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Photo credit: Dima Gavrysh/On behalf of UNFPA

Photo credit: Dima Gavrysh/On behalf of UNFPA. The existence of fistula is the barometer of maternal health in the country. If year by year fistula decreases, we know that maternal health is improving. Dr. Kalilou Ouattara fistula surgeon, Mali. Photo credit: GMB Akash/Panos Pictures.

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Photo credit: Dima Gavrysh/On behalf of UNFPA

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  1. Photo credit: Dima Gavrysh/On behalf of UNFPA

  2. The existence of fistula is the barometer of maternal health in the country. If year by year fistula decreases, we know that maternal health is improving. Dr. Kalilou Ouattarafistula surgeon, Mali Photo credit: GMB Akash/Panos Pictures

  3. I endured 5 days with delivery pains. I was finally transferred to the hospital and the foetus was dead. After 3 weeks, I started to feel constant flows in my vagina, and the odour was very bad. The situation has persisted for 10 years. 26-year-old woman, Equatorial Guinea

  4. Photo credit: Richard Stanley Photo credit: Sven Torfinn/Panos Pictures

  5. Photo credit: GMB Akash/Panos Pictures Photo credit: Sven Torfinn/Panos Pictures

  6. Insert quote from woman in your country here. Woman, Your country Nobody wants to stay with me due to the smell of urine. Even my husband sometimes blames me for my condition. 22-year-old woman, Bangladesh

  7. Photo credit: Lucian Read/WpN/On behalf of UNFPA A woman’s primary doctor is first and foremost her husband. It is necessary that the husband support his wife before or after awareness of the condition. Man, Cote d’Ivoire

  8. Photo credit: Richard Stanley Usually the woman provokes this. When she leaves her husband and has sexual relations with another man, it happens that her husband will cast a spell on her and she will have a fistula. Elderly woman, Burkina Faso

  9. The results of [pregnancy] management by TBAs are disastrous due to the delays. They [wait] too long, do not know where to start, and do not even know where to stop. Health care provider, Kenya Photo credit: Dima Gavrysh/On behalf of UNFPA

  10. Photo credit: Richard Stanley OB/GYNs have shown little interest in learning how to perform fistula repairs. Even providers who have the skills to do simple repairs refuse. One probable reason is stigma. Health care provider, Mozambique

  11. Eritrea: Reintegration and counselling Ethiopia: Comprehensive fistula treatment Malawi: Community empowerment to strengthen health care provision Niger: Social rehabilitation and reintegration Sudan: Midwifery school system

  12. 1. Promote legislation and policies to reduce maternal mortality and morbidity, and address underlying socio-cultural factors. Photo credit: GMB Akash/Panos Pictures

  13. Strengthen health care system capacity to: 2. Provide skilled maternity care that is accessible, affordable and culturally acceptable. 3. Manage obstetric fistula sensitively, ensuring that care and treatment are subsidised and accessible.

  14. 4. Raise awareness of reproductive rights to address obstetric fistula. Photo credit: Richard Stanley

  15. 5. Promote and empower the reintegration of women into communities post-surgery. 6. Involve women who have lived with fistula as equal participants in maternal health programme planning, implementation, and evaluation.

  16. 7. Promote partnerships to share key lessons and to catalyse collective action. Photo credit: GMB Akash/Panos Pictures

  17. 8. Support research on the social, cultural, economic and political factors related to obstetric fistula. Photo credit: GMB Akash/Panos Pictures Photo credit: Lucian Read/WpN/On behalf of UNFPA

  18. Insert presenter’s contact information Photo credit: Lucian Read/WpN/On behalf of UNFPA

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