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Democratic Republic of Congo

As violence and political instability continue to plague the DRC, rural mobile clinics remain a lifeline for suffering women who cannot travel to a hospital.

Why We Work in the Democratic Republic of Congo

Political upheaval and violent unrest have taken a heavy toll on DRC’s healthcare infrastructure. There is also a horrifying use of sexual violence in the country. For these reasons and others, DRC has been called “the worst place on earth to be a woman.”

Over half of the Congolese population lives in rural areas, where health resources are spread thin—and in high demand. Even simply getting to the hospital can be close to impossible, with dirt roads that are completely flooded and impassable for months on end.

All of these factors play a role in the DRC’s high incidence of obstetric fistula, and there is consistently more demand for fistula treatment than local hospitals can keep up with. As a result, there is a long backlog of Congolese women waiting for treatment.

What You Help Us Do

In 2022, we launched a new countrywide treatment network to build the Democratic Republic of Congo’s long-term capacity for fistula care. We believe this network-of-care model represents the path forward to ending—within a generation—the suffering caused by fistula. Learn more about our plan to end it

Since its launch, our Fistula Foundation Treatment Network in the Democratic Republic of Congo has achieved the following results: 

  • 5,338 surgeries provided across 9 partners
  • 43 surgeons and 155 nurses trained in fistula management
  • 8,623 community members trained to spread awareness of fistula
  • More than 105,000 people reached through radio programs and advertisements
  • 73 outreach activities conducted

Meet Our Partners

We identify local surgical teams in DRC already successfully treating women with fistula—and then work to amplify their efforts. 

Who are our current partners?

Who are our current partners?

  • Artemedis
    • Location: Tshikaji, Isiro, Kamina, Kaziba, Banalia, Luebo, Moba, and Tshikapa
    • Partner Since: 2019
  • Community of Disciples of Christ in Congo (CDCC)
    • Location: Lotumbe and Monieka
    • Partner Since: 2024
  • Fistula Program DRC (FisPro DRC)
    • Location: Butembo and Kinshasa
    • Partner Since: 2020
  • HEAL Africa
    • Location: Benaleka and Karawa
    • Partner Since: 2011
  • Maendeleo Fistula Care
    • Location: Durba, Haut-Uélé
    • Partner Since: 2023
  • Panzi Hospital
    • Location: Kabinda, Kabongo, Kamina, Kole, Lodja, Mwene-Ditu, Gemena, Malemba-Nkulu, Mbaya, Ngandajika, Tandala, and Zongo
    • Partner Since: 2009
  • Polyclinique Beniker
    • Location: Lubumbashi
    • Partner Since: 2024
  • Rwankole Hospital
    • Location: Adi and Bunia
    • Partner Since: 2021
  • Vanga Evangelical Hospital
    • Location: Vanga
    • Partner Since: 2022
Who are our past partners?

Women and Health Alliance International (WAHA International)

  • Location: Lubumbashi, Kalemie, Kananga, Luebo, and Tshikaji
  • Partner In: 2016 – 2018
How much funding have we granted?

Below are funding totals since the start of each partnership.

Current Partners

  • Artemedis: $3,520,579.00
  • Community of Disciples of Christ in Congo (CDCC): $35,468.80
  • Fistula Program DRC (FisPro DRC): $1,387,591.00
  • HEAL Africa: $2,590,654.43
  • Maendeleo Fistula Care: $74,171.20
  • Panzi Hospital: $5,294,435.26
  • Polyclinique Beniker: $64,710.00
  • Rwankole Hospital: $372,694.00
  • Vanga Evangelical Hospital: $98,240.00

Past Partner

  • Women and Health Alliance International (WAHA International): $615,875

News from the Field

‘Fistula Should Not Happen’  •  June 11, 2024
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Dr. Denis Mukwege visits Fistula Foundation to discuss challenges for women in the Democratic Republic of Congo. When Dr. Denis Mukwege—founder of Panzi Hospital, our longest-standing partner, and winner of...
Dr. Denis Mukwege visits Fistula Foundation to discuss challenges for women in the Democratic Republic of Congo. When Dr. Denis Mukwege—founder of Panzi Hospital, our longest-standing partner, and winner of the 2018 Nobel Peace Prize—speaks of his countrywomen in the Democratic Republic of Congo (DRC), he speaks of abandoned people. For decades, women and girls in the DRC have endured countless acts of sexual violence. Rape has been (and still is) flagrantly used as a weapon of war in the civil conflict that continues to rage across the country.  Even worse: Girls as young as 12 years old are giving birth, often as a result of being raped. In fact, 30% of the women who give birth in the DRC are under the age of 18.  The war in the DRC, Dr. Mukwege said, is an international crisis that should grab people’s attention everywhere.  “Sometimes you ask yourself how this can go on and no one is talking about it.” — Dr. Denis Mukwege Dr. Mukwege has been an advocate for women and girls for more than 20 years. In recognition of his remarkable commitment to fighting to end the use of rape as a weapon of war, Dr. Mukwege was recently awarded the Aurora Prize for Awakening Humanity. He hopes that this award will shine a light on women suffering in the DRC, and spark international outrage on a scale that will help end the civil war in his country. While in the United States to accept the Aurora Prize, Dr. Mukwege visited our office in San Jose, California, to discuss the crisis in his country and how it relates to our work in treating women with childbirth injuries. He described three reasons for continuing to focus on fistula, even amid all of the challenges that women face in the DRC: Fistula should not exist.  “With all the knowledge that we have when it comes to obstetric care, fistula should not happen,” Dr. Mukwege said. Fistula has been all but eradicated in wealthy nations because it is preventable with access to high-quality obstetric care. Today, Dr. Mukwege said, this problem should not exist anywhere.  Fistula is a sign of poverty.  “When I say poverty, it is a profound, profound poverty where people do not have any solution,” Dr. Mukwege explained. As an example, he noted that many women who arrive at his hospital are unable to meet basic needs, such as having underwear. “These women are naked when they come in. … They feel like they can’t even go outside to get water,” he said. In response, his team began providing women with “dignity kits,” which include items such as underwear, soap, and a toothbrush. “Before we can operate, we need to feed them and give them some dignity,” Dr. Mukwege said. Fistula isolates a woman from her society.  Dr. Mukwege likens fistula to what leprosy was 1,000 years ago. The profound shame associated with fistula is something that no woman should endure. “It excludes her from community services, from social opportunities, from economic opportunities,” Dr. Mukwege said. “She has no access to any solution.”  Despite the challenges that women in the DRC face, Dr. Mukwege finds hope in their resilience. The women he helps are incredibly strong and committed to their communities. They return to their homes ready to start their lives again, and they spread the word about fistula treatment opportunities. “The impact [on] society is really very big,” Dr. Mukwege said. “Many women we treat … become leaders in their own society to support others, to help others, and to work with vulnerable women.”  “What I am doing is really very small if I compare it with what women are doing. After they go through these terrible things, they’re still loving, they’re still supporting others, they are not complaining and they are able to forgive.”—Dr. Denis Mukwege  While Dr. Mukwege lauded efforts to pursue an end to obstetric fistula by 2030, he commended Fistula Foundation’s commitment to treating women who are suffering from this condition today. “Thank you for the work that you are doing to raise money and support for this program [Panzi Hospital],” he said. There are still many barriers to care and much...
Surgeon Spotlight: Meet Dr. Lucien Wasingya Kasereka  •  April 06, 2021
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We are thrilled to welcome a new surgical team to our network of partners across Africa and Asia: Dr. Lucien Wasingya Kasereka from the Democratic Republic of Congo (DRC). After...
We are thrilled to welcome a new surgical team to our network of partners across Africa and Asia: Dr. Lucien Wasingya Kasereka from the Democratic Republic of Congo (DRC). After seven years of working in Uganda, Dr. Lucien Wasingya Kasereka felt compelled to return to his home country in the Democratic Republic of Congo (DRC). Dr. Lucien grew up in North Kivu, a tumultuous region in northeastern DRC. “The horrors of war and violence have been permanent for over 18 years now, which has significantly affected maternal and child health,” he explained. “Our vision is to restore the fistula victims’ dignity in DRC after a long period of political instability.”   “The day I first met a fistula patient [was] the day I decided to learn how to repair fistula, and continue doing it for the rest of my life. That’s the day I dedicated my entire life to fistula patients.” – Dr. Lucien Wasingya Kasereka from DRC   This story originally appeared in the Spring 2021 edition of our newsletter, Transformations.
“The Worst Place on Earth to be a Woman”  •  March 01, 2019
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Violence and political instability continue to plague the Democratic Republic of Congo (DRC), effectively crippling its limited maternal healthcare infrastructure and abandoning women who are suffering with fistula. These grinding...
Violence and political instability continue to plague the Democratic Republic of Congo (DRC), effectively crippling its limited maternal healthcare infrastructure and abandoning women who are suffering with fistula. These grinding conditions prompted author and humanitarian Lisa Shannon to call it “the worst place on earth to be a woman.”
2018 Nobel Prize Winners Risk to Make the World Better for Victims of Sexual Violence  •  December 06, 2018
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Dr. Denis Mukwege, partner of Fistula Foundation, was awarded the 2018 Nobel Peace Prize. CEO Kate Grant, a longtime friend and colleague of Dr. Denis Mukwege, paid tribute to the...
Dr. Denis Mukwege, partner of Fistula Foundation, was awarded the 2018 Nobel Peace Prize. CEO Kate Grant, a longtime friend and colleague of Dr. Denis Mukwege, paid tribute to the extraordinary physician in an email to Good News Network. View the full article below. 2018 Nobel Peace Prize Winners Risk Their Lives to Make the World Better for Victims of Sexual Violence The Nobel Committee has awarded the 2018 Nobel Peace Prize to Denis Mukwege and Nadia Murad for their efforts to end the use of sexual violence as a weapon of war amidst armed conflict. The laureates have "made a crucial contribution to focusing attention" on the problem by not only combatting the crime, but, healing the victims. Nadia Murad is herself a victim of war crimes.