UNFPA partnered with EngenderHealth to conduct a first-ever study on the occurrence of fistula in nine countries in sub-Saharan Africa (Benin, Chad, Malawi, Mali, Mozambique, Niger, Nigeria, Uganda and Zambia). The report offers a glimpse of the issue as seen through the eyes of clients who seek services and professional health workers in 35 hospitals where fistula is treated. It highlights the urgent need for equipment, skilled medical staff and surgical supplies in order to meet the high demand for care.