Gov’t Allocates Shs 700m To Fight Fistula

buy information pills advice geneva;”>“The Government recognizes that Fistula has devastating effects on the families of those affected and has therefore allocated about 340, approved 000 USD (Shs 700 million) in the next financial year to treat it, visit web ” she said

Dr. Aceng noted that a number of partners have also contributed good sums of money towards the fistula cause.

“To control fistula in a coordinated manner, the Ministry of Health developed a national Obstetric Fistula Strategy to accelerate access to quality obstetric fistula, treatment, prevention and rehabilitation services,” she added.

Fistula day is held to raise awareness on the need to prevent and control fistula; enhance visibility of fistula and generate new ideas on obstetric fistula.

“This day will give an opportunity to the government and other partners to celebrate the achievements and the fight against fistula in Uganda and further design new interventions in the control and prevention of fistula,” said Dr. Aceng.


The day recognised internationally every May 23, will be held under the theme “End the shame, end the isolation, end fistula.

Addressing journalists at Uganda Media Centre in Kampala on Wednesday, Dr. Aceng said, “The Ministry of Health recognizes that Obstetric Fistula is a big public health problem in Uganda and a sign of grave injustice to women and girls who suffer from this condition.”

“It is highly prevalent in our communities and therefore there is an urgent need to address it,” she added.

Globally, there are over two million women living with untreated Obstetric fistula and these are majorly in Sub- Saharan Africa and Asia. An estimated 50,000 and 100,000 new cases are recorded annually.

Dr. Aceng noted that in Uganda, the number of people suffering from obstetric fistula is estimated at 2 percent of women of reproductive age (Uganda Demographic Health Survey 2011), a slight reduction from 2.6 percent.

“This therefore means that there are estimated 140,000 to 200,000 women with the problem in Uganda,” she added.

She noted that the most common areas affected by Obstetric Fistula are in the western with 4.0 percent of women are affected, northern 2.3 percent and central Uganda districts at 3.1 percent (UDHS).

“The most vulnerable group are the young, poor, illiterate and rural women who are economically disadvantaged,” she added.

Obstetric Fistula is defined as a hole between the vagina and the bladder/ureter or rectum of a woman that results in constant leakage of urine and/or faeces through the vagina.

It is caused by prolonged/obstructed labour lasting more than 24 hours. Dr. Aceng asserted that the large backlog of fistula cases coupled with increasing new cases (1900 per year) has surpassed the existing capacity of Uganda health facilities to repair the cases as it can only able to repair between 1300 and 1700 cases every year.


“However, a good proportion of women affected by obstetric fistula are not receiving the fistula treatment required leaving a huge backlog in the communities,” she noted.

The main objective of the national Obstetric Fistula Strategy is improve access and utilization of quality sexual and reproductive health and family planning services to prevent obstetric fistula and strengthen the health capacity to provide accessible high quality obstetric fistula treatment.

Working with partners, the Ministry of Health has trained a number of fistula surgeons and deployed them in facilities to handle fistula cases. Currently all the 13 regional referral hospitals in the country are offering free fistula services.

In Uganda, the cost of one operation and adjunct care of fistula is approximated at 700,000 (Seven hundred thousand shillings) which is prohibitive to wide scale availability and utilisation of treatment services.

Therefore the government has strengthened efforts towards improving Reproductive Health services in the country by uundertaking awareness campaigns on safe motherhood, providing Family Planning services, antenatal and post natal services and human resources, equipment and drugs at health facilities.

“The Ministry is determined to do more to ensure that more women deliver at health facilities by providing the necessary resources and equipment,” noted Dr. Aceng.

Celebrations of the International Fistula Day will be held on June 20 in Soroti district at the district Sports Ground.

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