OBSTETRIC FISTULA – tears of the neglected women Musa Isah Fistula Foundation Nigeria

T REATMENT P REVENTION Outcome 2: Increasing Access to and utilisation of quality Maternal and new born health services Output 2: Enhanced National Capacity THROUGH S OCIAL R EINTEGRATION. F OLLOW U P.

Assisting women through: → referrals for ANC → birth preparedness → delivery in hospitals House to House COMMUNITY EDUCATION STRATEGY →Educating men to support their wives during pregnancy & childbirth PREVENTION OF OBSTETRIC FISTULA Thanks to UNFPA

ADCVOCACY VISIT TO COMMUNITY GATEKEEPERS INFLUENCING KEY STAKEHOLDERS AT GRASS ROOT LEVEL: → for increased utilization of the health system i.e. maternal health care MOBILIZE FOR: → increased community commitment towards women living with fistula PREVENTION OF OBSTETRIC FISTULA Thanks to UNFPA

PREVENTION OF OBSTETRIC FISTULA No. of fistula patients identified and referred to HFs Laure/BBRG ACHIEVEMENTS No. of grassroots communities reached with Information on fistula - 56 No. of women assisted with Birth Preparedness No. of males educated in communities – 1,405 No. of fistula patients Identified /referred Thanks to UNFPA

ADVOCACY TO COMMISSIONER MWASD KANO ACHIEVEMENTS KSG through MWASD released N5m for the Renovation of Kwalli Rehabilitation Centre – ongoing Thanks to UNFPA

TREATMENT OF OBSTETRIC FISTULA Supporting routine fistula repairs in Laure and Babbar Ruga 250 sets of consumables were each supplied to Laure and Babbar Ruga Fistula Centers Thanks to UNFPA

Babbar Ruga NFC 168 ACHIEVEMENTS ON CONSUMMABLES SUPPLIED Laure FC Kano 114 July 63 Aug. 23 Sept. 48 Oct.34 July 9 Aug. 14 Sept. 34 Oct.44 Nov. 61 Nov.14 Thanks to UNFPA Total – 414 Dec.30 Dec.41

SURGICAL POOLED EFFORTS CAMPAIGN TREATMENT OF OBSTETRIC FISTULA To reduce backlog of fistula patients awaiting long queue in the States Kano, Sokoto & Kebbi VVF Centres Thanks to UNFPA

TREATMENT OF OBSTETRIC FISTULA ACHIEVEMENT pooled efforts Kano - 96 Sokoto – 62 Kebbi – 69 Zaria - 32 Total Thanks to UNFPA

SOCIAL REINTEGRATION OF OBSTETRIC FISTULA Social reintegration integrate repaired & incurable women back into their communities Thanks to UNFPA ensure none of them suffer repeat fistula

We follow up all OUR Patients On the need to abstain from sexual intercourse for at least three months following fistula surgery The importance of family planning services to delay pregnancy until fully healed The importance of having adequate antenatal care from a trained health-care professional in subsequent pregnancies Delivering in a hospital equipped to undertake caesarean sections, as this may be necessary FOLLOW UPS Thanks to UNFPA

CHALLENGES Lack of Transportation for Community intervention CONTINUED neglect of Obstetric Fistula by STATES Fistula Foundation Thanks to UNFPA Weakness of Prevetive Program

We are Smiling Again – thank You