News Alert  We Can’t Wait Another 100 Years for Gender Equality   Read Now

Nepal

Obstetric fistula remains common in Nepal—particularly in rural areas where poor nutrition and high rates of child marriage increase a woman’s risk for obstructed labor.

Why We Work in Nepal

Nepal is a mountainous, landlocked country situated in the Himalayan Mountains between China and India. Acute poverty is widespread, and maternal healthcare and emergency obstetric services remain in short supply. Only 58% of births are attended by a skilled provider. 

Not surprisingly, obstetric fistula persists in the country—particularly in rural areas of Nepal where poor nutrition, child marriage and early childbearing all increase a woman’s risk for obstructed labor and injury. A 2011 UNFPA study estimates there are 4,000–5,000 women living with fistula, and 200–400 new cases each year. 

Many victims, and even health workers, are not aware that fistula is a medical condition that can be treated. Nepal’s harsh geography and travel conditions further compound the challenge of accessing treatment. Those who do travel to Kathmandu or India often find their funds are insufficient to pay for surgery.

What You Help Us Do

We are investing in the following areas to build Nepal’s in-country medical services and provide life-transforming surgery to as many women as possible:

Meet Our Partners

Working closely with Nepal’s Department of Health and the Family Health Division, Fistula Foundation is currently partnering with International Nepal Fellowship and Public Health Concern Trust Nepal and to deliver fistula treatment to women in Nepal.

The Foundation also stepped up to repair Kathmandu Model Hospital’s operating theater following the devastating earthquake in 2015.

What projects are we currently funding?

International Nepal Fellowship

International Nepal Fellowship (INF) focuses on three main areas in its work on fistula: surveillance, prevention, and treatment of obstetric fistula in remote areas of Western Nepal. There are currently no other organizations working on this issue in Western Nepal, nor are there any hospitals in the region that are able to surgically treat fistula. While INF hopes a dedicated fistula treatment center will one day be established there, surgeries are currently conducted only via periodic medical clinics at the regional government hospital in Surkhet.

Public Health Concern Trust Nepal

Public Health Concern Trust Nepal is a non-profit health organization in Nepal that runs Kathmandu Model Hospital and Kirtipur Hospital in Kathmandu. Each of these hospitals has a fistula ward with five beds, and between the two they have several fistula care nurses and three fistula surgeons. While the hospitals currently have the capacity to perform repair surgeries, they have lacked the resources and proper equipment to offer surgeries routinely and at no cost to patients.

Who are our past partners?

Fistula Free Nepal

Fistula Free Nepal (FFN) works in Eastern Nepal and focuses on raising awareness, screening and treatment. Using a variety of techniques such as TV, radio, printed materials and community outreach, FFN seeks to raise awareness about fistula in rural areas and refer identified patients to appointed local health workers. These health workers are trained to screen and identify fistula patients and refer them to B.P. Koirala Institute of Health Sciences for treatment.

How much funding have we granted?

International Nepal Fellowship

  • Pending Grant for FY2019
  • $103,367 in FY2018
  • $56,120 in FY2017
  • $47,323 in FY2016
  • $55,351 in FY2015
  • $50,093 in FY2014
  • $58,608 in FY2013
  • $49,500 in FY2012

PHeCT/Kathmandu Model Hospital & Kirtipur Hospital

  • Pending Grant for FY2019
  • $83,875 in FY2018
  • $79,750 in FY2016
  • $249,209 in FY2015
  • $50,000 in FY2014

PHCT CBRHCC

  • Pending Grant for FY2019
  • $25,000 in FY2018
  • $25,000 in FY2016
  • $25,000 in FY2015

Fistula Free Nepal

  • $100,000 in FY2016
  • $50,000 in FY2013

News from the Field

Meet Harka Maya from Nepal  •  August 18, 2016
Show more Show less
A mother of two, Harka Maya lives in Sindhuli, Nepal, roughly 80 miles (129 km) from Kathmandu. She developed a fistula in the summer of 2015, while in labor with...
A mother of two, Harka Maya lives in Sindhuli, Nepal, roughly 80 miles (129 km) from Kathmandu. She developed a fistula in the summer of 2015, while in labor with her third child. Being from a poor farming family, it was customary for her to deliver at home. But after seven excruciating days in labor, she was finally taken to a local hospital, where doctors delivered her stillborn baby via emergency C-section.
Kathmandu Model Hospital Reconstruction a Success!  •  November 04, 2015
Show more Show less
In the days following the devastating April earthquake in Nepal, you helped us raise an incredible $150,000 in 24 hours to repair extensive damage to an operating room at our...
In the days following the devastating April earthquake in Nepal, you helped us raise an incredible $150,000 in 24 hours to repair extensive damage to an operating room at our partner site, Kathmandu Model Hospital. We are happy to report that thanks to so many of you, and to the support of Frank Richardson – who provided a generous 2:1 matching gift for this effort, reconstruction is nearly complete and the hospital is now fully functional!
Meet Kamala from Nepal  •  September 25, 2015
Show more Show less
Kamala and her husband are both illiterate farmers, and very poor. During Kamala’s last pregnancy, she labored at home for two days until her husband managed to take her to...
Kamala and her husband are both illiterate farmers, and very poor. During Kamala’s last pregnancy, she labored at home for two days until her husband managed to take her to a local hospital. An emergency C-section was performed, but sadly the baby had died in utero. Not only that, but Kamala began leaking urine from that day on.

Thank you for visiting Fistula Foundation!

Your web browser is out of date. Please Upgrade your browser or Install Google Chrome Frame to experience this site.