In 2003, UNFPA and its partners launched a global Campaign to End Fistula in line with international targets to improve maternal health and with the goal of reducing the number of obstetric fistula patients, especially in developing countries.

In recent years, the Campaign has drawn the attention of policymakers, health officials, affected communities and individuals, as well as the general public to the issue of fistula.


The Campaign has made remarkable progress but the needs are great. Ending fistula worldwide will demand political interventions, additional resources, and strengthened collaboration between governments, partners and the civil society.

The Campaign, in conjunction with its partners, is now working in more than 50 countries across Africa, Asia and the Arab region. In each country, it focuses on three key areas:

  • Prevention
    The most effective way to prevent fistula is to increase access to quality maternal health care services including family planning, skilled birth attendants and emergency obstetric care. Prevention also entails tackling underlying social and economic inequities to empower women and girls, enhance their life opportunities, and delay marriage as well as pregnancy.
  • Treatment
    While prevention is our focus, there is a strong commitment to treating patients. The average cost of fistula treatment—including surgery, post-operative care and rehabilitation support—is $400. The Campaign supports all areas of treatment, from training doctors in fistula surgery to equipping and upgrading fistula centres.
  • Rehabilitation
    Fistula treatment goes beyond repairing the hole in a woman’s tissue. Many patients—especially those who have lived with the condition for years—will need emotional, economic and social support to fully recover from their ordeal. Through the Campaign, women receive counselling and skills training to empower them after surgery. Working with communities is also key because it ensures women are accepted back into society without being stigmatized.