Creating a new future after obstetric fistula

Without an understanding of obstetric fistula and its causes, survivors are often subject to severe social stigma due to their smell, perceptions of uncleanliness, a mistaken assumption of venereal disease and sometimes infertility.

Women are trapped in a life of pain, shame and isolation. Nearly all patients at Hamlin’s fistula hospitals report psychological issues associated with their condition.

Holistic care for women

The Hamlin Model of Care is the world’s leading approach to treating women with obstetric fistula. This holistic approach considers the whole person with respect and compassion by treating the physical, psychological and emotional effects of obstetric fistula.

“Because of this injury, they’re ashamed and they won’t come out and talk about it because it’s to do with being incontinent…and they feel ashamed. They feel they’re unworthy to be women.” – Dr Catherine Hamlin

Ready to return home

At Desta Mender, Hamlin’s Rehabilitation & Reintegration centre, patients receive customised counselling programs, physiotherapy, literacy and numeracy classes and vocational training.

In FY24, 2,237 patients completed numeracy and literacy education (a 35% increase from FY23) and 1,164 women completed counselling courses (a 48% increase from FY23). 96% of women attending Desta Mender were reintegrated back to their communities.

The Women’s Empowerment program, a two-month residential vocational training program for former fistula patients is thriving, with plans to increase participant numbers in 2025. In FY24, 265 women graduated, with over 60% choosing to learn poultry farming skills.

“Throughout the training, I absorbed valuable knowledge. With my newfound confidence and skills, my intention is to raise poultry, establish an apiary and use my pottery skills to supplement my income.” – Kalkidan, Women’s Empowerment program graduate