News / Health

Q&A with Kate Grant: Helping Women with Fistulas

FILE - Women receiving treatment for obstetric fistula inside a clinic in Uganda.
FILE - Women receiving treatment for obstetric fistula inside a clinic in Uganda.
Frances Alonzo
The stories are heartbreaking - pregnant women in remote rural areas in Asia enduring a long or often difficult labor, some losing their babies. The women are left with incontinence and leaking wastes from obstetric fistulas. Some husbands abandon their wives, while others try to find help, but the road is long and the women are often ostracized by their communities for these birth injuries. 
 
However, the Fistula Foundation is one of the groups that have been supporting women, telling every woman with a fistula that it is possible to be cured and to feel hopeful once again. VOA's Frances Alonzo spoke with Kate Grant, the CEO of the Fistula Foundation.

 
GRANT: It’s basically a hole between an internal organ and the outside world that shouldn’t exist. In this case, it’s holes in bladder, vaginas, sometimes rectum that leave a woman incontinent. So again, it’s a childbirth injury that occurs because women don’t have access to emergency obstetric care that leaves them incontinent. The good news is most of the time those fistulas can be sewn up by a trained surgeon and that woman can be given back continence and health.
 
ALONZO: How many women in Asia are affected by this?
 
GRANT: We don’t have exact numbers, Frances, and it’s not that we don’t want them. The W.H.O. doesn’t have them, the U.N. doesn’t have them, because this happens to women in usually the remotest part of developing countries. We don’t have a specific number, we have a global number of one million women that are affected, a proportion of those in Asia, the balance in sub-Saharan Africa.
 
ALONZO: Is there a social stigma to having a fistula?
 
GRANT:  There is incredible social stigma in having a fistula. And the reason is that women that have this are usually the poorest women in the poorest countries in the most remote areas. So trying to deal with incontinence if you are living in a remote rural area where you’ve got a dirt floor, that incontinence becomes something that makes your day-to-day very difficult to manage. And also because of a lack of understanding about what causes it, that it’s a birth injury rather than occurred for no fault of the woman. There can be belief systems that demonize that woman for the reason that she got this was something that she had done, something bad. And that she had gotten this injury as kind of a punishment. That’s not true either. 
 
ALONZO: Does it matter how old the mother is? Her age?
 
GRANT: Generally we see most fistulas happening on a first birth which means the woman is usually younger, late teens, early twenties. The earlier a woman has a child the more trouble you are going to have with fistula and with other birth injuries. So, yes, a teenage mother, one that is 13, 14, 15, where their pelvis is not yet fully developed, is more likely to get a fistula than an older mother. But, even older mothers get fistulas, it’s not just about age.
 
ALONZO: Can you tell me what Asian countries are making strides in helping women, and what are those countries that are lagging behind?
 
GRANT: Unfortunately, the same countries where we see high infant mortality rates, we see high maternal mortality rates. These things tend to go together. When the women die, the babies die too. The countries which lag behind and have still the highest maternal and infant mortality rates are Afghanistan, Pakistan, Cambodia and even Bangladesh, although Bangladesh has made some strides in recent years.
 
The countries that have done much better, obviously they are very developed Asian countries… like Japan, Singapore, South Korea has extremely low maternal mortality rates.
 
Some countries that are kind of in the middle that have made progress that have a ways to go would be Philippines, Vietnam, Thailand, even China. But those countries, the last four that I mentioned are definitely moving in the right direction [and] have rapidly dropping child and maternal mortality rates. And it’s that initial list that I gave you, the Afghanistan, Pakistan, where there is still a great deal of work to do.
 
ALONZO: What keeps you going? Is there something that fuels you to say, “I’m ready to face this again and I’m ready to help women with this issue?”
 
GRANT:  That’s a very good question about what’s important in continuing to progress. It’s easy. We have pictures all over our office of the women we have been able to help, the courageous doctors that we are funding to do this work. And we have in our conference room a huge map of the world where we have all of the sites where we are funding and a big graph on the wall that shows the number of surgeries we are able to fund every year has grown dramatically.

We’ve tripled the number of surgeries we are able to fund just in the last four years. And behind those numbers are women. Individual women. I’ve met them. I’ve met them in Bangladesh, I’ve met them in Pakistan. Women who’ve suffered like no woman should have to suffer simply for trying to bring a child into the world. 

Fistula is a tough concept because talking about incontinence, where you have to talk about it. If you want to understand it, you have to talk about feces and urine and vaginas and rectums. It’s a taboo subject. And one can understand this, one can understand this is not something pleasant to understand. The human impact is so profound that people shy away from it. So the more people come forward and say, “yeah, I’ll do my part” to broaden the circle of awareness about this problem, the more women we know we will be able to help.

You May Like

Conflicts Engulf Christians in the Middle East

Research finds an increase in faith-based hostilities, and Christians are facing persecution in a growing number of countries in the region More

Chinese Americans: Don’t Call Us 'Model Minority'

Label points to collective achievement, but some say it triggers resentment, unrealistic expectations More

Iran Bolsters Surveillance of Phones, Internet

Does increased monitoring suggest the government is nervous? More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Survivors Commemorate 70th Anniversary of Nazi Liquidation of Polish Ghettoi
X
Kane Farabaugh
August 30, 2014 1:20 AM
When the Nazi army moved into the Polish city of Lodz in 1939, it marked the beginning of a long nightmare for the Jewish community that once made up one third of the population. Roughly 200,000 people were forced into the Lodz Ghetto. Less than 7,000 survived. As VOA’s Kane Farabaugh reports, some survivors gathered in Chicago on the 70th anniversary of the liquidation of the Lodz Ghetto to remember those who suffered at the hands of the Nazi regime.
Video

Video Survivors Commemorate 70th Anniversary of Nazi Liquidation of Polish Ghetto

When the Nazi army moved into the Polish city of Lodz in 1939, it marked the beginning of a long nightmare for the Jewish community that once made up one third of the population. Roughly 200,000 people were forced into the Lodz Ghetto. Less than 7,000 survived. As VOA’s Kane Farabaugh reports, some survivors gathered in Chicago on the 70th anniversary of the liquidation of the Lodz Ghetto to remember those who suffered at the hands of the Nazi regime.
Video

Video Chaotic Afghan Vote Recount Threatens Nation’s Future

Afghanistan’s troubled presidential election continues to be rocked by turmoil as an audit of the ballots drags on. The U.N. says the recount will not be completed before September 10. Observers say repeated disputes and delays are threatening the orderly transfer of power and could have dangerous consequences. VOA correspondent Meredith Buel reports.
Video

Video Ukraine Battles Pro-Russia Rebel Assault

After NATO concluded an emergency meeting to discuss the crisis in eastern Ukraine, the country is struggling to contain heavy fighting near the strategic port of Mariupol, on the Azov Sea. Separatist rebels are trying to capture the city, allegedly with Russian military help, and Ukraine's defense forces are digging in. VOA's Daniel Schearf spoke with analysts about what lies ahead for Ukraine.
Video

Video Growing Business Offers Paint with a Twist of Wine

Two New Orleans area women started a small business seven years ago with one thing in mind: to help their neighbors relieve the stress of coping with a hurricane's aftermath. Today their business, which pairs painting and a little bit of wine, has become one of the fastest growing franchises across the U.S. VOA’s June Soh met the entrepreneurs at their newest franchise location in the Washington suburbs.
Video

Video Ebola Vaccine Trials To Begin Next Week

The National Institutes of Health says it is launching early stage trials of a vaccine to prevent the Ebola virus, which has infected or killed thousands of people across West Africa. The World Health Organization says Ebola could infect more than 20,000 people across the region by the time the outbreak is over. The epidemic has health experts and governments scrambling to prevent more people from becoming infected. Zlatica Hoke has more.
Video

Video Asian Bacteria Threatens Florida Orange Trees

Florida's citrus fruit industry is facing a serious threat from a bacteria carried by the Asian insect called psyllid. The widespread infestation again highlights the danger of transferring non-native species to American soil. VOA’s George Putic reports.
Video

Video Aging Will Reduce Economic Growth Worldwide in Coming Decades

The world is getting older, fast. And as more people retire each year, fewer working-age people will be there to replace them. Bond rating agency Moody’s says that will lead to a decline in household savings; reducing global investments - which in turn, will lead to slower economic growth around the world. But experts say it’s not too late to mitigate the economic impact of the world’s aging populations. Mil Arcega has more.
Video

Video Is West Doing Enough to Tackle Islamic State?

U.S. President Barack Obama has ruled out sending ground troops to Iraq to fight militants of the so-called Islamic State, or ISIS, despite officials in Washington describing the extremist group as the biggest threat the United States has faced in years. Henry Ridgwell reports from London on the growing uncertainty over whether the West’s response to ISIS will be enough to defeat the terrorist threat.
Video

Video Coalition to Fight Islamic State Could Reward Assad

The United States along with European and Mideast allies are considering a broader assault against Islamic State fighters who have spread from Syria into Iraq and risk further destabilizing an already troubled region. But as VOA State Department Correspondent Scott Stearns reports, confronting those militants could end up helping the embattled Syrian President Bashar al-Assad.
Video

Video Made in America Socks Get Toehold in Online Fashion Market

Three young entrepreneurs are hoping to revolutionize the high-end sock industry by introducing all-American creations of their own. And they’re doing most of it the old-fashioned way. VOA’s Julie Taboh recently caught up with them to learn what goes into making their one-of-a-kind socks.
Video

Video Americans, Ex-Pats Send Relief Supplies to West Africa

Health organizations from around the world are sending supplies and specialists to the West African countries that are dealing with the worst Ebola outbreak in history. On a smaller scale, ordinary Americans and African expatriates living in the United States are doing the same. VOA's Carol Pearson reports.
Video

Video America's Most Popular Artworks Displayed in Public Places

Public places in cities across America were turned into open-air art galleries in August. Pictures of the nation’s most popular artworks were displayed on billboards, bus shelters, subway platforms and more. The idea behind “Art Everywhere,” a collaborative campaign by five major museums is to allow more people to enjoy art and learn about the country’s culture and history. Faiza Elmasry has more.
Video

Video Chinese Doctors Use 3-D Spinal Implant

A Chinese boy suffering from a debilitating bone disease has become the first patient with a part of his spine created in a three-dimensional printer. Doctors say he will soon regain normal mobility. VOA’s George Putic reports.
Video

Video India’s Leprosy Battle Stymied by Continuing Stigma

Medical advancements in the treatment of leprosy have greatly diminished its impact around the world, largely eliminating the disease from most countries. India made great strides in combating leprosy, but still accounts for a majority of the world’s new cases each year, and the number of newly infected Indians is rising - more than 130,000 recorded last year. Doctors there say the problem has more to do with society than science. Shaikh Azizur Rahman reports from Kolkata.

AppleAndroid