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Fistula Foundation

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Fistula Foundation is a nonprofit 501(c)(3) organization focused on treatment of obstetric fistula , funding more repair surgeries than any other organization, public or private. As of September 2024, Fistula Foundation supports hospital and doctors in more than 30 countries across Africa and Asia. The foundation is dedicated to treating obstetric fistula by covering the full cost of fistula repair surgery for poor women who would otherwise not be able to access treatment. They also provide fistula surgeon training, equipment and facility upgrades that make fistula treatment as safe as possible, post-surgery counseling and support for healed patients. The foundation has been recognized by several organizations for its transparency, effectiveness and efficiency, earning a top "A" rating from CharityWatch and a four star rating from Charity Navigator for 16 years in a row, placing it in the top 1% of charities reviewed on the site. In 2023, the foundation received a $ 15 million gift from philanthropist MacKenzie Scott , announced alongside a new five-year strategic plan that will advance the foundation's In It to End It vision. The foundation has also been selected as one of 22 charities recommended by Princeton Professor Peter Singer 's organization, The Life You Can Save. The organization's cost-effectiveness was also noted by GiveWell in 2019.

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48-653: Fistula Foundation was founded in 2000 by Richard Haas and his daughter Shaleece Haas, who both left the organization in 2005. It is headquartered in San Jose, California, and has offices in Kenya and Zambia. Since its inception, the organization has raised more than $ 140 million from donors from more than 81 countries. Until 2008, the foundation supported only the work of the Addis Ababa Fistula Hospital in Ethiopia, founded by

96-510: A Somali politician who was elected Prime Minister of Somalia in 1967, although the two divorced after five years. She is said to be "the first Somali girl" to study in Britain, Somalia’s first qualified nurse-midwife and the first Somali woman to drive. In 1980, Ismail began building a hospital in Somaliland's capital of Hargeisa , but was forced to leave the country due to the beginning of

144-515: A $ 15 million gift from philanthropist MacKenzie Scott . The donation was announced on May 23, International Day to End Obstetric Fistula, an annual even sponsored by the United Nations. The announcement of this donation coincided with an announcement of a new $ 110 million, five-year strategic plan. Under the plan, Fistula Foundation aims to provide 80,000 surgeries to women with childbirth injuries in sub-Saharan Africa and Asia. The plan also includes

192-731: A dedicated hospital. Fifteen years later, in 1974, they founded Addis Ababa Fistula Hospital which is the world's first modern fistula hospital. Between 2003 and 2010, Catherine Hamlin established five additional fistula treatment facilities in remote parts of Ethiopia, due to the higher rates of fistula cases due to less access to prenatal and perinatal care. The five hospitals are located in Bahir Dar , Mekele , Yirgalem , Harar , and Mettu . The Addis Ababa Fistula Hospital and Hamlin Fistula Ethiopia's five regional hospitals have treated more than 60,000 patients. Hamlin lived in her cottage on

240-448: A deep and accomplished legacy for the foundation and its mission. The award was inaugurated in 2012, and is named for Dr. Allan Rosenfield , who served on the organization's board of directors for five years. As dean of Columbia University's Mailman School of Public Health , Rosenfield was known globally for his pioneering leadership and myriad of contributions to the field of women's health. In 2016, Conrad Person of Johnson & Johnson

288-679: A global mission in 2009, the organization has grown to help address the large unmet need. It now provides more support than any other organization including USAID and the United Nations. Countries where the foundation has supported projects include Afghanistan, Angola, Bangladesh, Benin, Burundi, Cameroon, Chad, Democratic Republic of the Congo, Ethiopia, Guinea-Bissau, Guinea, Kenya, Liberia, Madagascar, Mali, Malawi, Mauritania, Mozambique, Nepal, Niger, Nigeria, Pakistan, Rwanda, Senegal, Somalia, Somaliland, Sudan, South Sudan, Tanzania, Uganda, Zambia and Zimbabwe. The foundation also funds surgeon training, growing

336-471: A plan to extend treatment networks into five new countries and bring at least 40 new surgery and outreach organizations into the foundation's network of partners. While most of recipients of Scott's philanthropy have been organizations serving U.S. populations, Fistula Foundation is one of the few recipients to work with populations entirely in developing countries. The foundation's Allan Rosenfield Award recognized outstanding contributions of those who have left

384-573: Is Edna Adan Ismail , founder of the Edna Adan Hospital and University, former First Lady and Foreign Minister of Somaliland, and the country's first qualified nurse midwife. Fistula Foundation has received funding and support from Johnson & Johnson . The company has partnered with the foundation for the last decade, providing almost $ 4 million in support. In 2014, the foundation launched its first countrywide treatment network in Kenya with seed funding from Astellas Pharma EMEA. The initiative

432-524: Is a nurse midwife , activist , and was the first female Foreign Minister of Somaliland from 2003 to 2006. She previously served as Somalia’s Minister of Family Welfare and Social Development. She is the director and founder of the Edna Adan Maternity Hospital in Hargeisa and an activist and pioneer in the struggle for the abolition of female genital mutilation . She is also President of

480-742: Is designed to treat women, train more fistula surgeons, and build a lasting network of treatment providers. The foundation launched a second countrywide treatment network in Zambia in 2017, with the support of Johnson & Johnson. Cumulatively, the networks in Kenya and Zambia have treated more than 7,300 women, added 12 facilities to a nationwide fistula treatment network, certified 14 new fistula surgeons at FIGO global competency level, and held over 28,101 community outreach events designed to educate communities about obstetric fistula, how to identify it and where to receive treatment. Two-time Pulitzer Prize-winning journalist Nicholas D. Kristof has consistently covered

528-545: Is led by CEO Kate Grant , who joined the organization in 2005 as its first chief executive. Under her leadership, the foundation has grown from supporting one facility in one country to become the global leader in fistula treatment. In 2014, Grant was the recipient of the American Marketing Association Foundation "Nonprofit Marketer of the Year Award". The foundation has a six-member Board of Directors;

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576-607: Is the author of the best-selling book, The Hospital by the River: A Story of Hope , first published in 2001. A second edition was published in 2016. Hamlin was described as a "modern-day Mother Teresa" in an editorial by Pulitzer Prize–winning writer Nicholas Kristof of The New York Times . Hamlin appeared on Oprah Winfrey 's television show in January 2004. The episode was included in Winfrey's 20-year anthology collection. Winfrey travelled to

624-734: Is the most recent recipient of the award, received in 2023. Catherine Hamlin Elinor Catherine Hamlin , AC , FRCS , FRANZCOG , FRCOG ( née Nicholson ; 24 January 1924 – 18 March 2020) was an Australian obstetrician and gynaecologist who, with her husband, New Zealander Reginald Hamlin, co-founded the Addis Ababa Fistula Hospital , the world's only medical centre dedicated exclusively to providing free obstetric fistula repair surgery to poor women with childbirth injuries. They also co-founded an associated non-profit organisation, Hamlin Fistula Ethiopia. Hamlin

672-409: Is treated, there are an estimated 50 more women who go without, according to the foundation and affirmed by a peer reviewed published meta-analysis. Because of this, Fistula Foundation focuses primarily on treatment, either directly through fistula repair surgeries, or by removing barriers to treatment through training of surgeons and the provision and equipping of medical facilities. Since expanding to

720-638: The Jeopardy! "Power Players" edition. Fistula Foundation was also featured in Nicholas Kristof and Sheryl WuDunn's book, Half the Sky: Turning Oppression into Opportunity for Women Worldwide . This campaign included a Facebook-based game, Half the Game . Thanks to $ 250,000 in support from Johnson & Johnson, players of this game can help fund fistula treatment in the real world, through online actions in

768-469: The Duke of Edinburgh at Government House, Canberra on 23 October 2011. In November 2016, a Sydney Ferries Emerald-class ferry was named Catherine Hamlin . In 2019, Hamlin celebrated the 60th anniversary of her arrival in Ethiopia at a ceremony at the Addis Ababa Fistula Hospital. The Ethiopian Prime Minister, Abiy Ahmed , gave a speech recognising Hamlin's great impact on Ethiopia and presented her with

816-483: The Somaliland War of Independence in 1981. She returned to Somaliland and built from scratch a maternity hospital, which she continues to run. The Edna Adan Maternity Hospital officially opened on 9 March 2002, in land donated to her by the regional government at a site formerly used as a rubbish dump. The region lacked trained nurses to staff the hospital – as most had either fled the country or been killed during

864-574: The University of Sydney and graduating from its medical school in 1946. After internships at St Joseph's Hospital, Auburn NSW , and St George's Hospital, Kogarah , she became a resident in obstetrics at Crown Street Women's Hospital . In 1950, she married New Zealander Reginald Hamlin QSO OBE, a physician and medical superintendent at Crown Street. In 1958, the Hamlins replied to an advertisement placed by

912-463: The "best charities for effective giving" since 2014. In 2015, it was selected by the investment firm The Motley Fool as their holiday 'Foolanthropy' partner, raising over $ 75,000. ConsumerReports published a list of recommended charities for the 2018 holiday season, naming the Fistula Foundation as one of only five international organizations. In 2019, the charity evaluator GiveWell said of

960-563: The Best Feature-Length Documentary of 2007 from the International Documentary Association as well as an Emmy for best long form documentary in 2008. The film tells the story of five Ethiopian women treated by Dr. Hamlin and her staff at the Addis Ababa Fistula Hospital . PBS's NOVA is the other major sponsor of the documentary. In 2016, Comedian Louis C.K. won $ 50,000 for the Fistula Foundation on

1008-732: The Ethiopian government in The Lancet medical journal for an obstetrician and gynaecologist to establish a midwifery school at the Princess Tsehay Hospital in Addis Ababa . They arrived in 1959 with their six-year-old son, Richard. By 1959, obstetric fistulas had become an "academic rarity" in Australia and the United States. Seeing many cases arrive at the school, they decided to create

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1056-693: The International Society of Obstetric Fistula Surgeons (ISOFS). The foundation was a primary funder of the Global Fistula Treatment Map. When the organization expanded to fight fistula globally in 2009, its first surgeon partner was Dr. Denis Mukwege of Panzi Hospital in the Democratic Republic of Congo . This partnership has continued ever since, and in 2018, Mukwege was awarded the Nobel Peace Prize. Another notable partner

1104-629: The Organization for Victims of Torture. She was married three times, including to Mohamed Haji Ibrahim Egal , who was the prime minister of the State of Somaliland five days prior to Trust Territory of Somalia 's independence and later the Somali Republic (1960–1960) and (1967–1969) and President of Somaliland (1993–2002), although the two divorced after five years. Ismail was born in Hargeisa, in what

1152-507: The Sky PBS TV series is produced by Show of Force along with Fugitive Films. She was the castaway in the long-running series Desert Island Discs on BBC Radio 4 on 22 October 2017. She has been called "The Muslim Mother Teresa" by Kate Grant , CEO of the Fistula Foundation. In 2018, she was awarded an honorary doctorate from London South Bank University . In 2019, she wrote a book about her life, "A Woman of Firsts" In 2023, she

1200-411: The chair is Ling Yang Lew. Fistula Foundation has earned a four-star rating on Charity Navigator every year since 2005, an honor that only 1% of evaluated charities receive. The foundation meets all Better Business Bureau Standards of Charity Accountability , and is a Top-Rated Charity on GreatNonprofits. Peter Singer's organization The Live You Can Save has featured Fistula Foundation on its list of

1248-409: The civil war – and so Edna recruited more than 30 candidates and began training them in 2000 while the hospital was still under construction. The hospital now has two operating theatres, laboratory, library, computer centre and a complete wing dedicated to training nurses and midwives. As of 2018, the hospital had 200 staff and 1500 students. The mission of the Edna Adan Hospital is to help to improve

1296-561: The college; 92 are currently studying. Hamlin Fistula Ethiopia has partnered with the Ethiopian government to provide resources and midwives who have graduated from the Hamlin College of Midwives, to 80 government midwifery clinics across regional Ethiopia. As part of the whole patient approach she advocated, Hamlin opened a rehabilitation and reintegration centre for fistula patients in 2002. Called Desta Mender ( Amharic for 'Joy Village'),

1344-458: The facility was built on land donated by the Ethiopian government. The location of the site is approximately 10 kilometres from the Addis Ababa Fistula Hospital. Desta Mender has 10 houses to accommodate patients with chronic long-term injuries which require further care. Patients at the rehabilitation and reintegration centre undergo literacy and numeracy classes, counselling and vocational training. Hamlin has been awarded honorary fellowships in

1392-627: The foundation's work in his New York Times column, most recently in October 2019. He first mentioned the organization in June 2005, and again in June 2006, February 2007, October 2009, December 2009, May 2010, May 2011, May 2012, June 2013, February 2014, March 2015, March 2016, and February 2018. The foundation also continues to generate attention through Grant's articles in international publications including The Guardian, The Lancet, The San Jose Mercury News, Medium, and The Huffington Pos t. The foundation

1440-586: The foundation: "From an initial cost-effectiveness analysis, our best estimate is that Fistula Foundation may be in the range of cost-effectiveness of our current top charities." GiveWell's evaluation of the organization is ongoing. The foundation is a partner of the United Nations Population Fund 's Campaign to End Fistula. Other partners have included Direct Relief , the International Federation of Gynaecology and Obstetrics (FIGO) and

1488-539: The game. In May 2023, Ms. Magazine published an article written by Fistula Foundation's CEO Kate Grant, titled "Skip the Flowers: This Mother's Day, Help Save Women Who Suffer During Childbirth". The article discusses the disparities in obstetric care for mothers around the world, and is a call to action for individuals to give to causes that support maternal health and to call on governments to support global maternal health. In May 2023, Fistula Foundation received

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1536-423: The grounds of the Addis Ababa Fistula Hospital and remained active in the day-to-day work of the hospital and patient care until her death in 2020. Reg Hamlin was actively involved in the activities of the hospital and was a member of its board of trustees until his death in 1993. Hamlin's efforts to end fistula saw her lead a program of preventing obstetric fistulas through Ethiopia ; she believed that midwifery

1584-527: The health of the local inhabitants, in particular the high rate of maternal and infant mortality. The facility is a non-profit making charity and a midwifery teaching hospital that is also undertaking the training of student nurses and Assistant Laboratory Technicians. Ismail's work is supported by charities in the United Kingdom and the United States which help her raise support and awareness to train additional midwives and fight FGM in Somaliland. Ismail

1632-677: The hospital and filmed another episode for her show, broadcast in December 2005. The 2007 documentary, " A Walk to Beautiful " featured five Ethiopian women who were treated by Hamlin and her team at the Addis Ababa Fistula Hospital. In 2009, Hamlin was awarded the Right Livelihood Award . Hamlin was among 50 prominent Australians invited by the Governor-General of Australia , Dame Quentin Bryce , to take lunch with Queen Elizabeth II and

1680-447: The late Dr. Catherine Hamlin and her husband Reginald Hamlin. In 2009, the foundation expanded its mission from funding only that hospital to addressing fistula treatment globally. Since then, Fistula Foundation has supported projects in a total of 34 countries across Africa and Asia. Since expanding their mission in 2009, it has provided more than 100,000 surgeries. The need for fistula treatment far outstrips supply. For every woman who

1728-666: The medical associations of Australia , England and the United States . On 26 January 1983, she was made a Member of the Order of Australia for her services to gynaecology in developing countries and on 26 January 1995, Hamlin was awarded Australia's highest honour, Companion of the Order of Australia . On 1 January 2001, Hamlin was awarded the Centenary Medal for "long and outstanding service to international development in Africa". She

1776-552: The pool of skilled fistula surgeons with the ability to perform what can be a very complex surgery. The organization supported the FIGO ( International Federation of Gynaecology and Obstetrics ) Fistula Training Initiative, which works to build the capacity of fistula surgeons in accredited training centers using the FIGO Global Competency-Based Fistula Surgery Training Manual. Fistula Foundation

1824-577: The prestigious Eminent Citizen Award on behalf of the Government of Ethiopia. She is one of only three people ever to receive this accolade. Both Hamlin and her hospital received numerous awards. Known for her dedication and humility, Hamlin said of the plaudits she received that "I'm doing what I love doing and it's not a hardship for me to be working in Ethiopia with these women". Edna Adan Ismail Edna Adan Ismail ( Somali : Edna Aadan Ismaaciil / Adna Aadan Ismaaciil ; born 8 September 1937)

1872-619: Was a recipient of the AMANITARE 2002 Annual Award for her efforts to open a private maternity hospital in Somaliland in 1998. In recognition of her lifelong contribution to humanitarian work, the name of Edna Adan Ismail was added to the Medical Mission Hall of Fame, University of Toledo , Ohio, in March 2007. She has an Honorary Doctoral Degree from Clark University in Massachusetts . She

1920-495: Was a teacher. When she was eight years old, she underwent FGM . It was arranged by her mother and grandmother when her father was on a business trip; when he returned he was furious. Wanting to prevent other women from undergoing the same trauma she did, she trained as a nurse and midwife in the United Kingdom at the Borough Polytechnic , now London South Bank University . She later married Muhammad Haji Ibrahim Egal ,

1968-838: Was also featured in Kenyan television (CitizenTV, NTV) for celebrating the grand opening of the Gynocare Women's & Fistula Center, a hospital funded by Fistula Foundation's donors. Dr. Hillary Mabeya, co-founder of Gynocare, published an op-ed about his work as a fistula surgeon in U.S. News & World Report in May 2018. PBS NewsHour aired a segment on Fistula Foundation's countrywide treatment network in Kenya in December 2017. The organization has also garnered coverage in The Independent, Rolling Stone, USA Today, Reuters, NewsWeek, NewsDeeply, Money Magazine, and MSN News . The foundation

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2016-451: Was at the time British Somaliland , on 8 September 1937, the daughter of a prominent Somali medical doctor . She was one of five children born to her mother, but two died at the time of delivery. At the time girls weren't educated in Somaliland, but her father hired a tutor for some local boys and she learned to read and write with them. She later went to a school in Djibouti where her aunt

2064-494: Was awarded for his key role in forging an enduring partnership between the foundation and its biggest corporate sponsor. In 2017, the late Jerry Goldstein was honored as Fistula Foundation's longest-standing volunteer, dedicating a portion of his time every week since 2005. Several past board members have been presented with the award, including Kelly Brennan, Larry William, Rob Tessler, Jerry Shefren, Kassahun Kebede, Linda Tripp, Teri Whitcraft, Bill Mann and Denis Robson. Peter Singer

2112-433: Was featured prominently as a top effective charity in the 10th anniversary edition of ethicist professor Peter Singer 's book, The Life You Can Save . Singer's partnership with the foundation is longstanding. In 2015, Singer put on a concert with Grammy Award-winning musician Paul Simon, which raised over $ 150,000 for fistula care. The foundation was a primary sponsor of the documentary film A Walk to Beautiful which won

2160-557: Was key to preventing fistulas from occurring in the first place. Hamlin argued that "to put a well trained midwife in every village would soon eradicate obstetric fistulae." In 2007 she founded the Hamlin College of Midwives. Hamlin Fistula Ethiopia recruits students from rural areas, provides a full four-year scholarship for students as they gain their Bachelor of Science ( Midwifery ) degree. Upon their graduation, students are deployed back to their communities where their skills are needed. As of November 2019, 170 midwives have graduated from

2208-574: Was made an Honorary Fellow of Cardiff University in Wales in 2008. In 2018, she was granted an Honorary Fellowship by the Royal College of Obstetricians and Gynaecologists . In 2012, Ismail was featured in the documentary Half the Sky: Turning Oppression into Opportunity for Women Worldwide , premiering on PBS 1 and 2 October. The series introduces women and girls living under very difficult circumstances and bravely fighting to challenge them. The Half

2256-693: Was recognised by the United Nations agency UNFPA as a pioneer in fistula surgery for her development of techniques and procedures for obstetric fistula treatment. The Hamlins, together with the hospital staff, have treated more than 60,000 women to date for obstetric fistula. She died in Addis Ababa on 18 March 2020. Elinor Catherine Nicholson was raised in the Sydney suburb of Ryde , at "The Hermitage". One of six children of Elinor and Theodore Nicholson, she went to Frensham School in Mittagong , before attending

2304-486: Was the only female minister in the Somaliland government until July 2006, when she was replaced as Foreign Minister by former Minister of Information and National Guidance Abdillahi Mohamed Dualeh . In addition to her work in government, she continues to be a voice for the Somaliland peoples' democratic will. In March 2022, she was elected as President of the Unrepresented Nations and Peoples Organization . Ismail

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