There is nothing like interviewing women with fistula to realize, in your heart and in your bones, what fistula does to women: the humiliation, marginalization, loss of self-esteem, and depression. Fistula is an orifice resulting from ruptured tissue between bladder, rectum and vagina that provokes permanent incontinence. Feces and urine flow through the vagina.
Obstetric fistula is caused by early and repeated pregnancies, long and complicated deliveries without proper medical care, delays in reaching hospital, clandestine abortion and violent rape.