Home  >  People Fixing the World  >  The mums saving each other from a taboo condition
People Fixing the World
The mums saving each other from a taboo condition
People Fixing the World
Apr 2, 2019

"Get rid of the girl who smells" - this is the reaction thousands of traumatised new mothers face every year. A prolonged or obstructed childbirth can lead to a condition called obstetric fistula, where women are left incontinent, continually leaking urine and faeces. Without treatment they often become socially isolated. But in Madagascar, some women who have successfully been treated for fistula become patient ambassadors. They travel on foot to remote villages to find and help others with the same condition. They personally accompany them to clinics to get life-changing surgery and support. Afterwards, those women return to their villages and begin campaigning for other women to seek care. Many medical organisations around the world are waking up to the power of the patient's voice - patient ambassadors can resonate with vulnerable groups in a way that other kinds of outreach can't.

Reporter/ Producer: Amelia Martyn-Hemphill

(Photo Caption: Felicia - a patient ambassador in Madagascar / Photo Credit: BBC)

More Episodes



Apr 14, 2026
Back from the brink: Uganda’s gentle giants

The eco-tourism that is helping to protect mountain gorillas in Uganda.

Myra Anubi is in Uganda visiting the Bwindi Impenetrable Forest. It’s one of the few places that gorillas still exist in the wild, and even better, in recent years their numbers have actually been rising and they are no longer considered critically endangered.

This is partly down to the hard work of Dr Gladys Kalema-Zikusoka and the Conservation Through Public Health organisation. They engage with communities living close to the gorillas, who were often poaching them and destroying their habitat, to help them better understand the animals and tap into the potential for eco-tourism. They also encourage other forms of enterprise, supporting local coffee farmers with training and investment.

Myra meets former poachers now involved in conservation and speaks with local farmers - often women - who look after the coffee plantations. She talks to the village conservation teams involved in protecting the gorillas. And of course, goes into the forest to get a glimpse of these incredible creatures herself.

People Fixing The World from the BBC is about brilliant solutions to the world's problems. We release a new edition every Tuesday. We'd love you to let us know what you think and to hear about your own solutions. You can contact us on WhatsApp by messaging +44 8000 321721 or email [email protected]. And please leave us a review on your chosen podcast provider.

Presenter: Myra Anubi Producer: Richard Kenny Editor: Jon Bithrey Sound mix: Andrew Mills

(Photo: A mountain gorilla in Bwindi Impenetrable Forest. Credit: Richard Kenny)


23min 14sec

The mums saving each other from a taboo condition

--:--
--:--