ACTION ON FISTULA™ was conceived, built and is run by the Fistula Foundation. The six-year programme started in 2014 by a grant given to the Fistula Foundation from an affiliate of Astellas, Astellas Pharma Europe Ltd. By 2020, the programme aimed to help 4,500 patients to access fistula treatment. In total, since 2014, 6,223*1 surgeries have been carried out at 7 hospitals, transforming the lives of women in Kenya who are suffering with obstetric fistula*2.
Through continued efforts contributing towards ending obstetric fistula, Fistula Foundation’s ACTION ON FISTULA carried out interventions in Kenya via the organisation’s outreach and treatment partners. From inception to at the end of the programme, 11 surgeons have been trained at Gynocare Women’s and Fistula Hospital, expanding to include surgeons beyond Kenya to build capacity across sub-Saharan Africa and Southeast Asia. A total of 19 nurses have also been trained at this facility.
In April 2019, the number of programme outreach partners increased to five. These community outreach teams are critical to the success of the programme and, to date, almost 2 million community members were reached with fistula messages through outreach activities. This Community Mobilisation Programme trains Community Health Volunteers, sensitises local and traditional leaders, and utilises radio and media programmes to raise awareness of fistula and help identify and refer women with fistula for treatment.
In addition, ACTION ON FISTULA helped fistula patients who have undergone treatment with psychological support, and economic empowerment opportunities so that they can return to their communities. To this end, the programme established 22 support groups to reach and assist survivors.
A fistula survivor participating in Beyond Fistula, a skills-building and empowerment programme offered to patients waiting for or recovering from surgery at the Gynocare Women’s & Fistula Hospital in Eldoret, Kenya.
A patient listening to an advocate who is addressing patients at the Gynocare Women’s and Fistula Hospital in Kenya.
Progress in ACTION ON FISTULA™（May 2014 – at the end of the programme）
|Patients successfully treated with reconstructive surgery||6,223 surgeries|
|Surgeons trained at Gynocare Women’s and Fistula Hospital (expanding to include surgeons beyond Kenya to build capacity across sub-Saharan Africa and Southeast Asia)||11 surgeons|
|Hospitals in the Fistula Treatment Network (new)||7 hospitals|
|FIGO*1-accredited fistula training center||Established Gynocare Women’s and Fistula Hospital in Eldoret, Kenya|
|Kenyan counties*2 reached||47 counties|
|Trained community outreach workers||424 outreach workers|
|Conducted outreach activities||20,050 activities|
|Community members reached with fistula messages||1,964,452 community members|