John Snow, Inc. (JSI)

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CARE

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Marie Stopes International (MSI)

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A Call to Action to Address Iatrogenic Fistula

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By: Kayla McGowan, Project Coordinator, Women and Health Initiative, Harvard T.H. Chan School of Public Health

The majority of discussion, research and interventions related to genital fistula have focused on obstetric fistula, an abnormal opening in the upper or lower female genital tract which leads to uncontrollable, constant leakage of urine and/or feces caused by inadequate medical intervention during prolonged or obstructed labor. Significantly less attention, however, has been paid to iatrogenic fistula, a similar condition that results from surgical error, often during cesarean section. Given that a growing number of genital fistula cases in low-income countries derive from iatrogenic causes, the fistula dialogue must expand to incorporate its many root causes. To this end, the Fistula Care Plus project at EngenderHealth recently hosted a webinar to review available data, recognize data gaps, identify definition challenges, share successes and discuss next steps in addressing iatrogenic fistula…read more

Women Delivering Babies at Home With No One Present Is Unacceptable

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By: Bolaji Fapohunda, Nosa Orobaton and Anne Austin, JSI Research & Training Institute, Inc., United States Agency for International Development | Targeted States High Impact Project 

The phenomenon of giving birth with no one present (NOP) is concentrated in regions of the world with the worst maternal and newborn indicators, such as Nigeria, Niger, India, Tanzania, Kenya, Uganda and Ethiopia. Delivering with NOP brings untold suffering to women and children, including permanent disability and maternal and newborn deaths. There are, however, steps the maternal health community can take to decrease the number of women who deliver with NOP in the short- and long-term…read more