Burkina Faso faces significant challenge with obstetric fistula, affecting nearly 16,000 women

In Burkina Faso, approximately 16,000 women are estimated to live with obstetric fistula, with around 900 new cases reported annually. This severe childbirth complication leads to isolation, stigmatization, and precarious living conditions for many women. Dr. Itengré Ouédraogo, a reconstructive surgeon and head of the ARENA association, is dedicated to providing free comprehensive care, including reconstructive surgery and socio-economic reintegration, to these patients. Obstetric fistula is a complication of childbirth resulting in an abnormal connection between the bladder and vagina, or rectum and vagina, causing continuous leakage of urine or feces. It often arises from obstructed labor where women lack timely access to a C-section. ARENA adopts a holistic approach, covering prevention to social reintegration. They conduct community awareness campaigns, collaborate with health centers, and train health workers for early detection and referral. Treatment at ARENA is completely free, encompassing surgical intervention, comorbidity management, psychological support, and socio-economic reintegration through income-generating activity training. While some severe cases may impact future pregnancies, most women can have children after successful repair. Cultural context is significant, as many women, especially those who developed fistula during their first delivery and lost the baby, desire to procreate again. Challenges include overcoming community stereotypes and stigmatizati