepal

    A mother of two, Harka Maya lives in Sindhuli, Nepal, roughly 80 miles (129 km) from Kathmandu. She developed a fistula last summer, while in labor with her third child. Being from a poor farming family, it was customary for her to deliver at home.

  • Domitila

    Domitila

    Angola

    In 2012 Domitila became pregnant with her 9th baby. During her final trimester, she had a severe episode of bleeding. Her family realized this indicated the baby had died, but hoped she would still be able to push it out on her own at home. When nothing happened, they finally took her to the hospital where a hysterectomy was done. After this, she no longer was able to control her urine - she had developed a fistula.

  • 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.

  • 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.

  • 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.

  • Elizabeth

    Madagascar

    Elizabeth is mother to ten children. For nearly a year, she suffered in shame, uncontrollably leaking urine. A doctor misdiagnosed her condition as a urinary tract infection. Without a way to stop the incontinence, Elizabeth went to great lengths to hide her injury.

  • Abiar

    Kenya

    In her 23 years, Abiar has seen and experienced more sadness than most do in a lifetime. Losing her entire family to civil war in South Sudan in 2011, she married as a way to protect her own life. But soon the worst happened: with no access to health care, food or shelter, she became pregnant.

  • Elvanah

    Madagascar

    Elvanah gave birth to her first child at the age of 17. Her labor became obstructed, and ultimately was delivered via C-section. Her prolonged obstructed labor had resulted in an obstetric fistula.

  • Fistula Foundation - Lia

    Lia

    Angola

    Lia arrived at CEML with great misgivings - she had sought help at many places for her fistula but was given no hope. A friend told her that she might find help at CEML and urged her to go, which she eventually did. She told staff there that she sat on some rocks nearby, cried and repeated “God help me” over and over before coming through the doors.