Meet Tovisoa

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

Tovisoa's Story

Tovisoa is hopeful as she waits for fistula surgery that could change her life. She developed obstetric fistula in 2017, the result of a difficult labor that lasted for two days. Her baby did not survive. Not long after, she found that she had begun to leak urine uncontrollably.

Embarrassed, she didn’t dare to attend family gatherings or social events, for fear that others would speak badly of her because of her condition. Tovisoa is extremely shy, and the judgment she already experienced and felt was very hard.

But one day, her aunt, Ndatsaha, explained that she had suffered from the same condition. And she told Tovisoa about SALFA’s hospital in Morondava, which offered free fistula treatment. She offered to escort Tovisoa to the hospital herself.

So, on the day that a team from Fistula Foundation arrived, they found Tovisoa with Ndatsaha at her side, quiet and hopeful and looking forward to treatment that would restore her life, the way it restored her aunt’s.

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

  • 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.

  • Justine

    Uganda

    Justine is 37 years old and lives in Bumasiki , a small village in Bugiri District in Uganda. When her labor pains began, she prepared to go to the hospital but didn’t have enough money to get there. She arrived 20 hours later after gathering sufficient funds from friends and neighbors; but by then, she had developed an obstetric fistula.

  • 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.

  • 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.

  • Sodreine

    Madagascar

    Sodreine is from Iabomora Village, about 56km from Vangaindrano in Madagascar. She gave birth to her first child at the age of 17, but her labor did not progress as planned. As a result, she developed obstetric fistula.

  • 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.

  • Helen

    Kenya

    Helen went into labor with her second child about four years ago. She gave birth in her home, where she labored for many hours, completely alone without anyone present to assist her. Her baby was stillborn and she began leaking urine immediately.

  • 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.

  • 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.

  • Vinesy

    Madagascar

    Vinesy had surgery in April 2013 for appendicitis, but something went wrong and she became incontinent as a result. She had developed an iatrogenic fistula as a result of the procedure and had begun to leak urine uncontrollably.

  • Vitasoa

    Madagascar

    Vitasoa is from the village of Manja, approximately 250km from the nearest city, Morondava. She developed fistula during the birth of her first child.

  • Merin’y

    Madagascar

    Merin'y is the mother of three healthy children, but when the time came to deliver her fourth child, things did not go as they had before. Her labor was long and intense, and resulted in an obstetric fistula.

  • Landy

    Madagascar

    Landy became pregnant at 14 years old. When it came time to deliver, she labored at home as most women do in her village. But after a day of excruciating pain, her labor did not progress and her family took her to the village hospital. The baby did not survive.

  • Fistula Foundation - Elizabeth Atieno

    Sylvia

    Kenya

    Pregnant at the age of 13, Sylvia labored for two days before delivering a stillborn baby. She developed obstetric fistula, which led to two decades of shame and sadness. Then one day, she heard a radio announcement that would change her life forever.

  • Rasoandrana Marie Lucie

    Madagascar

    Rasoandrana Marie Lucie became pregnant at the age of 15. Her labor began in April, 2016, and lasted for an excruciating three days. Eventually, the baby was delivered via C-section at a government hospital. The child did not survive. Not long after, Rasoandrana began leaking urine: the difficult labor had left her with obstetric fistula.

  • Fistula Foundation - Binta

    Binta

    Guinea

    Binta is 35 years old and from Fidi, a landlocked village in northwestern Guinea. At 14 years old she was forced to marry a much older man, and soon became pregnant. After five days of painful labor, she lost her baby. A few days later, she realized that she was not able to control her urine. The difficult labor had left her with an obstetric fistula.

  • 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.

  • Betty

    Kenya

    Betty developed fistula during her first pregnancy, after laboring at home for seven days. Her baby did not survive. Today, she is healthy once again thanks to free surgery provided through the Action on Fistula program.