Fistula Foundation

Last updated
Fistula Foundation
Founders
  • Richard Haas
  • Shaleece Haas
Type Nonprofit
Focus Maternal health
Location
Area served
Africa, Asia
MethodAid
Chief Executive Officer
 Kate Grant
Chief Program Officer
Lindsey Pollaczek
Website fistulafoundation.org

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. [1] [2] As of September 2022, they support hospitals and doctors in over 20 countries across Africa and Asia. [3] 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, [4] 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, [5] 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 [6] by Princeton Professor Peter Singer's organization, The Life You Can Save. [7] The organization's cost-effectiveness was also noted by GiveWell in 2019. [8]

Contents

History

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. [9] Until 2008, the foundation supported only the work of the Addis Ababa Fistula Hospital in Ethiopia, founded by the late Dr. Catherine Hamlin and her husband Reginald Hamlin. [10] In 2009, the foundation expanded its mission from funding only that hospital to addressing fistula treatment globally. [11] Since then, they have supported projects in a total of 34 countries across Africa and Asia. [12] Since expanding their mission in 2009, they have provided more than 75,000 surgeries. [13]

Focus

The need for fistula treatment far outstrips supply. For every woman who is treated, there are an estimated 50 more women who go without, according to the foundation [14] and affirmed by a peer reviewed published meta-analysis. [15] 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.[ citation needed ]

Since expanding to a global mission in 2009, [11] the organization has grown to help address the large unmet need. They now provide more support than any other organization including USAID [2] and the United Nations. [1] 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. [16]

The foundation also funds surgeon training, growing 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, [17] which works to build the capacity of fistula surgeons in accredited training centers using the FIGO Global Competency-Based Fistula Surgery Training Manual.

Leadership

Fistula Foundation 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". [18] The foundation has a six-member Board of Directors; the chair is Ling Yang Lew.[ citation needed ]

Ratings

Fistula Foundation has earned a four-star rating on Charity Navigator every year since 2005, an honor that only 1% of evaluated charities receive. [19] The foundation meets all Better Business Bureau Standards of Charity Accountability, and is a Top-Rated Charity on GreatNonprofits. [20] Peter Singer's organization The Live You Can Save has featured Fistula Foundation on its list of the "best charities for effective giving" since 2014. [21]

In 2015, it was selected by the investment firm The Motley Fool as their holiday 'Foolanthropy' partner, [22] raising over $75,000. [23] ConsumerReports published a list of recommended charities for the 2018 holiday season, naming the Fistula Foundation as one of only five international organizations. [24]

In 2019, the charity evaluator GiveWell said of 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." [8] GiveWell's evaluation of the organization is ongoing.

Partnerships

The foundation is a partner of the United Nations Population Fund’s Campaign to End Fistula. [25] Other partners have included Direct Relief, the International Federation of Gynaecology and Obstetrics (FIGO) and the International Society of Obstetric Fistula Surgeons (ISOFS). The foundation was a primary funder of the Global Fistula Treatment Map. [26]

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. [27] This partnership has continued ever since, and in 2018, Mukwege was awarded the Nobel Peace Prize. [28] Another notable partner is Edna Adan Ismail, [29] founder of the Edna Adan Hospital and University, [30] 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. [31]

In 2014, the foundation launched its first countrywide treatment network in Kenya with seed funding from Astellas Pharma EMEA. [32] The initiative 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. [33]

Media

Two-time Pulitzer Prize-winning journalist Nicholas D. Kristof has consistently covered the foundation's work in his New York Times column, most recently in October 2019. [34] He first mentioned the organization in June 2005, [35] and again in June 2006, [36] February 2007, [37] October 2009, [38] December 2009, [39] May 2010, [40] May 2011, [41] May 2012, [42] June 2013, [43] February 2014, [44] March 2015, [45] March 2016, [46] and February 2018. [47]

The foundation also continues to generate attention through Grant's articles in international publications including The Guardian, [48] The Lancet, [49] The San Jose Mercury News, [50] Medium, and The Huffington Post. [51] The foundation was also featured in Kenyan television (CitizenTV, [52] NTV [53] ) 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. [54] PBS NewsHour aired a segment on Fistula Foundation's countrywide treatment network in Kenya in December 2017. [55] The organization has also garnered coverage in The Independent, [56] Rolling Stone, [57] USA Today, [58] Reuters, [59] NewsWeek, [60] NewsDeeply, [61] Money Magazine, [62] and MSN News [63] .

The foundation 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. [64] 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 the Best Feature-Length Documentary of 2007 from the International Documentary Association [65] 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. [66] In 2016, Comedian Louis C.K. won $50,000 for the Fistula Foundation on the Jeopardy! "Power Players" edition. [67] Fistula Foundation was also featured in Nicholas Kristof and Sheryl WuDunn's book, Half the Sky: Turning Oppression into Opportunity for Women Worldwide. [68] This campaign included a Facebook-based game, Half the Game. [69] 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 the game.[ citation needed ]

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". [70] 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.

MacKenzie Scott Gift

In May 2023, Fistula Foundation received a $15 million gift from philanthropist MacKenzie Scott. [5] [71] 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 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.

Allan Rosenfield Award

The foundation's Allan Rosenfield Award recognized outstanding contributions of those who have left 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. [72]

In 2016, Conrad Person of Johnson & Johnson was awarded for his key role in forging an enduring partnership between the foundation and its biggest corporate sponsor. [73] 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. [74] 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. [75] Peter Singer is the most recent recipient of the award, received in 2023.

Related Research Articles

<span class="mw-page-title-main">Fistula</span> Abnormal connection between two epithelialized surfaces, often organs

In anatomy, a fistula is an abnormal connection joining two hollow spaces, such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other. An anal fistula connects the anal canal to the perianal skin. An anovaginal or rectovaginal fistula is a hole joining the anus or rectum to the vagina. A colovaginal fistula joins the space in the colon to that in the vagina. A urinary tract fistula is an abnormal opening in the urinary tract or an abnormal connection between the urinary tract and another organ. An abnormal communication between the bladder and the uterus is called a vesicouterine fistula, while if it is between the bladder and the vagina it is known as a vesicovaginal fistula, and if between the urethra and the vagina: a urethrovaginal fistula. When occurring between two parts of the intestine, it is known as an enteroenteral fistula, between the small intestine and the skin as an enterocutaneous fistula, and between the colon and the skin as a colocutaneous fistula.

<span class="mw-page-title-main">Obstetric fistula</span> Hole that develops in the birth canal as a result of childbirth

Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may include depression, infertility, and social isolation.

<span class="mw-page-title-main">Rectovaginal fistula</span> Medical condition

A rectovaginal fistula is a medical condition where there is a fistula or abnormal connection between the rectum and the vagina.

<span class="mw-page-title-main">International Federation of Gynaecology and Obstetrics</span> Professional medical organization

The International Federation of Gynaecology and Obstetrics, usually just FIGO ("fee'go") as the acronym of its French name Fédération Internationale de Gynécologie et d'Obstétrique, is a worldwide non-governmental organisation representing obstetricians and gynaecologists in over one hundred territories. It was founded on 26 July 1954 in Geneva, Switzerland, to "promote the well-being of women and to raise the standard of practice in obstetrics and gynaecology". Membership is currently composed of 132 professional societies of obstetricians and gynaecologists worldwide.

<span class="mw-page-title-main">Catherine Hamlin</span> Australian obstetrician and gynecologist (1924–2020)

Elinor Catherine Hamlin, AC, FRCS, FRANZCOG, FRCOG 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.

<span class="mw-page-title-main">Morgan Stanley Children's Hospital</span> Hospital in New York, United States

Morgan Stanley Children's Hospital of NewYork-Presbyterian is a women's and children's hospital at 3959 Broadway, near West 165th Street, in the Washington Heights neighborhood of Manhattan, New York City. It is a part of NewYork-Presbyterian Hospital and the Columbia University Irving Medical Center. The hospital treats patients aged 0–21 from New York City and around the world. The hospital features a dedicated regional ACS designated pediatric Level 1 Trauma Center and is named after financial firm Morgan Stanley, which largely funded its construction through philanthropy.

Allan Rosenfield was an advocate for women's health during the worldwide AIDS pandemic as dean of the Columbia Mailman School of Public Health.

<span class="mw-page-title-main">Sanduk Ruit</span> Nepalese ophthalmologist

Sanduk Ruit is an ophthalmologist from Nepal who was involved to restore the sight of over 180,000 people across Africa and Asia using small-incision cataract surgery.

Shershah Syed is a Pakistani physician and surgeon, known for his work in obstetrics and maternal health. He was involved in providing emergency medical assistance to victims of the 2010 Pakistan floods. He was the President of the Society of Obstetricians & Gynecologists of Pakistan from 2007 to 2010, He is the current President of the International Society of Fistula Surgeons (ISOFS) and also the Pakistan National Forum on Women's Health (PNFWH).

<span class="mw-page-title-main">Addis Ababa Fistula Hospital</span> Obstetric hospital in Addis Ababa, Ethiopia

Addis Ababa Fistula Hospital, also known as AAFH and Hamlin's Addis Ababa Fistula Hospital, is a women's health care hospital based in Addis Ababa, Ethiopia. The hospital was founded by Australian physicians Catherine Hamlin and Reginald Hamlin, to care for women with childbirth injuries. It is the only hospital of its kind dedicated exclusively to treating women with obstetric fistula, a condition in the developing world where maternal health provisions are poor. All patients are treated free of charge.

<span class="mw-page-title-main">Pradeep Chowbey</span> Indian surgeon

Pradeep Kumar Chowbey is an Indian surgeon, known for laparoscopic and bariatric surgeries. He is the incumbent Executive vice chairman of the Max Healthcare, Chairman of the Minimal Access, Metabolic & Bariatric Surgery and Allied Surgical Specialities of the Max Healthcare Institute, New Delhi. He is the founder of the Minimal Access, Metabolic & Bariatric Surgery Centre at the Sir Ganga Ram Hospital, New Delhi and has served as the Honorary Surgeon to the President of India, Dalai Lama and the Indian Armed Forces (AFMS). The Government of India awarded him the fourth highest civilian honour of the Padma Shri in 2002.

<span class="mw-page-title-main">Ureterovaginal fistula</span> Medical condition

A ureterovaginal fistula is an abnormal passageway existing between the ureter and the vagina. It presents as urinary incontinence. Its impact on women is to reduce the "quality of life dramatically."

Koohi Goth Women Hospital is a hospital located in Bin Qasim Town, Karachi, Pakistan. It is a project of the Zafar and Atia Foundation Charitable Trust. This hospital treats 1 out of 6 cases reported in Pakistan.

Kate Grant is an American nonprofit leader. She is the founding CEO of Fistula Foundation, a global nonprofit organization that provides surgical treatment for the childbirth injury obstetric fistula. She has led the organization from supporting one hospital in Ethiopia to being the clear global leader in obstetric fistula treatment. Fistula Foundation funds more fistula surgeries than any organization in the world; their goal is to eliminate the suffering caused by the injury, which untreated leaves women incontinent and too frequently social outcasts. An estimated one million women suffer from fistula worldwide, and due to a global shortage in awareness and funding, fewer than 20,000 are treated each year. Under Ms. Grant's leadership, Fistula Foundation has raised more than $140 million and supported treatment in 34 countries. Fistula Foundation is a recommended charity of ethicist Peter Singer's The Life You Can Save. In addition, it has earned a 4-star rating from Charity Navigator every year since 2005, and an A rating from Charity Watch. In 2023, the foundation received its largest-ever gift—a $15 million donation from philanthropist MacKenzie Scott.

Kennedy Odede is a Kenyan social entrepreneur and author. Odede is the co-founder and CEO of Shining Hope for Communities (SHOFCO), a movement based in Nairobi, Kenya, and New York, USA.

The Association for Rehabilitation and Re-Orientation of Women for Development, abbreviated as TERREWODE, is a leading Ugandan nonprofit organization. It pioneered best practices for the elimination of obstetric fistula in Uganda over 16 years. The organization focuses on maternal and reproductive health. Headquartered in Soroti, TERREWODE's efforts target the empowerment and education of young women in rural communities. TERREWODE's activism focuses on women's rights to maternal, reproductive and sexual health, as well as the treatment and social reintegration of victims of obstetric fistula.

Mamitu Gashe is an Ethiopian surgeon who is a specialist in repairing obstetric fistula, and was named by the BBC in its 100 Women list of 2018. She had decided to become an obstetrics surgeon after almost dying during childbirth at the age of 16 in 1962.

Sayeba Akhter is a Bangladeshi physician who has dedicated her career to eliminating obstetric fistula. She is an executive member of the International Society of Obstetric Fistula Surgeons and has previously served as the president of the Obstetrics and Gynaecology Society of Bangladesh. She leads two charities, in Dhaka and Gaibandha, which focus on the education of underprivileged girls.

Deborah Maine is a US public health expert, epidemiologist and Professor of International health. UNFPA has credited her and her advocacy for better maternal health care as having helped save millions of lives. She directed the Averting Maternal Death and Disability Program (AMDD), which doubled the capacity for emergency obstetric care in several places in West Africa.

<span class="mw-page-title-main">Ndirangu Wanjuki</span> Kenyan physician (born 1970)

Meshack Ndirangu Wanjuki, is a Kenyan physician, public health leader and certified coach.

References

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  71. ↑ J. Jennings, Moss (23 May 2023). "San Jose nonprofit Fistula Foundation gets record $15M donation from MacKenzie Scott". www.bizjournals.com. Retrieved 2023-05-25.
  72. ↑ Segelken, H. Roger (2008-10-16). "Dr. Allan Rosenfield, Women's Health Advocate, Dies at 75". The New York Times. Retrieved 2021-01-06.
  73. ↑ "2016 Allan Rosenfield Award". www.fistulafoundation.org. Fistula Foundation. 25 October 2016. Retrieved 2019-11-06.
  74. ↑ "2017 Allan Rosenfield Award: Jerry Goldstein". www.fistulafoundation.org. Fistula Foundation. 14 February 2017. Retrieved 2019-11-06.
  75. ↑ Miscala, Mirabel (2022-01-19). "Three Champions for Fistula Care Receive Allan Rosenfield Award". Fistula Foundation. Retrieved 2022-09-21.
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