Dating with a fistula

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Obstetric fistula is one of the most serious and tragic childbirth injuries. It leaves women and girls leaking urine, faeces or both, and often leads to chronic medical problems, depression, social isolation and deepening poverty. Half a million women and girls in sub-Saharan Africa, Asia, the Arab States region and Latin America and the Caribbean are estimated to be living with fistula, with new cases developing every year. Yet fistula is almost entirely preventable. Its persistence is a reminder of gross inequities, a sign of global inequality and an indication that health and social systems are failing to protect the health and human rights of the poorest and most vulnerable women and girls. As the leader of the global Campaign to End Fistula, UNFPA provides strategic vision, technical guidance and support, medical supplies, training and capacity building, as well as funds for fistula prevention, treatment and social reintegration and advocacy programmes.

Shout Gladi Gladi is a American-British documentary film about the obstetric fistula problem in Africa , co-directed by Adam Friedman and Iain Kennedy, narrated by Meryl Streep , and named for the celebration held after women completed treatment. Filmed in Kenya , Malawi and Sierra Leone , the film speaks toward Ann Gloag , a former nurse who pushes the movement to save these women, efforts to help the patients themselves, and speaks toward heir stories of personal struggle and triumph. The film ends with the Gladi Gladi ceremony, a singing and dancing celebratory event marking the day the women return home cured.

Obstetric fistula is a complication of prolonged obstructed labor that results in a hole between the vagina and the bladder or rectum through which urine or feces leak. It is most common in low-income countries where access to emergency obstetric services is limited. Women may also experience fistula caused by medical procedures or sexual violence.