We Do

we're on a mission to
end fistula for every woman

but there are serious problems that prevent progress

The global effort to end fistula is underfunded and lacking coordination. The $26m spent annually to treat fistula serves 16,000 women. This is well below the estimated annual incidence of 25,000. This means that every year, an additional 9,000 women are added to the global backlog of 1 million untreated cases.

the problems

no one has ended fistula in a place

Efforts to treat women with fistula don't reach everyone. There are no areas we can confidently call "Fistula Free". This means that there's currently no model that can deliver an end to fistula.

people don't work together

Organizations work in silos. Best practices are rarely shared. Random acts of partnership happen, but it's not coordinated. The result: needless duplication, waste, and gaps in coverage.

funding doesn't reach people

80% of the surgeons working to end fistula fall outside the reach of traditional funding methods. This means qualified surgeons that want to help can't operate because of a funding gap.

obstetric fistula is neglected

Fistula is seen by many as a low priority symptom of broader systemic failure. As a result, its funding is deprioritized and it doesn't receive the attention it deserves.

our solutions


We’ve launched a vast new project across 10 districts in Madagascar to find, mobilize, and treat every single woman living with fistula. What we learn will have the power to transform the way organizations work to end fistula.


We’ve created GOFAR—the Global Obstetric Fistula Automated Registry. This platform provides a shared measurement system and has the power to improve coordination, collaboration, and quality across our sector.

directing funding to where need is greatest

We’ve developed an innovative funding model - Kickstart - that enables on-the-ground providers to access the funding they need to deliver treatment.

Mapping the causes of fistula and visualizing gender equality

We are using data to extensively map the causes of fistula. This will enable us to identify system failures as well as recommend and develop more targeted interventions.

get involved

you can help

Join us

We know that no single organization can end fistula in isolation - join us in the work as our partner! We'd love to work with you.


Fistula is neglected and under-resourced. Global funding is extremely limited and this hinders progress. You can help to transform a life.


We are collaborating with diverse organizations to map the gender inequality that causes fistula. Become part of this collective impact effort!

keep in touch

Reach out & connect

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