Ghana has recorded more than 7,000 cases of obstetric fistula nationwide. This number highlights a significant public health challenge affecting women, particularly those with limited access to timely medical care.
Obstetric fistula occurs when prolonged and difficult childbirth leads to damage of tissues between the bladder and rectum. This often happens when women cannot reach emergency medical services quickly enough. The resulting condition causes uncontrollable leakage of urine or stool. This can lead to social isolation, stigma, and deep emotional trauma for affected individuals. Some communities unjustly associate the condition with witchcraft, further marginalizing these women.
The national economy has faced challenges with maternal healthcare delivery. Experts estimate Ghana records nearly 800 new fistula cases each year. The current estimate of 7,130 women living with the condition in 2025 underscores the ongoing struggle. Eliminating obstetric fistula requires significant intervention. Ghana needs to perform close to 2,500 surgical repairs annually for the next four years to achieve this goal. This situation impacts healthcare budgets and social welfare programs.
Dr Adzi Kofi Gudugbe, an obstetric specialist with the United Nations Population Fund (UNFPA), stated the need for increased investment. "Her Health Is a Right: Invest to End Fistula and Childbirth Injuries" was the theme for a recent awareness day. He stressed that improving access to skilled delivery and emergency obstetric care is key. "To achieve the target of eliminating obstetric fistula in Ghana, we need to repair close to 2,500 cases every year for the next four years," Dr. Gudugbe added.
Efforts are underway to address the crisis. Health authorities and partner organisations are providing free fistula repair surgeries across Ghana. These free services will continue until mid-June 2026. Dr. Gudugbe has appealed for support from the private sector and philanthropists. Partnerships and funding are crucial to increasing the reach of these life-changing interventions. Decision-makers must prioritize maternal health funding to reduce these preventable cases.