Recherche :
Advanced search



facebook Millennia2015 facebook
 Twitter @Millennia2015



Faites un don




Content of this section:

-CA27 Solidarity-Women
-Concrete Action 07
-Concrete Action 08
-Concrete Action 13
-Concrete Action 14
-Concrete Action 15
-Concrete Action 25
-Concrete Action 26

You are here:   Millennia2025 Foundation > Concrete actions > Concrete Action 13

Direct link:  

Millennia2025 Solidarity-Women

=> #M2025 




The concrete actions of
the Millennia2025 Women and Innovation Foundation, PUF


Caring and rehabilitating women suffering from fistula


=> through the involvement of suppliers of goods or services

=> through the mobilization of citizens, donors and financial partners



Summary: That actions consists in providing surgery with medical care to women suffering from fistula as well as helping them reintegrate the society by supporting the development of  income-generating activities



Keywords: empowerment; attitude, human condition; health; human being; healing; capacities; confidence



=> [pdf]



    Construction of the concrete action



   QCA-1. Author(s) of the action


Who proposes the action? Is it an individual or a group? From which country or region does the author come?


Khadijetou Cheikh Lo (Mauritania)




   QCA-2. Issues (or strategic axes) of the action


To which strategic priorities (one or more) does the action answer? Thank you for giving the number of the strategic priority:


That action fits into strategic axe 3 (To develop innovative processes in order to access to health care by mobilization of new human, financial and technological resources.) which encourages access to adapted health care and to quality of life.


The project has three sections:
- Awareness and hiring of women suffering from fistula
- surgery with medical care
- financing of income-generating activities for women who will undergo surgery before being healed


The third section fits into strategic axe 2 (To help women to build a personal and collective capital of freedom of movement and decision, of quality of life, of education, of training, and of work) as it encourages self esteem, self confidence and responsibility through empowerment.




   QCA-3. Ultimate aims of the action


What are the ultimate aims of this action? What are the expected results? 


Providing better care for women who suffer from fistula




   QCA-4. Level of governance of the bearers of the action


To which level of governance this action could be tackled (local, regional, national, international level)?



Local before a generalisation




   QCA-5. Title of the action


What is the title of the action? Thank you for giving a brief and explicit title without using verbs


Caring and rehabilitating women suffering from fistula
Surgical repair and social insertion for women suffering from obstetric fistula




   QCA-6. Short presentation of the action


What is the content of that action? Thank you for giving a meaningful description of the action (maximum 5 lines) 


5 phases for the project :
1. Awareness at a community level and identification of women suffering from obstetric fistula
2. Reconstructive surgery, after surgery and post-operative care
3. Training (management and simplified accounting) of women who undergoes surgery
4. Identification of income-generating activities according those women' skills
5. Grating of funding for development of generated-income activities to women




   QCA-7. Actors of the action 


Who could develop and implement the action? Who would be responsible for the action?

What partners should be implicated for the successful implementation of the action?


NGOs and local associations which have already an experience about GIA, microcredit...; surgeons who have the ability to repair fistula




   QCA-8. Human and financial needs


What are the financial and humans means needed for the action? Thank for explaining why they are needed.


Financing of IGA development: 25.000€

Reinforcement of the technical equipment for fistula care provision: 20.000€ (medical consumables and package for fistula surgery). Nurses and surgeon must be hired. 

Training (management and simplified accounting) of women who undergoes surgery: 15.000€



   QCA-9. Innovation of the action


Why is the action innovation compared with what already exists?


During the past years, it was hard to identify women suffering from fistula because of isolation and stigmatization due to odour of urine. A woman suffering from fistula was considered as damnable. She is rejected by her husband and her relatives and above all others women. Yet, she is just a victim of delivery and a witness of women suffering.


In Mauritania, women suffering from fistula are

- young: victims of early marriage (53% had only one pregnancy; 42% gave birth for the first between the age of 15 and 20)
- rural: home delivery for 43% of women with a late treatment to give birth in a healthcare facility.
- poor: 91% do not have incomes
=> Regarding all those points, fistula can be considered as a social illness.


This issue starts being considered as a human right issue under the axe “right to health for all”. More and more NGOs for human rights develop action for awareness and identification of women suffering from fistula. They organize medical treatment in tandem with the “national association of gynaecologists and obstetrician”.


A second point which was totally eclipsed is the one of social and economic support of women once they are healed. After a long time of disappointment, they need to start over to regain their right to dignity and softness. Financing of GIA aims at helping them being in the social life thanks to incomes they will earn from those activities. They gain self-confidence and assert themselves in their environment.


The fight against that disease is strategic for reduction of maternal health. It is based on reality as these women are often the survivor of an unsafe and painful delivery. Once healed, those women are more able to carry the torch so that women are better respected.


Innovation is about taking into account an affection which has a strictly medical treatment but which has major sociological ramifications. 




   QCA-10. Duration of the action


How long must the action last before assessing its impact?


12 months.



   QCA-11. Target audience


Who will be the direct beneficiaries?
Who will be the indirect beneficiaries?
At the end of the action, how many people will be affected during a determined period (3, 6, 9 or 12 months)?


Direct beneficiaries: women suffering from fistula who had been identified since 2012 and who are waiting for a provision of medical care. They are 50 and in 2014, 25 will be recruited.


Indirect beneficiaries: families and communities thanks to IGA that will be developed by those women. The IGA will have an impact on quality of life, children schooling, hygiene and family health. The project will last for 24 months from 2014. For each case of fistula, there is a family or a household with about 6 to 8 members: they all benefit from the action.









   QCA-12. Monitoring and assessment


What is the system of monitoring and assessment of the action?
Who will be ensure the process and the assessment?
What will be the quantitative criteria of monitoring?
What will be the qualitative criteria of assessment?


Quaterly monitoring of women during the first year.

Visits will be organized conjointly by UNFPA, CSO and the Ministry of social affairs, Youth and family.

Half-yearly monitoring during the second year.


Indicator of follow-up of the action are:
- Numbers of awareness meetings
- Number of recruited women
- Number of women who undergoes surgery
- Number of financed IGA for women
- Observance of the new status of women who benefit from IGA

Assessment of the project will be realized by an external entity to UNFPA and the Ministry for more objectivity




   QCA-13. Duplication of the project


Is the action duplicable in other contexts or other areas? If yes, how?


Contexts of developing countries and especially of West Africa countries are similar. Girls suffer from early marriage (16 years old) and from harmful practices such as FGM with negative consequence such as obstetric fistula. FGM still exists. The lack of healthcare facilities does not help women giving birth in good conditions.




   QCA-14. Durability of the action


How will the action be durable on the long run?


The medical care provision for women suffering from fistula must fit into a durable and predicable medical process.

Health care training must integrate courses to manage difficulties during pregnancy and delivery especially for young girls.



   Additional remarks


That project has already started with the support of UNFPA. It will complete UNFPA action. It can replicable in countries with a similar context: Niger, Mali, Tchad.


Annie Matundu-Mbambi (DRC) who is interested in that project pointed out that it could be duplicated in DRC and in many African regions.


   Projet manager 


Khadijetou Cheikh Lo (Mauritania)






Direct link:



 Millennia2025 Woment and Innovation Foundation  

Millennia2025 Women and Innovation Foundation, Public Utility Foundation
in Special consultative status with
the United Nations ECOSOC since 2019


Fondation Millennia2025 Femmes et Innovation, Fondation d'utilité publique
en statut consultatif spécial auprès de l'ECOSOC des Nations Unies depuis 2019



Institut Destrée - The Destree Institute

The Destree Institute, NGO official partner of
UNESCO (consultative status) and 
in Special consultative status with
the United Nations ECOSOC since 2012 


L'Institut Destrée, ONG partenaire officiel de
l'UNESCO (statut de consultation) et 
en statut consultatif spécial auprès de l'ECOSOC
des Nations Unies depuis 2012




International conference,

with the patronage
of the UNESCO 


Conférence internationale

avec le patronage
de l'UNESCO   ©   Institut Destrée - The Destree Institute