Sudan: Campaign to end obsteric fistula
United Nations initiative to curb injuries in childbirth
The United Nations Population Fund [UNFPA] works globally to end obstetric fistula – an abnormal hole in the birth canal caused by prolonged labour without speedy medical attention – in Sudan, where 5,000 new cases occur every year. The UN campaign in Sudan started in 2003 and currently operates in over 40 countries and aims to end fistula by 2015.
Reproductive health problems, such as fistula are the leading cause of death and illness for women of childbearing age. Obstetric fistula leaves women with chronic incontinence and in most cases a stillborn baby, but it is almost entirely preventable. However, there are only three health centres for fistula across the Sudan and most women live far from medical services.
The problem often develops when emergency obstetric [maternity] care is not available to women who have complications during childbirth. In Southern Sudan there are fewer than 30 general practitioners, only eight qualified midwives and seven of the country’s 10 states have none.
A simple surgical procedure, which costs an average of $300, will repair the injury in most cases, with a 90 per cent success rate in the hands of skilled surgeons. The UNFPA initiative trains doctors, nurses and other health workers in life–saving obstetric care. The scheme channels funds for free surgery to those who need it and focuses on the three crucial areas of prevention, treatment and support for patients after surgery.
The campaign works in tandem with partners on the ground in the country and provides a boost for Sudan’s health system as a whole.
For further information visit the UN website at: www.un.org.
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