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{
    "id": 846993,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/846993/?format=api",
    "text_counter": 148,
    "type": "speech",
    "speaker_name": "Nyandarua CWR, JP",
    "speaker_title": "Hon. (Ms.) Faith Gitau",
    "speaker": {
        "id": 974,
        "legal_name": "Faith Wairimu Gitau",
        "slug": "faith-wairimu-gitau"
    },
    "content": "Vesico-vaginal Fistula causes urine and stool to mix. It causes infections, pain and bad smell. It often triggers stigma and break down of families because of the smell that the patient produces. Some families do not work anymore. Their community life is interrupted. As the Mover has put it, more than 2 million women and girls live with obstetric fistula, most of which occur as a result of complicated deliveries. Women with obstructed labour, which can lead to fistula, need emergency obstetric care such as caesarean sections. Inadequate access to emergency obstetric care, especially for poor rural women, is a long outstanding problem in this country. In my county alone, I have 10 fistula cases I am dealing with. I would like to inform you that it is very frustrating because their treatment is not forthcoming. Therefore, the Government should urgently train fistula surgeons and doctors. Currently, we only have 15 fistula surgeons in this country. Fistula services, in both county and national hospitals should, therefore, be made affordable or free of charge. There is also need for institutional preparedness that will see an improvement in quality of care at health facilities as well as effective referral systems. We also need more awareness campaigns at community level."
}