Her situation became dire as her financial stability crumbled, and she borrowed money from loan apps to buy diapers. Jane's breakthrough came when a friend referred her to Bomu Hospital, where she was diagnosed with a fistula and underwent successful surgery on March 17, 2024.
"I am thankful to God and all Bomu staff. This condition gave me pressure and ulcers, and my child has delayed going back to school because all the money has been spent on treating me," she shares.
Dr Samuel Ngugi, a consultant obstetrician and gynaecologist at Aga Khan, highlights that fistula is prevalent in marginalised areas like Pokot County, where women cannot access assisted delivery and labour for long hours. Young teenage pregnancies also contribute to the high incidence of fistula, which often develops between the third and fifth day after delivery.
"Programmes like Linda Mama should be applauded and sustained," Dr Ngugi emphasises, advocating for increased healthcare personnel and low-cost interventions to manage and prevent fistula. "This is not a condition we should be proud to have in the community. It is not seen in the developed world."
Safina Mwalimu, Bomu Hospital's Fistula Outreach coordinator, notes that their efforts, supported by the Fistula Foundation, have reached over 500 women in the Coast region. These women receive medical treatment, start small businesses, and get empowered through support groups.
"Most women who suffer fistula gave birth at home due to late reporting to the hospital during labour pains because they lacked fare," Safina explains. "Due to stigma, they rarely come out and it takes trust to speak out."
Fistula affects not only the women but also their marriages and social lives. "It causes infections which are recurrent until treated," Safina adds, noting that the condition often leads to broken marriages, especially among young couples.
Through continued outreach and support, women like Janet and Jane can reclaim their lives and dignity, transforming their journey from suffering to hope.
Dr Swabra Swaleh, a gynaecologist at Mombasa Premium Hospitals, explains that the World Health Organisation recommends a cesarean section (CS) rate of around 30 per cent for middle-income countries, meaning one in three women should receive a CS during labour. However, in Kenya, this rate is much lower due to limited access to prompt CS deliveries, contributing to the high number of fistula cases.
"Most fistulas are found in rural areas because of staffing issues and the lack of prompt theatre services," says Dr Swaleh. "Facilities may be small, lacking gynaecologists, and staffed only with midwives, leading to prolonged labour and increased fistula cases."
Dr Swaleh emphasises the need for improved surgical skills among surgeons to avoid iatrogenic fistulas caused during surgery. She points out that more than 90 per cent of fistulas are caused by difficult deliveries, with obstructed labour being a significant contributor.
"The biggest cause of obstetric fistula is obstructed labour where the mother has been in labour for too long, and the baby's head becomes impacted," she explains. "Proper monitoring during labour and timely decisions for CS can prevent such complications."
According to Dr Swaleh, with so many technological development and education, no woman should be suffering from fistula.
The doctor says treatment modalities are majorly surgical depending on the size of fistula and that not all fistulas will be repaired surgically but some can be observed and will close but most will be operated on surgically.
Read more on the fight against fistula here >> https://www.standardmedia.co.ke/branding-voice/article/2001496721/let-us-enhance-the-battle-against-obstetric-fistula-to-restore-health-dignity-and-hope-to-our-women (Sponsored Content)