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OBJECTIVES

Obstetric fistula (OF) has remained as one of the most devastating complications for one to
experience in the course of delivery. Many of these women suffer long-term morbidity and often
become social outcast in the society they live in. It is a mirror of the level of access to skilled
obstetric care in the community. As many mothers succumb to obstetric complications, many are
left with chronic morbid conditions, MINISTRY OF HEALTH DIVISION OF REPRODUCTIVE
HEALTH AND UNFP KENYA NEEDS ASSESSMENT OF OBSTETRIC FISTULA IN KENYA.
FINAL REPORT, February 2004 retrieved from
http://countryoffice.unfpa.org/kenya/drive/Fistula_Assessment_docs.pdf
Therefore, we focus our campaign activities to cover the following objectives:
I.

Educate the public who are affected directly or indirectly, on prevention and management

II.
III.

of fistula
Create awareness of the health facilities currently offering fistula repair surgery
To encourage positive attitudes thereby reduce stigma associated with women who suffer
long-term morbidity.

TARGET PUBLICS
Our strategy targets the following primary and secondary audiences:
Primary Audience
1. Patients who often suffer stigma associated with the disease and who cannot access health
facilities that offer this treatment.
2. Health providers with the facilities to offer fistula repair surgery.
Secondary Audience

3. Fistula survivors
4. Ministry of health
5. Relevant Non Governmental Organizations (NGOs) and Community Based
Organizations( CBOs)

STRATEGY EXECUTION
Key Message
1. Patients
The campaign strategy seeks to address the stigma often associated with fistula patients and to
preach hope for the women affected. This involves television and radio advertisements to map
out fistula treatment centers and programmes targeting the affected women, television interviews
with obstetricians and fistula survivors explaining management of fistula and public service
announcements to educate the public on maternal health and encourage the public to show
compassion and care for the affected.
2. Health service providers
The campaign targets health service providers with facilities for treatment of fistula. The health
practitioners need to educate the patients on management, rehabilitation, and treatment of fistula
and come up with activities on availability and utilization of essential obstetric services. Safe
motherhood life saving skills among midwifes is essential, therefore they should be encouraged
to be part of capacity building through training which should be distributed across counties to
improve access for socially and economically marginalized victims. This can be achieved
through television interviews with fistula surgeons from different health institutions.

3. Fistula survivors
The campaign aims to speak of hope of treatment, rehabilitation, and therapy for the women
suffering from fistula. Television and radio interviews as well as public service announcements
featuring fistula survivors will help spread hope of treatment for the affected. Through the
experiences of the fistula survivors, the victims of fistula are able to learn how to cope with the
ailment as well as educate the public on maternal health and prevention of fistula.
4. Ministry of Health
The campaign seeks to prompt the Ministry of Health (MOH) into action through offering
information on fistula to the public and advocacy in the community that obstetric fistula is not
only a medical problem but one associated with cultural practices such as early marriage and
teen pregnancy.
5. Non Government Organizations and Community based Organizations
The campaign seeks to get the attention of NGOs and CBOs that are working against traditional
practices that contribute highly to spread of obstetric fistula to collaborate with MOH in
preventing fistula. This is to facilitate efficiency and effectiveness in coordinating safe
motherhood activities in affected regions.
SLOGAN: Safe motherhood
The slogan translates to the importance of maternal health therefore encourage people to sideline
cultural and traditional practices that put them in jeopardy. In addition, it communicates that with
improved obstetric care; obstetric fistula is preventable and treatable thereby bridging the gap
between predisposing factors that limit access to preventive information and services.

CAMPAIGN TACTICS
Create Awareness
Involving CBOs and NGOs through partnership with Ministry of Health and health institutions
to help mobilize women affected though their programmes targeting women in the society. PSAs
translated into local languages will also help to get the message across to the intended public.
Our focus will be on Citizen Television because of its viewership and focus on local
programming as well as use its vast local radio stations that will help spread the message to rural
area targeted. From the Ministry of Health, information will be disseminated to doctors,
midwifes and other health sector staff though their briefings, memos and websites
Media Relations
Through articles and features, press conferences, press releases, interviews, photography,
website, and e-mail, important media contact will get updates of FDSA events.
http://countryoffice.unfpa.org/kenya/drive/Fistula_Assessment_docs.pdf