MDG 5: I MPROVE MATERNAL HEALTH

TARGET 5. A. REDUCE BY THREE QUARTERS,

BETWEEN 1990 AND 2015, THE MATERNAL
MORTALI TY RATI O

TARGET 5. B. ACHI EVE, BY 2015, UNI VERSAL
ACCESS TO REPRODUCTI VE HEALTH UNI TED
NATI ONS MI LLENNI UM DEVELOPMENT GOALS, UN
HEADQUARTERS, NEW YORK, 2000

Supporting Efforts to End
Obstetric Fistula

Janet Karim
MGD120
Prof. Rioux
June 17, 2013
Introduction
1,000 Day Countdown
MDG 5 Unlikely to be met
Every 2 minutes around the world a woman
dies during pregnancy or child birth.
Maternal Mortality
Impact of Fistula
International Day to End Fistula
Source: (UNFPA)
Obstetric fistula is a childbirth injury
Caused by, obstructed labour,
without timely medical intervention
typically an emergency Caesarean section.
unassisted, prolonged, obstructed labour,
sustained pressure of the babys head on the
mothers pelvic bone
causes damage to the soft tissues and creates
a holeor fistulabetween the vagina and the
bladder and/or rectum.
necrosis
dead tissue leaves a fistula,
causes a constant leaking of urine and or
feces through the vagina.
Obstetric Fistula Map
Obstetric Fistula Facts
Inequity in access to health-care
marginalized, young, poor,
illiterate women Contributing
factors include poverty,
malnutrition, inadequate
health systems, detrimental
traditional practices,
and lack of skilled
attendants, limited access to
emergency Caesareans,
Unequal gender relations, poor
economic situation.
Pregnant adolescents that are
not physically mature.
Obstetric Fistula Facts

UNFPA advocates:
key to ending obstetric
fistula is PREVENTION
every woman access to
high-quality sexual and
reproductive health care
services,
antenatal care,
skilled attendance at
birth, trained midwives,
high-quality surgical
emergency obstetric
interventions,
and newborn care.







Fistula hospitals in Africa
Malawi, Kenya and Senegal, et als.
First hospital in Africa -- Hamlin Fistula Hospital,
Addis Ababa, Ethiopia.


During the International Day to End Fistula,
participants at the high level reception at UN Hdqs,
guests watched Australian singer Natalie Imbruglias
innovative Jing on obstetric fistula. Natalie is a
spokesperson for the UNFPA-led global Campaign to
End Fistula.
You may find it on the following link:
http://www.youtube.com/watch?v=OYdUyJGuSWg
References
Fistula map http://www.globalfistulamap.org/

http://www.endfistula.org/public/pid/7441?feedEntryId=26486

http://www.endfistula.org/public/pid/7435

www.unfpa.org/webdav/site/global/shared/factsheets/srh/EN-SRH fact sheet-Fistula.pdf

http://girlsglobe.org/2013/05/23/first-international-day-to-end-fistula-

launch-of-new-girls-globe-channel/

http://www.endfistula.org/public/pid/7441?feedEntryId=26486#sthash.C48UKP99.dpuf

http://www.endfistula.org/public/pid/7441?feedEntryId=26486