Obstetric Fistula is a child birth injury resulting from prolonged obstructed labour without timely access to emergency obstetric care that leaves a woman with a hole between the birth canal and bladder and/or rectum through which a woman leaks her waste uncontrollably.
Curative Programs
Restorative Programs
Preventive Programs
At Let’s End Fistula Initiative (LEFI), we embrace a community-driven approach that bridges the gap between women living with fistula and clinical intervention. Each woman’s journey is deeply personal—and no one should suffer in silence from a condition that is both preventable and treatable.
For real and lasting change to be realized, the community must play a pivotal role. We therefore empower, position, and provide platforms for women with lived experience, the youth, and other strategic stakeholders in the community to take the lead in addressing the social, cultural, systemic, and economic challenges that contribute to maternal deaths and complications such as fistula.
Through advocacy and the strength of shared experience, we apply multifaceted approaches that help restore hope, dignity, and purpose—key ingredients in realizing attainable and sustainable solutions.
In all these, LEFI continues to transform lives and restore voices—contributing meaningfully to the global campaign to end obstetric fistula, and turning local action into lasting, life-changing impact.
At LEFI, Solidarity Groups are at the heart of our Reintegration Model.
Solidarity groups are composed of Fistula Survivors that serve as a vehicle through which LEFI rolls out its programming work.
To date LEFI has supported 39 Solidarity Groups consisting of over 833 members with a combined net worth of KES 19,246,891 Million Shillings ($148,912.) from their Income Generating Activities. These Groups are proof that when women stand together, community transformation is possible.