Despite being known for its rich biodiversity, Madagascar’s people face extreme poverty—three-quarters of the population live on less than $1.25 per day. Fertility rates are high, and child marriage is prevalent in poor, rural areas. Many women lack access to skilled health care providers during delivery, signiﬁcantly increasing the risk of childbirth complications like ﬁstula….
Having fistula ruined her life, Vinesy said. Friends and family wanted nothing to do with her, and she said they would have preferred that she were dead.
In 2015, she tried to access treatment but could not afford to pay, so she returned home. She eventually learned about free surgeries available through SALFA, and traveled to access free fistula treatment made available through the support of Fistula Foundation.
In June, 2016, she received fistula repair surgery. She decided to stay nearby to wait for her follow-up appointment three months later instead of returning home, opting instead to stay with Christian friends nearby whom she met during her surgery.
She is looking forward to starting a new life. She said that if she finds other people suffering from fistula she will tell them to go to a SALFA hospital because treatment is free.
- 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)