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25 year old Florence Matchumi from Kirundo got married in 2003. The birth of her first child was problematic. The local health centre could not help her and she was sent to a hospital further away. By the time she arrived she had lost her child and developed a fistula, a hole in the birth canal. After that she started leaking urine and her husband chased her away. Only after she started wearing special protective clothes could she return to her husband. Although she had a fistula, Florence gave birth to two more babies of which only one survived. Left untreated, fistula can lead to chronic medical problems, including ulcers and kidney disease. A simple surgical procedure can normally repair the injury, but the problem in Burundi is that there is no-one trained to perform the operation. Florence's operation was possible thanks to an initiative of Handicap International and Gynecologie Sans Frontieres.