The Hamlin Model of Care

Patient Identification

Many women living with fistula in Ethiopia don’t know help is available. Hamlin’s ambitious Patient Identification Outreach Program is focused on finding these women through media campaigns and going door-to-door, educating the community and linking them to life-changing treatment at one of six Hamlin hospitals. 

Surgical Repair

A single, two-hour operation can often repair an obstetric fistula injury and change a woman’s life. But many women who have suffered for years require more complex surgery and rehabilitation due to complications like scar tissue, long-term infection and renal damage. The Hamlin surgical technique and the Clinical Team’s approach is considered best-practice fistula treatment globally.

Clothing and a Hamlin blanket

A woman’s healing starts as soon as she arrives at a Hamlin hospital. She receives a colourful hand- knitted blanket, symbolising her life being woven back together. She is also given a nightgown and slippers to wear during her stay. On the day she leaves, she is presented with a new dress to celebrate her return home.

Nutrition

Good nutrition is an essential part of healing. Many women with fistula are malnourished as they spend their lives hidden and in isolation. Patients at Hamlin hospitals receive healthy, nutritious meals during their stay to build up their strength and encourage faster recovery. 

Physiotherapy

An arduous labour can cause nerve damage, while long periods of immobility can result in muscle contractures – conditions most women with fistula injuries experience. All Hamlin patients receive a tailored physiotherapy program before and after fistula repair surgery to make sure they regain full function in their muscles. 

Women’s empowerment program

Hamlin’s Women’s Empowerment Program gives fistula patients in need of income support vital vocational skills at Desta Mender. This groundbreaking initiative trains 245 women every year, offering a range of opportunities, including leadership and communications training, as well as small-business guidance. These life-changing skills give women choices and independence – empowering their communities and those around them.

Reintegration support

Many women lose everything due to the devastating impact of their fistula injuries. They’re also often ostracised from their communities. Hamlin supports women with reintegration into their communities and independent living by helping them find sustainable employment or start their own businesses. This support is critical to equipping women to live with dignity.

Vocational training

The Hamlin Model of Care places great emphasis on empowering women to take control of their lives. During their stay at a Hamlin hospital, women can develop their numeracy and literacy skills and receive vocational and life skills training, empowering them to return to their community with confidence and the ability to earn an income.

Counselling

The emotional trauma of fistula can often be more scarring than the physical injury. Healing the psychological scars and building confidence is a key part of rehabilitation. Women receive compassionate support to help them regain their sense of self, often after living in shame and isolation for years.