Meet Yvonne

After suffering from obstetric fistula for 17 years, Yvonne boarded a bus that would take her to treatment. She was hopeful that on her return ride, she would be traveling in a dry dress for the first time in nearly two decades.

Yvonne's Story

Yvonne, 36, is a mother of four from a village in Zambia’s northern Luapula Province. She developed a fistula during her first pregnancy in the year 2000, after a prolonged labor that lasted for several days.

Yvonne’s labor began around midnight, and she was first taken to a clinic where she stayed for more than 24 hours without delivering. She then was taken to several other health centers and hospitals before finally arriving at a facility that had a doctor on duty.

After receiving an episiotomy procedure and being discharged from the hospital, Yvonne noticed that she was leaking urine. She returned to the hospital and was given medication. Yet, the medication did nothing to address her condition.

Living with fistula, Yvonne was ashamed of her smell and leakage. She stopped attending social gatherings and church rallies. Her first husband abandoned her. In 2006, she remarried a man who accepted her condition.

Yvonne continued to seek medical care, and a year later, she was advised to travel to the capital city of Lusaka for treatment—over 700 miles away from her home. Bus fare was far too expensive for her to afford the trip.

In March 2017, her father heard information about fistula repair surgeries on the local community radio station. Yvonne followed up immediately and was screened over the phone. Just a few weeks later, she was given an appointment for surgery at one of Fistula Foundation’s partner hospitals, Mansa General Hospital.

Yvonne traveled with twenty other women on a 10-hour bus ride to Mansa, where she finally received treatment in May 2017. Now that she has found relief, she is feeling happy and grateful.

Yvonne’s strong desire is for Fistula Foundation to continue helping women affected by obstetric fistula and needing treatment. She knows there are still more women suffering the way she did for nearly two decades.

About Zambia

  • Population: 15,510,711
  • Average Births per Woman: 5.67
  • Female Literacy: 56%
  • Population Living in Poverty: 60.5% (less than $1.25/day)
Read More

We’re Making a Difference in Zambia

News
Field Notes: A 10-Hour Bus Ride and a Long Journey to Healing

By Lindsey Pollaczek, Senior Program Director Lupaula Province, Zambia — Amidst the throngs of women and children at Kabole Health Center in northern Zambia, twenty women slowly boarded a dusty green bus with Mansa General Hospital emblazoned in white lettering on the side. As the women took their seats and waited for the bus to…

Group CHV Training Mpika, Zambia

News
Field Notes: Getting the word out in Zambia

By Lindsey Pollaczek, Senior Program Director MPIKA, Zambia — Last week we completed the first training for community health volunteers here in Mpika, northern Zambia, our first step toward establishing a nationwide fistula treatment network in the country. Applying lessons learned in running our Action on Fistula program in Kenya for the past three years,…

Read Another Woman’s Story

  • 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.

  • Halima

    Halima

    Kenya

    Originally from Somalia and now living in Kenya, in the world’s largest refugee camp, Halima has been through a hell few can imagine. But after traveling over 1,000 miles seeking fistula treatment, she is finally healed.

  • 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.

  • 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.

  • 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.

  • Fina

    Tanzania

    Sixteen years ago, a childbirth injury turned Fina’s life upside down. But after losing everything—her health, her husband, even her own family—she was determined to take her future into her own hands.

  • 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.

  • Saran

    Guinea

    After developing a fistula with the birth of her fourth child, Saran received free fistula surgery at our partner site Jean Paul II Hospital in Conakry, Guinea.

  • Hadija

    Guinea

    By age 27, Hadija had already given birth to four children. Sadly, only two of her children survived. Making things worse, her last pregnancy left Hadija with an obstetric fistula.

  • Christiana

    Liberia

    Pregnant at 16, Christiana suffered with fistula for several years before her successful treatment at our partner hospital in Monrovia, Liberia. Now, with the new skills she is learning through a patient rehabilitation program, she hopes to help support her family.

  • 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.

  • Jane

    Kenya

    Conducting patient outreach in rural western Kenya, Jane faces a number of challenges—including threats to her life—as she travels in search of women suffering with fistula. But knowing there are many women who are enjoying life once again thanks to her efforts gives great meaning to her work.

  • Towanda

    Zimbabwe

    Towanda is 20 years old and from a rural area just outside of Harare, Zimbabwe’s capital city. Four years ago at the age of 16, she became pregnant. When the time came to deliver, there were a lot of complications.

  • 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.

  • Kabuli, from Afghanistan (photo credit: CURE International)

    Kabuli

    Afghanistan

    Kabuli, from Afghanistan, is the third of four wives. When she developed a fistula after enduring obstructed labor without any emergency medical care, her husband forced her into isolation within his home. Living in shame, Kabuli thought she would be miserable for the rest of her life.

  • Fistula Foundation - Khadija

    Khadijah

    Chad

    Khadijah lived with fistula for 18 years, and it isolated her from everything and everyone around her. Originally from Chad's northern region of Bar Elgazel, she was married when she was only 14 years old. Her first pregnancy came three years afterwards and, not knowing the importance of seeking health care or treatment, she never received any prenatal care.

  • 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.

  • 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.