When Gafirigi described his 4-year-old daughter Antoinette as weak, feverish and vomiting, Monique Nirere knew what to do.
Dozens of women arrived outside of a tent in Musanze, Rwanda, for the chance to reclaim their lives. Many of the women were suffering with obstetric fistula, a childbirth-related injury that can result in incontinence and stench. Because of this, some had been living in obscurity; some had been shunned by their families and friends; and many of them had been struggling to live quiet lives despite the pain and shame. Globally, the World Health Organization estimates that between 50,000 and 100,000 women are affected by obstetric fistula every year.
Three miles and two mountains away from the Mataba Health Center lives a family whose remote locale proves just how far health care workers in Rwanda will go to find a case of malaria. Sitting in his unlit house, a cow mooing in the background and rain pounding on the roof, Fabien Nsengiyumva told the