Madagascar Launches Campaign Against Obstetric Fistula Affecting Women After Childbirth
Madagascar is intensifying its efforts to combat obstetric fistula, a serious condition affecting women’s health after childbirth. Each year, more than 5,000 women in Madagascar develop this debilitating condition, often referred to as a “disease of shame” due to the stigma and isolation associated with it.
Understanding Obstetric Fistula
Obstetric fistula is primarily caused by prolonged, untreated labor, leading to severe tissue damage. Women suffering from this condition often face total incontinence, leading to marginalization in their communities.
The Fistula Initiative
To address this health crisis, the “Fistula Operation” has launched its 14th surgical campaign at the Sainte-Fleur Pavilion in Antananarivo. The initiative aims to:
- Perform surgeries on 25 women with obstetric fistula.
- Train local medical specialists in the treatment of this condition.
Challenges in Healthcare Access
Dr. Herilala, a local surgeon involved in the campaign, emphasizes the fragile state of Madagascar’s rural healthcare system. Many women are forced to travel long distances—sometimes up to four days on foot or crossing rivers—to reach healthcare facilities. This lack of access exacerbates the issue of obstetric fistula.
Societal Impact
The stigma surrounding obstetric fistula often leads to social exclusion for the affected women. One patient shared her experience of feeling dirty and being unable to integrate with others due to her condition. Professor Yoel Rantomalala noted that these women must not only undergo medical treatment but also find ways to reintegrate into their communities after recovering.
Statistics on Fistula Cases in Madagascar
Every year, Madagascar records approximately 4,000 new cases of obstetric fistula. Alarmingly, the United Nations Population Fund (UNFPA) reports that only one out of ten women receives adequate treatment for this condition.
The campaign in Antananarivo represents a crucial step in improving both the physical health and social acceptance of women suffering from obstetric fistula in Madagascar. The collaboration between local healthcare providers and international initiatives is vital for creating lasting change in women’s health care in the region.
