We are focused on two key areas:
1. Birth Injury Repair
Childbirth injury is largely neglected, despite the devastating impact it has on the lives of affected girls and women who live with fistula or prolapse. Injury is usually caused by prolonged, obstructed labour, without timely medical intervention, multiple births, not enough spacing between births and poor nutrition.
In Bangladesh, there is a large population and a high incidence of uterine prolapse. There may be as many as 600,000 women who are suffering the debilitating effects of this condition, which receives little focus or attention by international aid agencies. Surgical correction of these conditions provides great benefits. Women can resume normal life without the suffering and social stigma.
We work with Impact Foundation Bangladesh providing training to 16 doctors in appropriate prolapse management - both surgical and conservative. We have supported over 8,500 surgeries and through detailed data collection and post operative patient assessment, we know that recurrence rates have dramatically dropped post training . We also work with other partners in Nepal and intend to work collaboratively with government hospitals to roll out further training. In addition, we also work in Uganda, Tanzania and Malawi to provide free access to fistula and prolapse surgery treatment.
2. Family Planning
Most maternal deaths are preventable and the 2014 UN report on MDGs states, “there must be a concerted effort to ensure universal access to both skilled antenatal care and effective interventions, enhanced to include access to family planning, and information and services for reproductive health, especially in vulnerable populations.” Enabling women to make informed decisions about whether and when to have children reduces unintended pregnancies as well as maternal and newborn deaths. It also increases educational and economic opportunities for women and leads to healthier families and communities. However, more than 220 million women in developing countries who don’t want to get pregnant lack access to contraceptives and voluntary family planning information and services.
We have worked with Marie Stopes and Spacim Pikinini in PNG to provide insertion of a 4 year sub dermal contraceptive implant to women who are keen to plan their families, in the post-natal wards of two general hospitals and on several islands of PNG. We also support implants in Kenya, Uganda and Congo.