Training of Midwives

Carefully monitored post-operative care is also crucial to a patient’s 

recovery, therefor there is an urgent need for more doctors and support staff to handle 

the demand for treatment. Many hospitals rely heavily on the assistance of expatriate 

doctors. Local surgeons and nurses should be trained in fistula repair and their skills 

should be updated regularly. Midwives should immediately refer patients to emergency 

obstetric care when they detect obstructed labour. Referral systems and transportation 

to hospitals should be established and supported. Since emergency obstetric care is 

especially scarce in rural areas, incentives should be offered to attract skilled medical 

personnel to areas with the greatest needs.