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…
Solange was married and became pregnant at the age of 15. She received pre-natal care throughout her pregnancy, and when her labor began, Solange’s family called a traditional birth attendant instead of traveling to the nearest health center. However, it soon became clear that her labor was complicated.
Solange’s family then decided to make the 2-hour walk to the health center – Solange had to walk too, despite her excruciating labor pains. When she arrived, the nurse on duty could do little for her and referred her to another hospital, which required another 6 hours of travel by foot, boat, and taxi—not to mention a large financial cost for her family. Sadly, when she finally arrived at the hospital and completed her delivery, her baby was stillborn. She also realized that she was constantly leaking urine.
Grieving, Solange traveled back home, where she found a letter from her husband. Translated, it read: “Go away! Go back to your parents’ house!” Her emotional pain was unbearable—she had lost her baby and been cast out by her husband. Her community also ostracized her because of her smell.
Thankfully, her family continued to support her. After a year of living with obstetric fistula, Solange began to see another man, who loved and accepted her despite her condition. She became pregnant again, and was able to give birth to a healthy baby by caesarian section.
A friend referred Solange to Freedom from Fistula, one of Fistula Foundation’s partners in Tamatave, Madagascar. She traveled to Tamatave, and was finally able to receive treatment.
Now 20 years old, Solange is finally dry. After undergoing fistula repair surgery, her self-confidence has returned. Now that her fistula is gone, Solange has found new joy and hopes to live life to the fullest!
- 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)