A Walk To Beautiful

00:52:32
https://www.youtube.com/watch?v=QlADfuqPdkU

Summary

TLDRThis video sheds light on the plight of women in developing countries, especially Ethiopia, who suffer from obstetric fistula due to inadequate healthcare during childbirth. It narrates the experiences of women who are often denied hospital access, the physical and emotional toll of their conditions, and the importance of surgical treatment. It stresses that proper medical care, nutritional support, and community involvement are vital to alleviating the suffering associated with childbirth complications. The narrative reveals a stark contrast between the urgency of healthcare needs in rural areas and the lack of available services, calling for increased awareness and action to address this hidden epidemic affecting poor women.

Takeaways

  • 🚑 Women with obstetric fistula face severe healthcare access issues.
  • 🩺 Fistula repairs can transform the lives of affected women.
  • 👩‍⚕️ There's a significant shortage of gynecologists in rural Ethiopia.
  • 🍽 Malnutrition contributes to complications in childbirth.
  • 🤝 Community support is essential for recovery.
  • 📊 Over 100,000 women await treatment for fistula in Ethiopia.
  • 👌 Surgical outcomes for fistula repairs are generally positive.
  • 💔 The psychological impact of fistula can be devastating.
  • 🌍 Increased awareness is necessary to tackle this hidden epidemic.
  • 💖 Women's empowerment through education and support is crucial.

Timeline

  • 00:00:00 - 00:05:00

    The video begins with an introduction, incorporating foreign speeches and music, which sets the tone for the subject matter to be discussed later.

  • 00:05:00 - 00:10:00

    Women in the developing world face difficulties accessing healthcare in general hospitals due to overcrowding, stigma, and discrimination. The documentary addresses the reasons behind the establishment of a specialized hospital to assist these women.

  • 00:10:00 - 00:15:00

    Obstetric complications, such as obstructed labor, affect around 5% of pregnancies globally. The video depicts the challenges women face when labor prolongs, highlighting the emotional and physical distress caused by these situations.

  • 00:15:00 - 00:20:00

    The consequences of obstructed labor can be devastating, resulting in injuries that affect a woman's bladder and rectum. The societal pressures women encounter further exacerbate their suffering, as they are often ostracized when they fail to deliver healthy babies.

  • 00:20:00 - 00:25:00

    The video illustrates the physical toll of labor on women, particularly those who are malnourished and overburdened by daily responsibilities. It emphasizes the long-term effects of inadequate nutrition and excessive work on their growth and health, particularly in childhood.

  • 00:25:00 - 00:30:00

    Women suffering from fistulas often feel isolated and ashamed. The hospital provides a supportive environment where they can share their experiences and begin the healing process not only physically but also psychologically through community support.

  • 00:30:00 - 00:35:00

    The documentary follows surgical procedures for women suffering from fistulas. The narrative highlights the transformative nature of these surgeries, dramatically improving the lives of women who have endured prolonged suffering.

  • 00:35:00 - 00:40:00

    Surgical success rates for treating fistulas are high, yet many women remain untreated due to limited access to medical resources in rural areas. The video discusses the overwhelming number of women still waiting for treatment in places like Ethiopia.

  • 00:40:00 - 00:45:00

    The husband-and-wife medical team shares their personal experiences and commitment to providing care for women with fistulas, underscoring the emotional impact these cases have had on their work and lives.

  • 00:45:00 - 00:52:32

    The documentary concludes with a sense of hope, as women regain their health after treatment, and provides insights into the ongoing challenges faced by these populations, emphasizing the need for improved healthcare access and education.

Show more

Mind Map

Video Q&A

  • What is obstetric fistula?

    Obstetric fistula is a medical condition that occurs when a hole forms between the bladder and the vagina or the rectum and the vagina due to prolonged labor without receiving proper medical care.

  • What are the consequences of obstetric fistula?

    Women suffering from obstetric fistula often face physical trauma, social isolation, and psychological distress, affecting their lives and relationships.

  • Why are women with obstetric fistula turned away from hospitals?

    Women are often turned away due to the overwhelming pressure on hospitals and because they are perceived as poor and unhygienic.

  • How are fistulas treated?

    Fistulas are treated through surgical interventions that aim to repair the damaged areas.

  • What are the general statistics about fistulas in Ethiopia?

    There are over 100,000 women waiting for treatment in Ethiopia, with only 146 gynecologists available for a population of 77 million.

  • What role does community play in the recovery of women with fistulas?

    Community support is crucial; it helps women feel less isolated and encourages healing through shared experiences.

  • How does malnutrition affect women in relation to childbirth?

    Malnutrition contributes to stunted growth in women, leading to complications during childbirth, such as obstructed labor.

  • Why is it essential for women to access healthcare during pregnancy?

    Access to healthcare is crucial for monitoring and managing complications during pregnancy to prevent conditions like obstetric fistula.

  • What is the psychological impact of fistulas on women?

    Fistulas can lead to severe psychological trauma, including feelings of inadequacy and social ostracism.

  • How can community and global initiatives help women with fistulas?

    Increased awareness, resources, and medical personnel dedicated to treating obstetric fistula can significantly improve outcomes for affected women.

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    these women are not welcome in a general
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    hospital they can't often get in because
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    of the tremendous pressure on the
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    hospitals for other more urgent things
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    help needed when the baby can't be born
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    mother's
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    it occurs all over the world in 5% of
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    spe she starts labor and she expects be
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    to 10 days I've had a woman in labor by
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    wall the fish it's not only physical
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    trauma they are suffering of it's a
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    social and then
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    psychological you know in the
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    countryside it's being a woman is be
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    able to be a wife and be a child to you
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    know and have a family but when they fa
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    woman the husband he said you go back to
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    your family he'll just send her off with
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    a bundle on her back they run out to
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    if we take someone like this little girl
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    5'3 a girl especially on a girl in the
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    age so if she gets at pregnant at the
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    age of 14 definitely the baby will be
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    for usually think they are the only
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    psychotherapy they discuss their problem
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    nurse them together and they have a
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    they feel at home they feel they're not
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    being ostracized from their society and
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    they're loved and they feel welcome so
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    this is where the healing process starts
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    of the mind and this is very
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    we've got this girl with her whole life
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    ahead and if she's not cured it's going
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    to be a misery and a horror to her
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    forever is not very big well mobilized
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    now and uh I'm going to close it this is
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    the fascination of fistular surgery to
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    make a new life for a young girl that
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    suffered more than any woman should be
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    endure we just finished closing the fish
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    test to make sure that the uh s line is
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    any hole the D comes through the the
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    uh there is nothing coming through the
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    hle this mean that the hall is closed
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    completely know
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    we leave her with a catheter draining
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    for 12 or 14 days and we hope that she's
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    going to be able to pass you
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    normally
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    a new clothes it's a symbol for us they
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    are cured they are going to start a new
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    life
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    for spee
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    foreign
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    foreign
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    is negative stress in
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    Dynamics
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    the F that is the hole on the bladder is
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    closed and uh now uh the bladder
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    function is not restored so we are going
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    to uh do certain examination run certain
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    tests and see where where the problem
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    actually
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    is that's what we are meing this is a
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    urodynamic examination this is a machine
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    uh which measures the uh intraabdominal
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    pressure and it also measures the same
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    time the pressure inside the
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    bladder and then the machine will give
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    us the bladder capacity how much the
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    bladder can
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    hold
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    according to the results she has reduced
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    bladder capacity it is reduced by half
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    as compared to normal persons but the
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    good thing is that there is some
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    regeneration capacity of the the bladder
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    that we hope with time her BL capacity
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    will increase to some
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    extent spee
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    speech
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    speech for foreign
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    foree for
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    speech
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    speech for
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    speech fore
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    speech foreign
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    speech
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    [Music]
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    forign
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    foreign
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    [Music]
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    speech foreign
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    foree
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    spee
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    fore
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    [Music]
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    speech
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    alas she was found to have a double
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    fista double fista means a whole
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    communicating between rectum and vagina
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    and blading
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    vagina you don't have to be a woman to
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    understand woman's problem if somebody's
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    in continent and cannot control here for
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    fces and urine this is simple to predict
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    what's going to happen to her in the
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    community and in the in the family so to
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    relief such a problem it's very very I
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    mean good good
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    job
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    [Music]
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    I've repaired the platter and now I'm
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    doing the
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    rec
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    [Music]
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    rep
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    [Music]
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    [Music]
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    we are able to close the fista in about
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    93% of
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    cases we're able to operate on 30 women
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    a week and so we hope this year that
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    we'll be able to do 1,500
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    operations but we estimate there over
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    100,000 waiting in the countryside in
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    Ethiopia
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    [Music]
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    alone my husband and I came to Ethiopia
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    in
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    1959 the previous gynecologist that we
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    replaced said to my husband the fistular
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    patience will break your hearts and
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    that's really what they
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    did we didn't plan to stay but as we
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    began to cure them of course more and
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    more came to us so we stayed on and I've
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    been here ever since my husband would
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    still be here if he was alive
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    [Music]
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    theee foreign
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    spee
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    for
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    foreign
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    spee foreign
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    spee
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    forch
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    speech
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    foreign
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    for
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    [Music]
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    Fore
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    foree fore speech
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    speech speech
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    speee
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    for
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    foreign
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    speech
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    speech
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    fore
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    foreign
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    [Music]
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    chal light a hidden epidemic it's silent
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    epidemic nobody talks about
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    it because it's a problem for poor women
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    it's a problem of
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    woman was 100% preventable lack of good
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    obic service this is the main cause of
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    fistula for a population of 77 million
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    people now in Ethiopia we've only got
  • 00:36:11
    146 gynecologists and Obstetricians and
  • 00:36:14
    most of these are in the
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    cities so the country women are just
  • 00:36:19
    completely neglected this is a
  • 00:36:25
    tragedy
  • 00:36:31
    [Music]
  • 00:36:37
    fore
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    foreign
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    for
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    Fore speech
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    speech
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    M if there is no any leakage on the bed
  • 00:37:04
    that means they are dry but up to now
  • 00:37:06
    she is dry and we hope that she will be
  • 00:37:11
    [Music]
  • 00:37:25
    okay
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    foreign
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    foree fore
  • 00:37:37
    [Music]
  • 00:37:39
    speech
  • 00:37:42
    [Applause]
  • 00:37:43
    [Music]
  • 00:37:55
    spee fore foreign
  • 00:38:00
    speech
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    [Music]
  • 00:38:25
    speech fore
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    foreign
  • 00:38:31
    foreign
  • 00:38:34
    [Music]
  • 00:38:39
    foree speech
  • 00:38:43
    fore
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    for
  • 00:38:48
    [Music]
  • 00:38:55
    speech
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    [Music]
  • 00:39:05
    foreign
  • 00:39:10
    [Music]
  • 00:39:25
    foreign
  • 00:39:27
    [Music]
  • 00:39:33
    I'll
  • 00:39:36
    [Music]
  • 00:39:42
    [Music]
  • 00:39:55
    goas
  • 00:39:58
    [Music]
  • 00:40:05
    [Music]
  • 00:40:10
    [Music]
  • 00:40:18
    okay I mean she's on the E postoperative
  • 00:40:21
    day and until now she's okay so she will
  • 00:40:25
    be here I mean for for another week so
  • 00:40:29
    after that we will check whether the
  • 00:40:31
    blood is healed or not and the rectum is
  • 00:40:33
    healed or not if it is okay she will go
  • 00:40:39
    [Music]
  • 00:40:52
    home
  • 00:40:53
    [Music]
  • 00:40:55
    you
  • 00:40:59
    [Music]
  • 00:41:05
    [Music]
  • 00:41:24
    speech speech
  • 00:41:31
    and then when she feels the blood full
  • 00:41:32
    she just pulls this out and the UR comes
  • 00:41:41
    away
  • 00:41:45
    foree
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    speee
  • 00:41:51
    speee speech
  • 00:41:55
    spee
  • 00:41:57
    foreign spe
  • 00:42:00
    speech foreign speech
  • 00:42:04
    fore she
  • 00:42:16
    okay usually it's very difficult for
  • 00:42:18
    these girls to learn how to put these
  • 00:42:20
    plugs into urethra it's a very small
  • 00:42:22
    spot to try and a for but she was um got
  • 00:42:25
    first go first time I've ever seen
  • 00:42:27
    anyone get it the first guy so I'm sure
  • 00:42:28
    she'll be able to manage it very
  • 00:42:44
    [Music]
  • 00:42:54
    well I
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    for
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    foree
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    speeech
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    [Music]
  • 00:43:50
    [Music]
  • 00:43:55
    gu
  • 00:43:56
    [Music]
  • 00:44:23
    she's happy I mean I can't explain I
  • 00:44:26
    have no words I mean I'm happy very very
  • 00:44:29
    much Happy I mean to make a lady I mean
  • 00:44:32
    who has been in continent for both urine
  • 00:44:34
    and fces to make her continent I mean
  • 00:44:37
    that is a I mean her happiness is a
  • 00:44:40
    prize that I'm getting now
  • 00:44:47
    [Music]
  • 00:44:53
    okay she secur we talk to them about
  • 00:44:57
    their future we'll tell each patient
  • 00:45:01
    must get to a hospital for the next baby
  • 00:45:04
    we give every patient a card with a
  • 00:45:06
    description of the
  • 00:45:07
    operation with all the findings so we
  • 00:45:10
    say when you feel the baby walking
  • 00:45:12
    inside your stomach you start walking
  • 00:45:15
    towards the
  • 00:45:16
    [Music]
  • 00:45:24
    hospital
  • 00:45:30
    [Applause]
  • 00:45:30
    [Music]
  • 00:45:40
    for
  • 00:45:42
    [Music]
  • 00:45:44
    speech foreign
  • 00:45:52
    spee
  • 00:45:54
    hey
  • 00:45:56
    [Applause]
  • 00:45:56
    [Music]
  • 00:46:24
    knowe
  • 00:46:34
    [Music]
  • 00:46:44
    foree
  • 00:46:54
    speee
  • 00:46:57
    [Music]
  • 00:47:24
    foree
  • 00:47:27
    fore
  • 00:47:32
    [Music]
  • 00:47:33
    foree fore
  • 00:47:40
    speech fore
  • 00:47:43
    speech
  • 00:47:48
    foreign
  • 00:47:54
    for
  • 00:47:57
    [Music]
  • 00:47:58
    foreign foreign
  • 00:48:02
    speech
  • 00:48:04
    [Music]
  • 00:48:24
    forign
  • 00:48:25
    [Music]
  • 00:48:48
    [Music]
  • 00:48:51
    the children are orphans because their
  • 00:48:54
    parents died of AG
  • 00:48:56
    [Music]
  • 00:48:58
    IV we've given bet four children to take
  • 00:49:02
    responsibility for and we've told the
  • 00:49:04
    children this is going to be your mom
  • 00:49:07
    and already in the the little ones you
  • 00:49:09
    can see that they love for so the
  • 00:49:11
    bonding is
  • 00:49:14
    [Music]
  • 00:49:24
    starting
  • 00:49:33
    [Music]
  • 00:49:38
    yes I think just to have some future to
  • 00:49:42
    look forward to has made her grown up
  • 00:49:45
    and now she has work to do and she's
  • 00:49:47
    learning and it makes people grow giving
  • 00:49:51
    them a responsibility it helps them
  • 00:49:54
    enormously
  • 00:49:56
    [Music]
  • 00:50:02
    sing How
  • 00:50:06
    Sweet the
  • 00:50:09
    S
  • 00:50:16
    that's
  • 00:50:17
    [Music]
  • 00:50:23
    light my
  • 00:50:27
    [Music]
  • 00:50:29
    was
  • 00:50:32
    [Music]
  • 00:50:33
    but
  • 00:50:36
    I'm
  • 00:50:39
    [Music]
  • 00:50:54
    was
  • 00:50:58
    [Music]
  • 00:51:07
    just
  • 00:51:10
    and
  • 00:51:11
    [Music]
  • 00:51:17
    I
  • 00:51:19
    [Music]
  • 00:51:24
    this this
  • 00:51:27
    gra
  • 00:51:29
    [Music]
  • 00:51:31
    has
  • 00:51:35
    [Music]
  • 00:51:54
    me
  • 00:51:56
    [Music]
  • 00:52:13
    [Applause]
  • 00:52:14
    [Music]
  • 00:52:22
    Nova is a production of WGBH Boston
  • 00:52:26
    [Music]
  • 00:52:28
    I am
  • 00:52:30
    PBS
Tags
  • obstetric fistula
  • childbirth
  • Ethiopia
  • healthcare access
  • surgical intervention
  • women's health
  • malnutrition
  • psychological trauma
  • social stigma
  • community support