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2011 – Nampula, Mozambique – Gracinda Samuel is a 16 year old from Namicopo, she just gave birth to her first baby boy at the Maternity service of the Nampula Central Hospital. In 2003 the United Nations Population Fund (UNFPA), an international development agency that promotes the right of every woman, man and child to enjoy a life of health and equal opportunity, and its partners launched a global Campaign to End Fistula with the goal of making obstetric fistula as rare in developing countries as it is in the industrialized world. The Campaign is now working in 50 countries in Africa, Latin America, Asia and the Arab region. Obstetric fistula is a hole in the birth canal caused when a woman or girl suffers from prolonged obstructed labor and is unable to access emergency obstetric care – notably, a caesarean section, in time. The woman is left with chronic incontinence and, in most cases, a stillborn baby. An estimated 3.5 million women and adolescent girls are affected by obstetric fistula in developing countries and up to 100,000 new cases occur annually. Photo credit: Benedicte Desrus / Sipa Press / UNFPA