• End gender discrimination
  • Remove economic inequities
  • Empower girls and women
  • Equal opportunities for education, development & nutrition
  • End child marriages
  • Post pone pregnancy to maturity
  • Provide high quality, affordable and accessible treatment for all fistula patients
  • Emotional and financial rehabilitation of the affected women
  • Generate political will to help make childbirth safe for all women
  • National capacity building strategies to ensure skilled birth attendance for all deliveries
  • Target – all pregnancies to be planned and wanted
  • Advocate Healthy Spacing & Timing of pregnancy (HSTP)
  • Quality care for all pregnant women
  • Ensure skilled birth attendance for all deliveries
  • Ensure universal access to EmONC services
  • Awareness campaigns for fistula prevention
  • Lobby to ‘End Obstetric Fistula’as a national agenda
  • On going in service training refresher courses and drills for ALL staff caring for pregnant women Ensure mid level providers have the needed skills and backup available
  • Sensitize health workers to the importance of partogram
  • Monitor labour and recognize danger signs early
  • Proper catheterization
  • Good quality post natal care
  • Early referral
  • High quality universal Family Planning Service
  • Mapping of EmONC facilities
  • All referral cascades to be in place and in working order 24/7


Obstetric fistula is a hole in the birth canal caused by prolonged or obstructed labour without timely medical intervention, usually a caesarean section.


Motherhood is the most beautiful experience in the world but many mothers lose their lives or suffer endlessly as a result of complications in labour and delivery. The most common cause being lack of skilled birth attendant and delivering outside a health facility. This results in prolonged labour and further delays occur due to late referral and obstacles in getting to a properly equipped and staffed health facility.



As a result of obstructed labour, the sustained pressure of baby’s head on the mother’s pelvic bones damages the soft tissues in between i.e. bladder at the front or rectum behind. The constant pressure results in obstructing blood supply to these areas. The tissues undergo necrosis and as the dead tissues slough off, a hole develops.


Team members ususally have meetings and brief ups before their camps and lectures. The volunteers are instructed by those specialised staff members on how to go about their work on the camps. The GWHI staff comprises of a team of friendly,diligent workers, dedicated to their work, their country and the poor. The camps sites they visit is like a third world because of lack of facilities, no health care and complete ignorance.


2 million women are living with a fistula in the developing world and 50,000 – 100,000 new cases are reported each year. Even these great numbers are an under estimation as obstetric fistula is the disease of severely marginalized and socially deprived women. Many of them are never able to get help and are thus never counted.



If not diagnosed in time or left untreated, it leads to ulceration, infection and kidney disease. Nerve damage can result in foot drop and inability to walk. To avoid the continuous urinary leaking and smell these women drink less water, become dehydrated. This leads to further urinary and kidney complications.


Due to the smell and socio-cultural stigma many women are left by their husbands, deserted by in laws and sent back to their parents’ homes. Cultural norms even prevent these women from using the kitchen areas of their homes. Many women are shunned even by their own families and live like Lepers in isolation. Obstetric Fistula is known to be associated with severe emotional trauma even leading to suicide.



Poverty is the main risk factor as it aggravates gender discrimination, malnutrition, early marriages; lack of choice for pregnancy timing and poor obstetric care results in delivery complications. The other significant factor is lack of access to a skilled birth attendant.



Together we can prevent new cases from occurring and treat the existing cases as well. Fistula can be completely eliminated by proper care in labour, early diagnosis of obstructed labour and proper bladder care during labour and after delivery.


Join hands with us to end fistula. Please spread the word.
Obstetric Fistula should be no more.


+ Activity Log


We Specialize In

Wellness with Dignity!

01. Cervical Cancer

Accredited Colposcopist by British Society for Colposcopy and Cervical Pathology.

+ Details

02. Obstetric Fistula

Invites you to become a part of change, become a member, patronize a project, donate or just gift your ideas and thoughts about well-being of Girls & Women.

+ Details

03. Teen Health

Teenage is a beautiful time of life. We at GWHI, want you all to realize that it also a very important time of your life too.

+ Details

04. Breast Cancer

GWHI spreads the word against breast cancer and empowers you with the knowledge about risk factors and how you can reduce your risk.

+ Details

© 2019 Girls and Women Health Initiative . All rights reserved | Design by Ali