By Sandra Chuungu
Gertrude Naponsha, a 34-year-old mother of five from Samfya district, has undergone a transformative journey after suffering from fistula for five years.
Her story is one of resilience, hope, and gratitude. 
In 2018, Gertrude developed fistula after giving birth to her fifth child.
The condition left her with chronic incontinence, causing her immense physical and emotional pain.
“I used to pray to God to heal me,” she recalls.
For five years and five months, Gertrude lived with the debilitating condition, unable to have intimate relations with her husband.
She became a recluse, afraid of being stigmatized by her neighbours.
“I used to stay in the house, feeling ashamed and isolated,” she says.
However, Gertrude’s life took a dramatic turn when she underwent a successful fistula repair surgery at Mansa General Hospital, courtesy of the United Nations Population Fund (UNFPA).
“UNFPA repaired me, and everything is normal now,” she exclaims.
Gertrude is not alone in her journey.
According to hospital records, at least 50 women have undergone successful fistula repair surgeries at Mansa General Hospital in the past year, thanks to UNFPA’s support. These women, like Gertrude, have been given a second chance at life, free from the stigma and suffering of fistula.
Gertrude’s youngest child, who was born with fistula, is now a healthy and vibrant boy, set to start grade 1 in 2025.
“I am grateful that my child is healthy, and I am now able to take care of him without any challenges,” Gertrude says.
“I have decided to stop giving birth, and I am grateful for the support of my husband.”
Fistula is a debilitating condition that affects thousands of women in Zambia every year. It is often caused by prolonged labour, poor healthcare, and malnutrition.
Women with fistula often suffer from chronic incontinence, leading to social isolation, stigma, and economic hardship. However, with the support of organizations like UNFPA, women like Gertrude are able to access life-changing treatment and regain their dignity.
Gertrude’s story serves as a testament to the impact of UNFPA’s interventions in improving the lives of women and girls affected by fistula.
Her experience has also given her a new lease on life, and she is now an advocate for fistula awareness and prevention.
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