Meet Zatindravelo

When it came time to deliver her baby, Zatindravelo dutifully made her way to a medical facility to deliver, but her labor took a turn for the worse when there were no doctors or nurses present to assist her when she needed them most. She labored for 17 hours with her first child. The child did not survive. As a result of her prolonged, unrelieved labor, she had developed obstetric fistula.

Zatindravelo's Story

Zatindravelo developed obstetric fistula on July 10, 2016. She had dutifully made her way to a medical facility to deliver, but her labor took a turn for the worse when there were no doctors or nurses present to assist her when she needed them most. She labored for 17 hours with her first child. The child did not survive. As a result of her prolonged, unrelieved labor, she had developed obstetric fistula.

She began to leak urine uncontrollably. Embarrassed by her condition, she told her friends that she was sick. She stayed inside for the entire three months she suffered with fistula. Only her husband and her mother knew of her injury. Her mother, especially, was a great source of comfort during this difficult time.

One day, her mother’s cousin learned of fistula repair services being offered at a hospital in Morondava by SALFA, a Fistula Foundation partner. She made her way to the hospital and was screened and admitted for treatment.

She cannot wait to return home, to travel wherever and whenever she wants, and to be able to resume spending time with her friends. She also plans to come out of hiding and tell her friends the truth about her fistula. “I have no reason to be shy any more,” she said. And, she plans to keep an eye out: if she notices any women suffering from the same symptoms she had, she plans to tell them about SALFA and to let them know that help is available.

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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Read Another Woman’s Story

  • Mary A.

    Kenya

    Mary waited her whole life to have a child. At the age of 47 she finally became pregnant. But her labor was difficult, and her child did not survive. She developed fistula as a result. She was ostracized by her family and shunned by the entire community, until finally, at the age of 73, she finally accessed a free surgery that would change the rest of her life, and remind her what it felt like to feel "human" again.

  • Aidah

    Nigeria

    72 year old Aidah lived with obstetric fistula for an astounding 41 years before accessing treatment at Evangel Vesico-Vaginal Fistula Center in Jos. Her family stuck by her side the entire time, and recounted to hospital staff how fistula severely limited her (and their) opportunities and success in life.

  • Annonciata

    Uganda

    Annonciata is a 56-year old mother and farmer from a small village in Budaka District in Uganda. She had previously given birth to six children without significant complications, but her seventh delivery did not go as planned.

  • Tovisoa

    Madagascar

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

  • Cellina

    Kenya

    Cellina Nyasugutha is a community health volunteer with Daraja Mbili, an outreach program based in Kisii.

  • 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.

  • Beatrice-Kenya

    Beatrice

    Kenya

    Beatrice is 17 she lives in Western Kenya. Many women with fistula suffer for years or decades before they are able to access surgical treatment. Fortunately for Beatrice, who was 16 when she developed fistula, it was less than a month before she received treatment at the Nyanza Provincial General Hospital in Kisumu, Kenya. Beatrice developed fistula after laboring at home for two days in the presence of a traditional birth attendant.

  • Dembe

    Uganda

    Dembe did everything right during her pregnancy—she kept up all of her prenatal doctor’s appointments, and made sure that both she and her baby stayed healthy. When her labor began, Dembe walked the 10 kilometers from her home to the nearest heath center. She expected a normal delivery, but tragically, this would not come to pass—Dembe experienced a wrenching, prolonged labor, and her child did not survive.

  • 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.

  • 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.

  • Fistula Foundation - Nazneen

    Nazneen

    Pakistan

    Nazneen is a 47 year old mother of six who resides in the Balochistan region of Pakistan. She had been living with fistula for 14 years after experiencing a prolonged labor while giving birth to her sixth child.

  • Pastor Raphael

    Kenya

    The fact that he is blind has never slowed him down, and at 45 years, Pastor Raphael is feeling young and energetic. As a child, Pastor Raphael was unable to finish school as he had tend to the family’s cattle, but he always felt a calling to become a pastor and to serve his community.

  • Bernard

    Kenya

    Bernard Owino is one of six county mobilizers with Disciples of Mercy (DOM), an organization that runs a fistula outreach program in Kisumu. Before joining DOM, he worked with orphans and other vulnerable populations in the region for four years as a social worker.

  • 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.

  • Beauty

    Zambia

    Beauty developed a fistula five years ago after a very complicated delivery. She told doctors at St. Francis Mission Hospital that she prayed every day for a miracle, never knowing that her leaking was actually caused by a medical condition for which free treatment was available.

  • Lucie

    Madagascar

    With a tube down her nose to her stomach, Lucie was unable to talk. Her sister, Elysa, relayed this story on her behalf.

  • Soazara

    Madagascar

    Soazara's husband abandoned her, because he could not stand her smell. Life became almost unbearable for her.

  • Ana-Angola

    Ana

    Angola

    Today, Ana is 18 years old, with an enthusiastic outlook and bubbly smile. That wasn’t always the case. Ana was just shy of 16 years old when she became pregnant. Everything went well, until it was time to deliver. Her labor was excruciating, and lasted for days.