{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T22:01:08Z","timestamp":1784584868269,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T00:00:00Z","timestamp":1578873600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Obstetric fistula is a neglected public health and human rights issue. It occurs almost exclusively in low\u2010resource regions, resulting in permanent urinary and\/or fecal incontinence. Although the exact prevalence remains unknown, it starkly outweighs the limited pool of skilled fistula surgeons needed to repair this childbirth injury. Several global movements have, however, enabled the international community to make major strides in recent decades. FIGO's Fistula Surgery Training Initiative, launched in 2012, has made significant gains in building the capacity of local fistula surgeons to steadily close the fistula treatment gap. Training and education are delivered via FIGO and partners\u2019 Global Competency\u2010based Fistula Surgery Training Manual and tailored toward the needs and skill level of each trainee surgeon (FIGO Fellow). There are currently 62 Fellows from 22 fistula\u2010affected countries on the training program, who have collectively performed over 10\u00a0000 surgical repairs. The initiative also contributes to the UN's Sustainable Development Goals (1, 3, 5, 8, 10, and 17). The UN's ambitious target to end fistula by 2030 will be unobtainable unless sufficient resources are mobilized and affected countries are empowered to develop their own sustainable eradication plans, including access to safe delivery and emergency obstetric services.<\/jats:p>","DOI":"10.1002\/ijgo.13033","type":"journal-article","created":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T07:08:46Z","timestamp":1578985726000},"page":"9-15","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Addressing the fistula treatment gap and rising to the 2030 challenge"],"prefix":"10.1002","volume":"148","author":[{"given":"Gillian","family":"Slinger","sequence":"first","affiliation":[{"name":"Fistula Surgery Training Initiative FIGO (International Federation of Gynecology and Obstetrics)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilli","family":"Trautvetter","sequence":"additional","affiliation":[{"name":"Fistula Surgery Training Initiative FIGO (International Federation of Gynecology and Obstetrics)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.016"},{"key":"e_1_2_9_3_1","first-page":"1419","volume-title":"Incontinence","author":"De Ridder D","year":"2009"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.07.005"},{"key":"e_1_2_9_5_1","unstructured":"FIGO (International Federation of Gynecology and Obstetrics).Fistula Training Initiative2019.https\u200b:\/\/www.figo.org\/fistulaAccessed June 25 2019."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001769"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)15177-X"},{"key":"e_1_2_9_8_1","unstructured":"World Health Organization.10 Facts on obstetric fistula. Updated January2018.https\u200b:\/\/www.who.int\/featu\u200bres\/factf\u200biles\/obste\u200btric_fistu\u200bla\/en\/. Accessed June 28 2019."},{"key":"e_1_2_9_9_1","unstructured":"Direct Relief. Global Fistula Map2012.http:\/\/globa\u200blfist\u200bulamap.org\/. Accessed June 28 2019."},{"key":"e_1_2_9_10_1","unstructured":"FIGO (International Federation of Gynecology and Obstetrics).Global Competency\u2010based Fistula Surgery Training Manual.2011.https\u200b:\/\/www.figo.org\/sites\/\u200bdefau\u200blt\/files\/\u200buploa\u200bds\/wg-publi\u200bcatio\u200bns\/fistu\u200bla\/FIGO_Global_Compe\u200btency-Based_Fistu\u200bla_Surge\u200bry_Train\u200bing_Manual_0.pdf. Accessed June 30 2019."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12482"},{"key":"e_1_2_9_12_1","unstructured":"Medical Aid International[website].https\u200b:\/\/www.medaid.co.uk\/. Accessed July 4 2019."},{"key":"e_1_2_9_13_1","unstructured":"Fry. Kaizen ePortfolio[website].https\u200b:\/\/fry-it.com\/kaize\u200bn\/. Accessed July 1 2019."},{"key":"e_1_2_9_14_1","unstructured":"United Nations.About the Sustainable Development Goals.https\u200b:\/\/www.un.org\/susta\u200binabl\u200bedeve\u200blopme\u200bnt\/susta\u200binable-devel\u200bopment-goals\/\u200b. Accessed June 30 2019."},{"key":"e_1_2_9_15_1","unstructured":"UNFPA.Resolution adopted by the General Assembly on 17 December 2018.2018. A\/RES\/73\/147.http:\/\/www.endfi\u200bstula.org\/sites\/\u200bdefau\u200blt\/files\/\u200bpub-pdf\/UNGA_PUB_2018_EN_RESOL\u200bUTION_73_147.pdf. 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