Its prevalence, concentrated in the developing world, signals deep-seated inequities in health systems and little access to timely emergency obstetric services.

And its consequences are tragic.

Take Gajara, a 35-year-old woman living outside of Cox’s Bazar in Bangladesh. After three days of obstructed labor, Gajara gave birth to a stillborn baby. She developed a fistula in the process that left her incontinent.

That was 12 years ago.

Gajara endured her debilitating birth injury for more than a decade before learning that she could access life-restoring surgery, free-of-charge, at the nearby HOPE Hospital.

Doctors at the hospital told Gajara that her case was particularly complex due to the large size of the fistula as well as the fact that she had developed bladder stones. She underwent four operations to fix the extensive damage to her bladder and urinary system. Her treatment was ultimately successful. She got her life back. Every so often, she calls the hospital to express her gratitude.

Fistula also occurs where social norms related to child marriage and female genital mutilation exist, as was the case with Siyan.

At 13, Siyan underwent what is referred to locally as “traditional initiation” or female genital mutilation. Before the wound had healed, she was married to a 25-year-old man and became pregnant.

Siyan went into labor at home. Two days passed before a birth attendant arrived to assist. She gave birth to a healthy baby but suffered a vaginal tear that didn’t heal and left her incontinent.

A short time later, her husband left. Siyan moved back with her mother where she lived for more than a year before a local hospital referred her to the Gynocare Fistula Hospital in Eldoret, Kenya. There she underwent successful surgery to repair her rectovaginal fistula. After her recovery, Siyan was able to go back to school. After her surgery, Siyan said she hopes to study medicine in college. She wants to be a fistula surgeon.

The Fistula Repair Module

These stories are representative of thousands of women in the developing world who are living with obstetric fistula. To help ensure they can access care as Gajara and Siyan were able to, Direct Relief developed the Fistula Repair Module.

The module, endorsed by the Federation of Gynecology and Obstetrics, contains 55 surgical and medical items, including highly specialized sutures generously donated by Ethicon (part of Johnson & Johnson Medical Devices Companies), to perform 50 surgeries.

By the end of this fiscal year, Direct Relief will have shipped 100 Fistula Repair Modules to 17 countries — enough surgical supplies to enable 5,000 surgeries.

Partnering to End Fistula

While surgery and surgical tools are essential to ending fistula, they comprise only part of the equation.

That’s why Direct Relief is privileged to partner with dozens of healthcare facilities and advocacy groups around the world that work tirelessly to not only address obstetric fistula as a physical injury but as psycho-social trauma, helping women overcome the associated stigma and successfully reintegrate into their families and communities.

For a comprehensive list of organizations working to end obstetric fistula, visit the “Find a Fistula Repair Center” application.

Editor’s note: Names were changed to protect patient privacy.

The post Equipping Surgeons to End Obstetric Fistula appeared first on Direct Relief.

The Direct Relief-chartered MD-11 cargo jet contained $21 million (wholesale) in donated medical resources from 44 companies (full list of companies below), including extensive quantities of intravenous solutions and prescription medications for acute conditions and chronic diseases such as diabetes and hypertension that can rapidly become medical emergencies if not managed. 

“This airlift will go a long way towards helping our fellow Americans in Puerto Rico, and I am eternally grateful to Direct Relief and all of the organizations involved,” said President Bill Clinton, 42nd President of the United States, and founder and board chair of the Clinton Foundation. “Their efforts are a reminder that when so many people need our help, our common humanity matters even more.”

The Clinton Foundation has supported Direct Relief’s work for years, including the recovery efforts after the 2010 Haiti earthquake and the response to the Ebola epidemic in West Africa in 2014. In the response to the Caribbean hurricanes this year, the Clinton Foundation has helped to coordinate and advise the team at Direct Relief.

Businesses Step Up to Fill Resource Gap

Direct Relief works with dozens of healthcare companies’ philanthropic arms on an ongoing basis to address public health needs and humanitarian crises across the globe and in all 50 U.S. states.  This private philanthropic support from businesses, as well as philanthropic support from individuals, foundations, and organizations has enabled a massively stepped-up response to assist in Puerto Rico, where health services have been severely constricted by the extensive damage caused by Hurricane Maria.

44 companies joined in filling specific requests that Direct Relief received from nonprofit health centers, government facilities, and private hospitals in Puerto Rico – all of which have been struggling to restore and expand services to care for the island’s more than 3 million residents.

“Direct Relief has been a wonderful partner for Eli Lilly and Company,” said Rob Smith, senior director of corporate responsibility and president of the Eli Lilly and Company Foundation.  “We have worked together to get insulin to those impacted by the devastating effects of Hurricane Maria.  Lilly could not ask for a more capable, responsive, and compassionate partner.  We are so grateful for all of the things Direct Relief is doing to help the great people of Puerto Rico recover from this terrible disaster.”

The medicines and supplies on the flight were donated by the following companies:

3M; Abbott; AbbVie; Alcon; Allergan plc; Amneal Pharmaceuticals; Apotex Inc.; AstraZeneca; Baxter International Inc.; Bayer; BD; Boehringer Ingelheim Cares Foundation; Bristol-Myers Squibb; Cera Products, Inc.; Cipla; Coola Suncare; CVS; DayOne Response; Ethicon; GSK; Henry Schein, Inc.; Integra LifeSciences; InTouch Health; Janssen Pharmaceutical Companies of Johnson & Johnson; Kaléo; LifeScan; Magno-Humphries Labs; Medtronic; Merck & Co., Inc.; Mylan; Nephron Pharmaceuticals Corporation; Noble Laboratories, Inc.; Novartis; Pfizer Inc.; Prestige Brands; Sagent Pharmaceuticals, Inc.; Sanofi Foundation for NA; Sappo Hill Soapworks; Starbucks; Teva Pharmaceuticals, USA; Trividia Health; Vaseline; Wisconsin Pharmacal Company. 

Responding to an Unprecedented Hurricane Season

Today’s airlift follows several weeks of smaller-scale airlifts and hand-carried medications and emergency medical resources to dozens of Puerto Rico’s nonprofit health centers and medical teams organized by the Puerto Rico Department of Health.

Among the critical items has been 565 vials of blood-clotting factor for children with hemophilia, 15,600 vials of insulin, 35 pre-kitted emergency medical packs containing a broad range of Rx medications and supplies, as well as 1500 solar lights and over 4000 bottles of insect repellant to protect against Zika virus.

Direct Relief’s response in Puerto Rico has been concurrent with extensive responses to Hurricanes Harvey and Irma that preceded Maria.

Since Hurricane Harvey’s landfall on August 25, Direct Relief has sent 148 tons of medications, vaccines, and medical supplies valued at $64.7 million (wholesale) and including 19 million defined daily doses of Rx medications delivered via 560 emergency shipments to 143 partner organizations in Texas, Florida, Puerto Rico, USVI and seven Caribbean countries.

In addition, Direct Relief has provided and committed financial support in the form of grants totaling over $2.7 million to 43 nonprofit health centers and clinics and their primary care associations in Texas, Florida, and Puerto Rico.

The post 76-Ton Airlift of Medicine and Medical Supplies Lands in Puerto Rico   appeared first on Direct Relief.

More than 1 million people in Haiti are still in need due to the hurricane, and disease remains rampant, with almost 4,000 cholera cases reported since Oct. 4.

Direct Relief was quick to respond to healthcare partners after the storm and will continue to do so through the recovery.

Financial Summary

Direct Relief received more than 3,000 Hurricane Matthew-designated financial contributions totaling $827,962; including pledges, the total increases to $1,071,266.

Direct Relief recognizes that the generous supporters who pledged and gave more than $1 million in response to Hurricane Matthew did so with the express intent that their contributions benefit people affected by the storm.

In accepting funds for Hurricane Matthew, Direct Relief understands that both those who contributed — and the people for whose benefit the contributions were made — deserve to know, in detail, how Direct Relief is using these funds.

*Direct Relief does not rely on government funding.

The Response

As the world’s attention shifts, Direct Relief remains committed to supporting the needs of local healthcare providers in Haiti and the U.S.

United States

Direct Relief shipped $1.3 million worth of supplies to impacted communities in the U.S. after Matthew. Five tons of medicines and medical supplies were sent in 29 different shipments.

Before the storm made landfall, Direct Relief had prepositioned emergency medical modules in the hurricane’s path. Two were opened after the storm, one at the Roanoke Chowan Community Health Center in North Carolina, and another at the Franklin C. Fetter Health Care Network in South Carolina.

Each U.S.–bound pack contains enough medicines and supplies to treat 100 patients for three to five days after a hurricane hits.

Haiti

Roadways and bridges were washed away by the storm, and some of the hardest-hit communities in the southwestern part of the country also proved the most difficult to access. In the following weeks, Direct Relief used any means possible to transport aid, including by helicopters and ships.

Since Oct. 4, Direct Relief delivered $10 million worth of medicines and medical supplies to Haiti – nearly 20 tons. That included more than half a million daily doses of medication.

Material Support

Below is a list of companies that contributed medical resources to the response.

Looking Forward

Cholera persists as a life-threatening force in the country, and Direct Relief will continue to supply partners with supplies to treat this preventable, but deadly, disease. Direct Relief is continuing to deliver shipments of oral rehydration salts, IV equipment and other needed supplies.

The next delivery is scheduled to arrive in the coming days with more than 500,000 water purification sachets. Each sachet can clean 10 liters of drinking water. In total, the shipment will result in nearly 1.5 million gallons of safe drinking water.

The shipment will also contain oral rehydration salts, which can be mixed with the purified water to restore the electrolytes of a dehydrated person.

The post Hurricane Matthew: The Response Continues appeared first on Direct Relief.

A June 10 report issued by Nepal’s Ministry of Health and Population noted that 375 of the 446 public health facilities and 16 private facilities in Nepal’s hardest hit regions were destroyed, with the highest near-term priority being the resumption of health services, including the provision of logistics to provide drugs and supplies, to care for both injured persons and the general population.

“The Nepal earthquakes delivered a cruel blow, causing more people to need care and destroying the places where they can receive it,” said Thomas Tighe, President and CEO of Direct Relief. “Private resources are keenly needed as part of the collective effort, and we are deeply thankful to the companies that have again stepped up to help in such a substantial way.”

The 21 healthcare companies listed below contributed to today’s airlift, which contains 5,350,173 defined daily doses (DDDs) of medications, trauma and wound care supplies, and thousands of liters of oral rehydration solution (Pedialyte) – acutely needed in a country where cholera is endemic and posing a heightened risk.

The post Earthquake Recovery: 21 Healthcare Companies Making a Difference in Nepal appeared first on Direct Relief.

Today is the final day of the International Society of Obstetric Fistula Surgeons (ISOFS) meeting in Dakar, Senegal. It has been an incredibly busy few days as fistula surgeons and health professionals have come together to share diverse experiences, research findings, and recommendations for improving quality of treatment, management, and prevention of obstetric fistula. Representatives from more than 40 countries are participating in the conference, all sharing the common goal of working to improve fistula care and a vision for eradication of this preventable condition due to failures in maternal health care.

Representing Direct Relief, I have had the unique opportunity to engage with many of the preeminent fistula surgeons in the world. Many of the pioneers in the field are here, surgeons who have dedicated their careers to treating women with fistula, training other surgeons, and spearheading research to improve the outcomes for fistula care. Many more youthful faces from the next generation are here—motivated, committed, primarily African surgeons from all parts of the continent have come to learn from each other and improve their expertise in a region where the burden of obstetric fistula is highest.

The surgeons provide an essential service for helping restore the dignity of women living with obstetric fistula. Also present are advocates, community organizers, and public health professionals who are addressing the important areas of prevention of fistula through improved obstetric care and also social reintegration of women back into their communities after their physical wound has been healed. This community recognizes that it is simply not enough to surgically repair the fistula and send a woman on her way after she has lived often for many years with a highly stigmatizing and socially humiliating condition. The conference theme acknowledges the increased effort which must be made not only to treat the physical condition but to ensure that women can return to normal, healthy lives in their community.

A great deal of good work is being done by many organizations across Africa and Asia to address obstetric fistula. A shared understanding of exactly where these services are located and the current capacity for treatment remains elusive. Direct Relief is working together with ISOFS and the Fistula Foundation to help illuminate this information in a way that is accessible to all stakeholders.  Using our experience in GIS (geographic information systems) technology, Direct Relief hopes to help create powerful tool for everyone in the fistula care community—to understand the current landscape for treatment, help identify unmet need, and provide a tool to guide decisions on future resource and service allocation.

Direct Relief is currently providing surgical supplies to support fistula-repair programs in seven hospitals across Africa, many of which are represented here.  It is clear through the level of engagement at this conference – and by the preliminary results of the fistula treatment mapping – that there are many more facilities where surgical supplies are needed. Working together with healthcare companies like Johnson & Johnson, Ethicon, Covidien, and CR Bard, Direct Relief hopes to support more surgeons so they have the supplies they need to do this valuable work.

This gathering has reassured my confidence in Direct Relief’s decision in making fistula care and prevention a central part of its maternal health strategy over the next five years. There is a lot of good momentum and energy here at this conference. We all agree that a lot remains to be done.

Now off to the closing ceremony and to the work ahead!

The post United in Prevention appeared first on Direct Relief.

The five tons of medical material, valued at $231,000 (wholesale), will be flown to Indonesia on Tuesday, May 30, for use by Indonesian-based partner organizations and colleague U.S. nongovernmental organizations with medical teams in the region.

The aid shipments contain a disaster module furnished by Johnson & Johnson and other materials including: surgical instruments, sutures, wound dressings, casting material, disinfective agents, antibiotics, oral rehydration solution.

Muhammadiyah, Indonesia’s largest civic organization is among the partner organizations that will receive approximately one-half of the medical material aid, for use in its hospital in Bantul and its eight field clinics being established in Bantul and Klaten (Central Java).

The National Chairman of Muhammadiyah, Dr. H. Sudibyo Markus, today reported that the main facility in Bantul is functioning and providing services, but it is stretched beyond capacity. Two of the delivery rooms have been converted to operating theaters, and orthopedic surgeons have been deployed from the Indonesian government and other Muhammadiyah hospitals to assist with the surge of trauma cases. Post-operative patients are being evacuated to Muhammadiyah schools, although some patients remain in hospital corridors and outside under verandas.

In addition, Direct Relief is furnishing material assistance and cash assistance to partner organization Pusat Kajian dan Perlindungan Anak (PKPA). PKPA is an Indonesian organization focused on children’s rights and health, and Direct Relief is financing three of its health programs in Aceh and Medan in Sumatra as part of the tsunami recovery effort.

PKPA’s executive director, Mr. Ahmad Sofian, is in Yogyakarta conducting a rapid health assessment. Cash support approved today will enable PKPA to send 10 physicians to Yogyakarta to provide medical support, nutrition, and address other urgent needs for affected infants and children.

Persatuan Perawat Nasional (PPNI), another Indonesian partner organization with which Direct Relief has teamed to finance five health clinics in the areas hardest hit by the tsunami, is deploying a team of 20 nurses to Yogyakarta to care for earthquake victims.

Direct Relief has approved $25,000 for this effort, with the funds being managed by CHF International, a U.S.-based nonprofit organization with which Direct Relief has partnered on a large health infrastructure building program in tsunami-affected areas. CHF will also receive and distribute one of the emergency medical shipments through its staff members in Yogyakarta.

Corporate Support:

Direct Relief’s Indonesia material support effort is made possible by contributions from 22 companies:

• Abbott
• Aearo Company
• Alcon Laboratories, Inc.
• Amsino International
• Anda, Inc.
• BD
• Bristol-Myers Squibb Company
• BSN Medical, Inc. – Orthopaedics GBU
• Child Health Foundation
• Ethicon, Inc.
• Fisher Scientific Co.
• GlaxoSmithKline
• Hospira, Inc.
• Invacare Supply Group
• Johnson & Johnson
• Johnson & Johnson Consumer Companies
• Kawasumi Laboratories America, Inc.
• McNeil Consumer & Specialty Pharms.
• Microflex
• Miltex Instrument Company
• Vitamin Angel Alliance
• Waldwick Plastics

The post Direct Relief Mobilizes Medical and Financial Assistance for Java Earthquake appeared first on Direct Relief.