Worldwide Fistula Fund
Healing Women, Restoring Lives
Programs and results
What we aim to solve
A woman with obstetric fistula leaks urine or feces uncontrollably. Fistula usually occurs after a woman suffers through 2 or more days of obstructed labor. Pressure from the baby kills soft tissue, creating a hole between her vagina and bladder or rectum that leaks uncontrollably. The baby usually dies, and her foul odor leaves her isolated from others. Obstetric fistula is preventable and treatable. There are an estimated 2 million women and girls currently suffering, and nearly 100,000 more women are injured every year. A woman with pelvic organ prolapse may struggle to perform daily activities such as walking or sitting. She develops POP from multiple difficult labors. Over time, muscles supporting her pelvic organs weaken. The organs drop, push against her vagina and sometimes fall out. She is in pain and embarrassed. She may be shunned by others. POP is preventable and treatable with surgery. In 3 regions of Ethiopia alone, it is estimated over 250,000 women suffer from POP.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Danja Fistula Center
In February 2012, WFF opened a new fistula hospital with operational partner SIM, in Danja, Niger. Located in rural southern Niger, the Danja Fistula Center (DFC Niger) offers comprehensive services to women suffering from obstetric fistulas including free surgery, empowerment/reintegration programs and individual recovery plans. Center staff also provide surrounding communities with prevention education, conduct training for medical professionals as well as publish clinical research on obstetric fistula to advance future treatment protocols.
Mekelle University Capacity Building
WFF seeks to prevent childbirth injuries by educating local care providers such as doctors, physical therapists, and nurses. By teaching care providers advanced medical techniques, we are building their capacity to prevent and treat childbirth injuries as well as other maternal health complications.
Holistic Care in Burkina Faso
WFF partners with ARENA to provide life-changing surgeries to women in Burkina Faso. We also partner with Fondation RAMA to provide holistic care and empowerment training.
In 2017, Dr. Itengré Ouédraogo moved back to Burkina Faso and began creating a foundation upon which to build quality services. With Dr. Lewis Wall’s guidance, Dr. Ouédraogo was able to host a one-week fistula camp before the year ended. Despite unforeseen challenges, he provided life-changing surgery to 20 women! Dr. Ouédraogo is now working to refine and develop services and plans to host more fistula camps in 2019.
Let's End Fistula Initiative in Kenya
In 2018, Seattle-based fistula organization One By One (OBO) joined forces with WFF. The good work started by OBO in Kenya is carried on under the WFF name. Let's End Fistula Phase II focuses on social reintegration and economic empowerment following surgical treatment. A dedicated local leadership team and 28 Regional Representatives recruited 216 survivors to form 12 solidarity groups for mutual support in improving survivors' economic positions.
In 2018, WFF and Let's End Fistula Initiative launched "Safe Motherhood: Preventing Obstetric Fistula" -- a childbirth injury education program. Survivors from our solidarity groups are teaching community members practices that will save lives, prevent injury and improve maternal and newborn outcomes.
Healing Women in Uganda
WFF has partnered with TERREWODE, a local organization headquartered in Soroti, Uganda, to treat childbirth injuries for nearly a decade. WFF has helped develop TERREWODE from a regional to a national organization over the years and is excited to soon see TERREWODE achieve a dream as old as our partnership. In 2018, TERREWODE began construction on a dedicated women's hospital that is expected to be fully operational in 2019. The hospital will be the new site for comprehensive childbirth injury prevention, advocacy and treatment programs — all delivered under one roof! In 2017, WFF awarded TERREWODE our largest grant ever: $675,000 over 5 years. WFF’s goal: help triple the number of women receiving treatment through this partnership. Currently, our partnership delivers these services to women through multiple locations.
Where we work
External reviews

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Our results
How does this organization measure their results? It's a hard question but an important one.
Number of clients who complete job skills training
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
Women are encouraged to participate in Education and Vocational Skills Training in literacy and health classes, as well as embroidery & sewing courses, handcrafting jewelry, and cooking & catering.
Number of medical professionals and advocates trained
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
In order to help prevent childbirth injuries, WFF provides medical professionals with enhanced training and community members with advocacy training.
Number of life-changing surgeries provided
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
Women receive life-changing surgery that restores their lives. WFF transports survivors to surgery performed by expert fistula surgeons and provides recovery and ongoing support services.
Goals & Strategy
Learn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Our mission is to protect and restore the health and dignity of the world’s most vulnerable women by preventing and treating devastating childbirth injuries.
What are the organization's key strategies for making this happen?
1. WFF offers comprehensive services to women suffering from childbirth injuries: life-changing surgery, individualized recovery plans and rehabilitation, literacy education, and vocational training.
2. WFF invests in programs to prevent more women from developing injuries. WFF provides enhanced education to local medical professionals and offers advocacy and awareness training to community members.
3. WFF strategically partners with local leaders and organizations in low-resource countries to increase capacity to address women's health care needs.
What are the organization's capabilities for doing this?
In addition to our three strategies above, WFF's capabilities include continuing to diversify our revenue sources through strategic grant seeking, individual donor programs, annual giving campaigns, and major donor cultivation. We continue to expand our Board of Directors as they deepen their commitment to our mission. WFF raises 100% of revenues from private donations and nearly 90% from individuals. Program costs represent 78% of our expenses (2017 Audit).
What have they accomplished so far and what's next?
2012: WFF opens a new fistula hospital, the Danja Fistula Center in Niger with operational partner, SIM
2013: WFF opens the Women's Empowerment Center in Uganda
2013: WFF launchs the Mekelle Medical Education Collaboration (MMEC) at Mekelle University in Ethiopia to train medical students and doctors
2016: WFF launches Ethiopia’s first Urogynecology Fellowship Program in partnership with Hamlin Fistula Ethiopia, Mekelle University, and St. Paul’s Millennium Medical School
2017: Holistic services launch in Burkina Faso with free surgery and empowerment training
2017: TERREWODE, WFF's longtime partner in Uganda, awarded $675,000 grant to help triple the number of women treated there
2017: Danja Fistula Center, Niger hosts national fistula camp and called, "best fistula facility in country"
2018: WFF joins forces with fistula organization, One By One, expands to Kenya
2018: Critical care training launches in Ethiopia to support complex surgeries/deliveries
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Worldwide Fistula Fund
Board of directorsas of 02/22/2022
Chris Payne
Vista Urology & Stanford University Emeritus Professor
Michael Wittek
Bluff Stone Vineyard
Tracy Spitznagle
Washington University, St. Louis
Nancy Muller
National Association for Continence
Rahel Nardos
Kaiser Permanente NorthWest
Drew Arenth
Macro-Eyes
Susan Brown
Cloudbreak
Kathleen Davis
Retired physician
Melissa Fleming
Lynette Franklin
Emory University
Quinton Friesen
SIM
Barbara Gauld
New Order Knits
Patrick Guilbaud
Winthrop University
Mary Rose Keller
Heron Therapeutics
Lynn Nye
Medical Minds
Holly Richter
University of Alabama at Birmingham
Chris Payne
Vista Urology
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? No -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
Race & ethnicity
No data
Gender identity
No data
No data
Sexual orientation
No data
Disability
No data