by Katie Tayler-Smith, Rony Zachariah, Marcel Manziet al.
BMC Pregnancy and Childbirth 2013, 13:164 (21 August 2013)
In Burundi, the annual incidence of obstetric fistula is estimated to be 0.2-0.5% of all deliveries, with 1000-2000 new cases per year. Despite this relatively high incidence, national capacity for identifying and managing obstetric fistula is very limited. In July 2010, Medecins Sans Frontieres (MSF) set up a specialised Obstetric Fistula Centre in Gitega, the only permanent referral centre for obstetric fistula in Burundi. The authors conclude that in a rural African setting, it is feasible to implement a comprehensive package of fistula care using a dedicated fistula facility, and satisfactory surgical repair outcomes can be achieved.