MSF fistula camp in Boguila, CAR: Exterior of main hospital in Boguila.
Approximately two million women in Africa suffer from a fistula, which is a hole between the vagina and the bladder or rectum, through which urine or feces leak continuously. Fistulas can be caused by prolonged obstructed labor and childbirth or sexual violence in addition to lack of medical facilities. Women with fistulas are often outcasts from their communities because of the smell associated with their incontinence, and in some cases they are abandoned by their husbands. Chances for women to have their fistula repaired are slim, as many hospitals or health clinics do not have the proper instruments or knowledge and skills to carry out such a procedure.