Migori: Fistula remains a largely neglected medical condition impacting numerous women in Migori County, with many suffering in silence due to stigma and lack of proper medical facilities. This condition, which involves an abnormal connection between the urinary and digestive systems, disproportionately affects women, although rare cases are seen in men. A recent medical camp in Migori County highlighted the ongoing struggle against this debilitating condition and the urgent need for specialized medical care.
According to Kenya News Agency, Dr. Godfray Omire, an Obstetrician Gynecologist at the Migori County Referral Hospital, outlined that the lack of accurate statistics on fistula cases is due to the reliance on well-wishers for healthcare provision in this area. Dr. Omire explained that fistula in men, though uncommon, usually involves the urinary system and skin, with men more likely to seek treatment compared to women. Women, on the other hand, often conceal their condition due to shame or fear of expos
ing traumatic experiences such as defilement or Female Genital Mutilation (FGM), particularly prevalent in the Kuria Community.
The recent free annual fistula screening conducted by the Mpesa Foundation and AMREF during September-October 2024 in Migori County was a major event, drawing patients from neighboring counties such as Kisumu, Nyamira, Siaya, and even Muranga. Out of 1,000 women screened, 110 underwent reconstructive surgery, underscoring the critical nature of these medical camps.
Dr. Omire also noted the challenge of insufficient specialists in the field of obstetric gynecology, which hampers effective treatment and surgery for different types of fistula. He emphasized the necessity of skilled gynecologists to perform these complex surgeries successfully on the first attempt.
To combat this issue, Dr. Omire encouraged women suffering from fistula in Migori County to take advantage of the available resources. Regular free screening camps are held at the Vihiga County Referral Hospital and the Jar
amogi Oginga Odinga Referral Hospital in Kisumu County. Additionally, the Gynocare Women’s and Fistula Hospital in Eldoret town, supported by the Fistula Foundation, offers daily treatments.
This ongoing effort to provide essential healthcare and reduce the stigma surrounding fistula is vital for improving the lives of many women affected by this challenging condition.