2.4 Hamlin The Hamlin College of Rehabilitation and International Partners Reintegration Fistula Center Midwives Hamlin Fistula USA Hamlin Fistula Sweeden Desta Mender Washington University in St. Louis Gullringevägen 5c Harar Hamlin Fistula Center, the fourth The Hamlins’ original plan for working Campus Box 8064, WUSM 423 70 Säve Desta Mender is a farm and training 660 South Euclid Avenue Sweden in was to train midwives so regional center, was officially opened facility, built on land beside a mountain St. Louis, MO 63110 Email: [email protected] by Dr. Catherine Hamlin in 2008. that all women would have access to on the outskirts of , given Email: [email protected] Phone 46 31 960078/ Strategically placed in the east of the a clean, safe birth. In 2007, almost to Hamlin Fistula Ethiopia by the [email protected] Reg. Charity – Org.nr 802016-3153 Ethiopian government. It has market Phone: (314) 362-4511 country in Harar, the center treats both 50 years later, Dr. Catherine returned Website: www.hamlinfistulausa.org Hamlin Fistula New Zealand gardens, an orchard and dairy farm Ethiopian and Somalian women due to Registered 501(c)(3) P.O.Box 6395, Upper Riccarton to her original vision through the as well as the Juniper Café where its close proximity to the Somali border. Tax ID 27-4451603 Christchurch, 8442 development of the Hamlin College residents learn hospitality skills. New Zealand The hospital is located on the grounds of Midwives. Hamlin Fistula UK Email: [email protected] of the Hiwot Fana Government Hospital Meaning ‘Joy Village’, Desta Mender 4 Parade Buildings Phone +03 3588774 is where long-term patients live for a Nimmings Road on land donated by the Regional Halesowen, West Midlands With the objective of improving period of time. Here, they live close Hamlin Fistula International Foundation Government. B62 9JJ Cabinet 22 maternal heath, the college currently to one of our hospitals whilst gaining Rue de Saint-Léger, 22 trains and deploys midwives in villages independence and learning new skills Email: [email protected] 1204 Genève 2.5 Metu Hamlin for when they return to village life. If a Phone: 0121 440 2460 identified for improved maternal Switzerland Fistula Hospital patient cannot be cured and has to Website: www.hamlinfistulauk.org Email:[email protected] / services. Local midwives are recruited have a stoma, she needs ongoing Registered under Charities Act 1960 - [email protected] Charity Number 1153053 from high school graduates in the access to clean equipment and Phone: 078-612 30 20 The Mettu Hamlin Fistula Centre, Registered Office: BB Treuhand AG, ongoing medical care. Catherine Hamlin Fistula Foundation opened in 2010, is located in Mettu, provinces and trained in a four-year- Rathausstr. 7, CH-6341 Baar Turramurra NSW 2074 the capital of Illubabora zone, Oromiya degree with a vigorous curriculum of Registered No: CH-170.7.000.631-5: Training P.O.Box 5066 Commercial Register Canton of Zug Region. Mettu is situated along the Sor theory and practice. They are then Pers.-No. 1025-165-79 Email: [email protected] River, 600 km south-west of Addis deployed back to the provinces to Hamlin Fistula Ethiopia has become a Phone 02 9440 7001 Ababa. Apart from treating fistula work alongside the regional fistula world wide training centre for Obstetric Website: hamlin.org.au Fistula surgery and treatment. Training patients, the center provides health centers. Charity Number (CN) is 22469 courses in fistula repair are offered for Australian Business Number is and literacy education and handicrafts Obstetric/Gynecology residents from 58 159 647 499 training to the patients. In 2010, the first graduates were medical schools in Ethiopia. We have Hamlin Fistula Netherlands a Urogynecology Fellowship Training deployed in health centers in Email: [email protected]/ Prevention Program, which consists of three areas close to the fistula regional [email protected] consecutive years of urogynecology Website: www.fistulahospital.nl Hamlin Fistula Ethiopia centers and since then there have The Addis Ababa Fistula Hospital training designed to provide the KvK number 16089513 Bank Account since its establishment, treated been no maternal deaths in those fellows ever-increasing patient care KvK means Chamber of Commerce, Hamlin Fistula Ethiopia more than 50,000 women suffering districts. More than 125 midwives responsibilities and to achieve full Bank Name: Commercial Bank competent in all aspects of diagnosis Hamlin Fistula Germany from . Six years have already graduated and been of Ethiopia and management of women with Fistula e.V. Branch: Foreign Transfers and ago however, the Hospital initiated deployed to remote health centers. Neue Heimat 7 conditions that fall within the limits of NR Accounts prevention activities to minimize the 76646 Bruchsal Hamlin midwives are working across urogynecology and female urology. A/c No : 1000229854848 incidence of the injury through (a) We also offer a six week course of 49 7257 6429 over 40 partner health centers and Germany Swift Code: CBETETAA maternal health improvement and (b) training for senior health professionals in Hamlin hospitals. In 2015 alone, [email protected] Tele.No: 251-0115- awareness raising on Obstetric Fistula. from other countries where Obstetric Phone 07257-6429 157210/0115-530042 Hamlin midwives attended more than Fistula is an issue. We also have a Our main initiatives are; the Hamlin Website: www.fistula.de Email: [email protected] 10,000 births, provided antenatal competency based training program Reg. Charity - VR 1174 College of Midwives and our outreach with a priority to build capacity in care for more than 18,000 women Hamlin Fistula Ethiopia program. other locations in Africa and Asia, P.O. Box 3609 Addis Ababa, Ethiopia and conducted more than 5,000 where Obstetric Fistula is a problem postnatal care visits. including Afganistan and southern Tel +251 11 371 6544 Fax +251 11 372 6253 Sudan. [email protected] www.hamlinfistula.org Hamlin Fistula surgery for women suffering a social outcast in her own community. the southwest. Each Hamlin Fistula Center is built inside a government general from Obstetric Fistula. Later hospital, which ensures resources are used effectively and wisely. Ethiopia , the need for such services Vision Hamlin Fistula Ethiopia (HFE) is a became so overwhelming that A world without maternal death, birth injuries or obstetric fistula. 2.1 Hamlin Fistula Center registered charitable organization in 1974 they established the Addis Ababa Fistula Hospital to The Bahir Dar Hamlin Fistula Center is located in Bahir Dar, the capital of the dedicated to the treatment and Mission prevention of obstetric fistula. It was care for women with Amhara Region, 540 km north-west of Addis Ababa. The center was opened in founded in 1974 by Dr. Catherine injuries. HFE is committed to being the world’s pioneering and leading organization that 2005 and since then has treated thousands of fistula patients in the region and Hamlin and her late husband provides a holistic, compassionate, equitable, timely and high quality services to treat reintegrated the majority of them back into their communities. The hospital also Dr. Reginald Hamlin after being What is an birth related injuries, and to the rehabilitation and restoration of the dignity of women provides health and literacy education and handicrafts training to the patients. confronted with the tragic situation Obstetric Fistula with childbirth injuries and related gynecological illnesses. HFE works on improving of Ethiopian women suffering from the quality and effectiveness of maternal health services to prevent birth related Obstetric fistula refers to an obstetric fistula, and since then injuries by promoting evidence-based practices and technologies, and providing injury resulting from long the organization has treated more highly focused training programs. unrelieved obstructed labor. than 50,000 fistula patients and When a baby is too big or reintegrated the majority of them poorly oriented, it may not pass Core Values back into their communities. through the pelvis of the mother and may result in obstructed labor. The constant • Respect pressure of the unborn baby’s head against the mother’s bony pelvis in unrelieved, • Belongingness prolonged and obstructed labor over many hours or days leads to the death of • Accessibility 2.3 Yirgalem Hamlin Fistula Center Currently, Hamlin Fistula Ethiopia tissue and an abnormal opening between the birth passage and bladder, and/ • Sustainability oversees the Addis Ababa Fistula or rectum. Labor proceeds, and if the mother survives, usually results in stillbirth. • Empowerment Yirgalem Hamlin Fistula Center is situated within the grounds of the regional Hospital and its five regional • Quality Yirgalem Hospital, located in Sidama zone, Southern Nations and Nationalities centers, the Hamlin College Following the traumatic experience, the woman becomes incontinent of urine and/ • Caring Peoples’ Region (SNNPR). The center, since its establishment in 2006, has of Midwives, and the Hamlin or feces and can be cured by surgery. A constant trickle of body waste products • Ethics treated thousands of fistula patients and reintegrated the majority of them back Rehabilitation and Reintegration makes her offensive to those around her and unwanted. Eventually, she becomes • Transparency into their communities. Training Center (Desta Mender). • Accountability

History Treatment Maternal death and disability in Ethiopia, particularly in rural areas, 1. The Addis Ababa Fistula Hospital is among the highest in Africa. A sizable proportion of the women Built in 1974, the Addis Ababa Fistula Hospital is the main hospital campus. The suffer from a condition referred to hospital has three wards, a large operating theatre accommodating four surgical as Obstetric Fistula. In 1959 the teams, specialist clinics including a physiotherapy department, urodynamic and husband and wife team of Drs, stoma clinic, pharmacy and pathology services. It has also a 120-bed capacity but 2.2 Hamlin Fistula Center at times the number of beds might increase to accommodate need. Reginald and Catherine Hamlin The Mekelle Hamlin Fistula Center is located in Mekelle, Tigray region, 760km came to Ethiopia initially with a 2. Hamlin Fistula Regional Centers from Addis Ababa. Opened in 2006, this was the second of the planned five three-year period with the aim mini-hospitals to be completed. The center not only treats patients in the Tigray of addressing the shortage of Due to a lack of transportation infrastructure and difficult geography, many patients region but also patients from the Afar and Amhara regions. Together with the maternal health training and cannot access the capital for treatment at the Addis Ababa Fistula Hospital. For Regional Health Bureau, the center offers a range of training programs to doctors services. Based at the Princess this reason, in 2003, Hamlin Fistula Ethiopia began an ambitious plan to build and health officers in emergency obstetric care. It also works with international and Tsehay Memorial Hospital, they five regional Hamlin Fistula Centers. These are Hamlin Fistula Centers in Mekelle local NGOs in the prevention of obstetric fistulas, averting maternal morbidities and became pioneers in performing and Bahir Dar in the north, Yirgalem in the south, Harar in the east and Mettu in reducing maternal mortality