© UNFPA/Usame Nur Hussein | A patient recovering from fistula repair surgery is examined at Dayniile Hospital in Mogadishu, Somalia.
For women like 38-year-old Farhiya from rural Beletweyne, the consequences can be devastating — a painful obstetric fistula, a hole in the birth canal that left her incontinent, isolated, and cut off from her community.
“I was stressed, constantly worried, and isolated from my community. I was living in my house as if I had some sort of contagious disease,” she said.
In Somalia, 6 out of 10 births occur without a doctor present, which often leads to childbirth complications like obstetric fistula.