Boorama (Fistula Hospital) waxaa maanta isbitaalka Fistulah ee magaalada Boorama ka baxay qaybtii labaad oo ah dad ama dumar bukaan ah oo xanuunkii iyo qaliinadii lagu sameeyey ka bogsaday, dumarkan maanta ka baxay cusbitaalka oo tiradoodu dhamayd lix ayaa dhamaanba ka raystay xanuunkii hayey ka dibna uga baqoolay Boorama ilaa meelihii ay ka yimaadeen Dr. Siciid Axmed Walhad oo ka mid ah masuuliyiinta sare ee cusbitaalkaas oo halkaas ka hadlay ayaa sheegay in dumarkani ka kala yimaadeen magaalooyinka Baydhabo, Buurhakaba,

Buurdhuxuele oo ka tirsan degmada waajid iyo isla degmaada Waajid nafteed, waxaanu kula dardaarmay dumarkaas intii mudo ah in ay xidhiidh fiican la yeeshaan xarumaha caafimaadka isla markaana iska ilaaliyaan ilaa laga hubanano inta ay ka bogsanayaan in ay uur qaadaan taas oo uu sheegay in ay waxyeelo kale ilmaha iyo hooyadaba u leedahay Ilaahayna waxa uu uga baryahay in ay caafimaadkooda oo taam ah sidaas ugu wado.

waxaa iyadun halkaasi ka hadashay marwo Xaawo oo ah wakiilka hay’ada World Vision oo dadkan bukaanka ah ka bixisay qarashaka gaadiidka ay soo raayacaan iyo kan ay sii raacayaanba waxaanay aad ugu mahad naqaday Dr. Ibraahim Qows oo ah dhakhtarkii sameeyey qaliinka dumarkan ee lagu guulaystay waxaanay intaas ku dardartay in ay dumarkan maanta ka baxay ay la socdaan kuwo kale oo ka kala yimid luuq iyo meelo kale laakiin iyagu aan wali raysan oo aan ka bixin cusbitaalka waxaanay kula dardaaran tahay dumarka in ay goobaha caafimadka xidhiidh la yeeshaan.

waxaa kale oo iguga dumarkaas dardaaran siiyey marwo Rooda Muumin Rijaal iyo Xalwo oo kamid ah hawl wadeenada cusbitaalkaas.

Mar aan waydiiyey Dr. Walhad sababta dadku gobolo kale oo Soomaaliya ah uga iman waayeen oo ay uga yimaadeen Bay iyo Bakool kaliya ma xanuunkaa ku badan mise cid keenta ayey waayeen?

Waxa uu ku jawaabay Diktoorku waxay waayeen dad keenta hay’ada world vision ayaa degan Waajid sidaas ayeyna ku keentaa ayuu yidhi ee baahida iyo xanuunku meel kasta waa ay taala, waxaa kale oo uu ogaysiisyey inta ku hadasha afsoomaaliga in cusbitaalka Fitulah ee ku yaala magaalada Boorama hawsha uu dumarka u qabanayo ay tahay bilaash wixii ku saabsan qaliinkaas fistulah ee isku furanka labada xubnood ee dumarka ama ay dhibaato ka gaadho ilma galeenka.

A fistula is simply a hole between an internal organ and the outside world that should not exist.  There are two primary causes of fistula in women in developing countries:  childbirth, causing obstetric fistula and sexual violence, causing traumatic fistula

Obstetric fistula the most devastating of all childbirth injuries

An obstetric fistula develops when blood supply to the tissues of the vagina and the bladder (and/or rectum) is cut off during prolonged obstructed labor. The tissues die and a hole forms through which urine and/or feces pass uncontrollably. Women who develop fistulas are often abandoned by their husbands, rejected by their communities, and forced to live an isolated existence.

More than two million women live with fistula

Eradicated in western countries at the end of the 19th century when cesarean section became widely available, obstetric fistula continues to plague women throughout the developing world. It is estimated that there are 100,000 new fistula cases each year, but the international capacity to treat fistula remains at only 6,500 per year. The United Nations Population Fund (UNFPA) estimates the world’s population of fistula sufferers at more than two million.

Nerve damage and psychological trauma

The WHO has called fistula “the single most dramatic aftermath of neglected childbirth”. In addition to complete incontinence, a fistula victim may develop nerve damage to the lower extremities after a multi-day labor in a squatting position. Fistula victims also suffer profound psychological trauma resulting from their utter loss of status and dignity.

Traumatic fistula — when rape is used as a tool of war

The consequences of fistula are life altering when the injury goes unrepaired.  In Congo, rape is being used as a tool of war on a massive scale.  The result is often traumatic fistulas, that is holes in bladders, vagina and rectum that are caused by rape or attack using bayonets, wood, and even guns.  The Economist magazine recently estimated that 80% of the fistula cases in the Congo were the result of sexual violence.  For the women with the injury, they are still very much in need of treatment, and psychological counseling as well.  The Panzi Hospital in the Congo, founded by Congolese gynecologist Denis Mukwege is a pioneer in helping these victims of rape.

The UNFPA’s Campaign to End Fistula currently covers some 30 countries in sub-Saharan Africa, South Asia and some Arab States. The Campaign works in three key areas: prevention, treatment and support to help women who have been repaired return to their communities. And it works in three phases: assessing needs, planning interventions and implementing national strategies.

EngenderHealth: Obstetric Fistula Needs Assessment Report. The “Campaign to End Fistula” information kit-”Obstetric Fistula Needs Assessment Report: Findings from Nine African Countries”-contains results from a groundbreaking needs assessment conducted by EngenderHealth and the United Nations Population Fund (UNFPA) in nine African countries.

USAID: Obstetric Fistula Strategy. A number of USAID’s maternal health activities can help reduce the occurrence of obstetric fistula. The focus is on prevention.

The Worldwide Fistula Fund, focused in Nigeria, was founded out of concern for the hundreds of thousands of women in the developing world who suffer from injuries related to labor and delivery.