02/03/2026
The free obstetric fistula repair camp is currently ongoing at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) and will run until 6th March 2026, offering specialised corrective surgery and comprehensive care to women and girls affected by fistula.
The camp, supported by M-PESA Foundation in partnership with Flying Doctors Society of Africa, aims to restore dignity to women suffering from this debilitating condition.
Obstetric fistula is an abnormal connection between the bladder and the va**na or between the re**um and the birth canal, resulting in uncontrollable leakage of urine or stool. In about 90 percent of cases, it is caused by prolonged, obstructed labour where timely medical intervention is not accessed. Ms. Caroline Magire, a fistula consultant with the Flying Doctors Society of Africa, explained the underlying cause: “When a mother goes into prolonged obstructed labour, the baby’s head presses between the pelvis and the bladder. The tissues lose oxygen; they die and eventually form a hole. That is what we call a fistula.” She added that many affected women face stigma and isolation, stressing the importance of timely repair and community reintegration.
Dr. Paul Mitei, obstetrician and trained fistula surgeon at JOOTRH, noted that Kenya records approximately 2,000 to 3,000 new fistula cases annually. However, increased access to antenatal care and skilled delivery services has significantly reduced the number of childbirth-related cases over the years. Currently, the hospital is also seeing iatrogenic fistulas — injuries occurring during surgical procedures.
Since screening began, more than 60 women have been assessed, with several already admitted for surgery. The team targets to operate between 60 and 70 patients during the five-day surgical camp. Each procedure takes about two to three hours, depending on severity, and hospital stay ranges from a few days to several weeks.
All services during the camp are offered free of charge. Beyond surgery, patients receive counselling and reintegration support to help them return confidently to their families and communities.