Meet Rose

Rose developed a fistula after her very first pregnancy, and has been suffering because of it ever since. For over fifty years she struggled, never knowing that treatment was available....until recently when she met Sister Anna, the head nurse of Kilimanjaro Christian Medical Center's fistula ward in Moshi.

Rose's Story

Rose was in labor for three days before she was taken to the local clinic. Due to the limited capabilities and resources of the staff there, they referred her to the district hospital. At the hospital, doctors rushed to operate on her but it was already too late: the surgery was unable to save her baby boy, who only cried once before taking his final breath. But little did Rose know the true extent of her loss, because she soon realized that she was leaking urine continuously. She was discharged from the hospital without a diagnosis, and without any further assistance for her condition.

When Rose returned home, she felt utterly defeated. Her husband left her and married another woman. She never conceived again and led a life of isolation and sadness. A constant need to change her clothes, coupled with the fear of embarrassment and painful genital sores, forced her to stay close to the house at all times. As a result, Rose withdrew from every social activity unless her presence was absolutely required.

With a diminished capability to work on the farm because of her condition, each day Rose struggled more and more. Time and age did not solve her problems, as her hardships only continued to grow. The crucial support that she derived from her parents was lost upon their deaths, and her farm animals were stolen by thieves as word got around that she was an old woman living alone. Perhaps one of the most hopeless feelings was when Rose saw her siblings blessed with children and grandchildren while she continued to be childless and alone.

The embarrassment she felt over leaking plagued her mind at all times. “When I would be spending time with my sister’s grandchildren, they would ask me why I was not using the bathroom when my clothes would get wet,” she narrated with sadness in her eyes. Incidents like these continued to add to her grief, along with the fact that she was told that she was incontinent because she was bewitched. Rose tried seeking out traditional healers, but nothing she did could alleviate her suffering – until she met Sister Anna from Kilimanjaro Christian Medical Center (KCMC) in Moshi.

Sister Anna is the head nurse at KCMC’s fistula ward. She visited Rose’s district as part of an outreach trip that was funded by Fistula Foundation. The goal of the outreach trip was to build capacity for fistula identification, referral, and transportation to KCMC for treatment. The outreach team conducted educational activities, connected with local ambassadors, and identified and transported women suffering from fistula. Rose was one of these patients who was brought to KCMC as part of the outreach trip. After 50 years of living with a fistula, she has finally received the care she deserves and has been healed.

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)
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Read Another Woman’s Story

  • 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.

  • Mildred

    Kenya

    Mildred developed fistula after prolonged, obstructed labor with her second child. She endured two difficult months of life with fistula before receiving treatment through our Action on Fistula program.

  • Kaudha

    Uganda

    Kaudha is from eastern Uganda. At age 27, 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.

  • 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."

  • 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.

  • 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.

  • Levine

    Madagascar

    Levine never imagined that appendicitis surgery would result in an injury that could devastate her life.

  • 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.

  • 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.

  • Reeta

    Nepal

    Reeta arrived at International Nepal Foundation's fistula clinic with her younger son, Tej. They live in Kanchenpur, a 9 hour journey by bus from Surkhet. Reeta developed an obstetric fistula after her youngest son’s birth 33 years ago. She had delivered two sons previously at home without difficulty, but the third labor was more complicated.

  • 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.

  • Brenda

    Brenda

    Kenya

    Thanks to a newly opened fistula hospital close to her home in Kisii, Kenya, 17-year-old Brenda was able to get treatment after six months. Now that she is healed, she has dreams of returning to school to become a nurse.

  • Felistas

    Kenya

    Felistas developed fistula at the age of 17, after delivering a stillborn baby via Cesarian section. Her husband left her because he could not stand her condition. She suffered alone until learning one day that treatment was available through the Action on Fistula program.

  • 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.

  • Marivelo

    Madagascar

    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.

  • 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.

  • Halima, from Somalia (photo credit: WAHA)

    Halima

    Somalia

    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.”

  • 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.