The Fistula Care Plus (FC+) project is a five-year global project supported by the USAID Offices of Population and Reproductive Health and Maternal and Child Health and Nutrition. The project began in 2013 and was recently extended to March 2021.1 The project is designed to prevent, detect, and treat obstetric fistula (OF), an abnormal connection between the genital tract and bladder, resulting in a continuous flow of urine and/or feces after prolonged obstructed labor during childbirth, normally occurring where women do not have access to emergency obstetric care. The purpose of the assessment is to identify and prioritize the most relevant interventions to address fistula prevention treatment and reintegration within USAID/Bangladesh’s future portfolio. The assessment questions focused on current and socio-demographic characteristics of women suffering from fistula, and the main drivers of the condition in Bangladesh; equity issues associated with access to fistula treatment; implementation approaches that have yielded good results under the project; approaches used to address other maternal morbidities, especially pelvic organ prolapse; and pending or programmatic gaps toward ending fistula in Bangladesh that USAID should prioritize for program intervention.
Strategic Assessment of USAID Bangladesh Fistula Program