childbirth complications


"Obstetric Fistula is the single most dramatic aftermath of neglected childbirth."

Try and imagine what it would be like to be continuously incontinent of urine or stool. Imagine how uncomfortable and embarrassing it would be, how it would affect your social relations, your livelihood, your self-esteem.

This is the reality for approximately 2 million women in the world who suffer from obstetric fistula; it is most prevalent in Sub-Saharan Africa and Asia.

Dusty and hot

Galcayo is dusty and hot, when you look around this is the type of picture that someone who has never been here probably has of Somalia. But amongst this harsh backdrop today is a great day at the hospital, they are doing measles vaccinations and ambulatory therapeutic feeding, it is crowded with mothers and children, more than 150 children, the place is a buzz.

Fistulas and Fighting

Today I am en route to Galcayo, that is a town on the cusp of a region of Somalia they call Puntland. MSF runs quite a big hospital here. It does surgery, in patient and out patient care, an emergency ward, a TB programme as well as paediatrics and therapeutic feeding. It is busy and the team is energetic and fun to work with. They are all very switched on to MSF's witnessing and advocacy work so it is bound to be a busy time.