After the Surgery.


Obstetric Fistula occurs as a result of prolonged labor without prompt medical intervention, causing a hole in a woman’s birth canal which leaves her with chronic incontinence and in most cases loss of the baby. Women in this conditions are often afraid, have lost hope, are living in shame and worse still are shunned or blamed among their peers and the society for the condition and are unable to earn money, Most fall deeper into poverty and further despair. These women desperately need counselling as much as they much as they need the surgeries. Wadadia ensures to reach these women through media, door-to-door, Wadadia Fc Kick Fistula Out of Africa and outreaches dubbed ActionOnFistula.

Fistula survivors at the hairdressing and bead work center

Wadadia employs psycho social counselling coupled with various skills training namely computer, Hairdressing, Bead work, tailoring and quilts training as a way to jump-start the reintegration process of Fistula survivors back into the communities after they have received the constructive surgery.

The survivors during one of the weekly Quilts training.

Most if not all of the women who suffer from the traumatic condition are often detached and heartbroken hence the need for the psycho social counselling and therapy.

The skills training enables the adolescent girls and women to earn an income and build a crucial life skills. We are committed and dedicated to make the world a better place for Fistula survivors by ensuring that we guide and stand by them giving them a voice and every support deemed necessary during the recovery. These Women must know that they are not alone, we are committed to offering them the much needed care, therapy to enable them make peace with the people who mocked/abandoned them, for them to feel part of the society and for them to feel the love. it pains to see some of them totally detached.







Kick Fistula Out Of Africa 2017 Season Update.


Empowering Women Through Sports, it was songs and dances from wadadia fans as WADADIA women leg ball team played its last match last Sunday against Bulemia Fc at the Mumias sports complex ground and this is how it went down,our  girls had excellent ball possession, good display good runs and not one but seven goals to show for it, full time score 7:0 A big thank you to our fans. ”It was a good game but a difficult one, Bulemia Fc is a very competitive team, but being our last match we were determined to make the last statement, we complement our opponents for making it tough for us,’’ states a proud Lucy who scored more than three goals for wadadia fc during the match.

The Wadadia leg ball squad minutes before the match.

Wadadia’s fans and Fistula survivors who turned up to cheer the team

The songs and dances hit climax as the fans meet the players after the match.

Good ball possession.


It was a big win for Fistula as more women and girls came out for screening and some of the spectator’s referred their loved ones and we are proud that two Obstetric Fistula patients are already at the facility awaiting treatment. The team has throughout the season maintained their zeal towards ensuring that the Fistula message of hope reaches more audiences through their home and away matches. Finishing at number 3 the team is optimistic that come next season they will be better placed to tackle the games. WADADIA FC is a family that is cultivating future generations in ways of  Fistula prevention and treatment awareness and we have been nicknamed as ‘’messengers of Hope’ ’adds a smiling Marion who is Wadadia’s midfielder.

A player sensitizing audiences on fistula after the match

Yesterday the team together with the Wadadia management met at the organization’s Boardroom to deliberate and reflect on the season’s activities, experiences and most importantly on the team’s mission to educate the public about Fistula. The lead director appreciated the team’s efforts and assured them of her support next session, the players were encouraged to maintain discipline in preparations for next season, Some of the leg ball members who attend quilts and computer training classes under the Wadadia’s reintegration program  were urged to continue with the positive attitude towards gaining new skills to better themselves. The girls were reminded and encouraged to continue accessing the psycho social services which are available 24/7 when going through challenging situations.

Because of this powerful group of Kick Fistula Out Of Africa who are very determined to ensure that there are zero fistula cases in Kenya, we are certain that the future is bright for all our girls and women, Because of the mentor-ship and fistula training from the Wadadia management team the ActionOnFistula program has been and continue to be successful. Because of our partnerships and the support of our Donors the Fistula Foundation, Our work continues to spread across the country and beyond. Because of you the community reading this, we will End Fistula in our Lifetime.









Wadadia has 20 and active peer educators  trained with Aphia Plus through KANCO targeting Female sex workers, the peer educators are working in different hot spots identified in Mumias, Matungu and Khwisero district, all the peer educators conduct peer education and outreach with the peers that follow national standards in order to be counted as reached, this is to ensure that participants gain knowledge and demonstrate needed skills, and that referrals made are in fact effective, and show specific behavioral outcome

The peer educators also carry out small group HIV prevention interventions typically which include two or more sessions, although each intervention may vary, participants must complete the required number of interventions in order to be counted as reached, this is to ensure that participants gain the knowledge gain and demonstrate needed skills, refferls made are in fact effective and demonstrate specific behavioral outcomes, in small group the peers are taken through a four session series which covers a specific topic in which participants are taken through the 4 steps of the risk reduction cycle

Some of the intervention registered by the peer educators includes,

-HIV prevention                                            -HIV &STIs                                -HIV & Reproductive health

-HIV & Sexual/gender based violence    -HIV &Alcohol & drug              -HIV &Maternal Health

-HIV &Empowerment                                 -HIV & Malaria                        -HIV &Economic strengthening

-HIV & Community activism                  -HIV &Mental Health                  -Care and Support


Risk assessment helps the peers to determine the discussions that the peer needs to have to arrive at the root cause of the risk, this risk could be behavioral or situational, the risk reduction option and strategy depends on; the most effective or high impact prevention intervention and the contextual issues that might call for structural interventions, the peer educators helps the peers to understand and internalize the sources of their risk and navigate through risk reduction options.

They make their peers understand that they are at risk, what puts them at risk and what they can do to reduce or eliminate these risks factors, risk assessment helps them to conduct risk assessment for HIV, it also helps them to uncover risks arising from sexual and gender based violence, to count the client as being reached, the peers educators ensures that the peers complete risk assessment and have risk reduction plan.

The peers educators makes sure that after initial enrollment and the first risk assessment is done, they conduct a Check in visit or follow up at minimum every 3 months, During a check –in visit, a new risk assessment is carried out and new risk reduction plan developed, the date of the check in visit is recorded, the peer educators ensures that they always discuss the progress of their peers by reviewing the old plan, develop a new plan based on their view of the old plan and current situation

Some of the Risky behaviors identified by the peers’ educators include;

    • Unprotected sex with partner of unknown status
    • Casual unprotected sex(with multiple partners or paying client )
    • Delayed treatment for STIS
    • Alcohol consumption
    • Drug use
    • Occupational hazards or the exposures to bodily fluids
    • Sexual and Gender based violence


The peers educators are linked to various health facilities where they refer their peers, and every referral is tracked and recorded, the following are some of the referral being tracked by the peer educators

-HTC-HIV counseling and testing         -STI-Screening for sexually transmitted diseases

-VMMC-Voluntary Male Circumcision       -TB- Tuberculosis screening

-CVCX-Cervical screening                            – EC/FP-Emergency Contraception/Family planning

-GBV-Rape care PEP, Post rape counseling, etc       -A&D –Alcohol &drug counseling

-PSS-Psycho-social support services                             -FSS-Family & social services

-LA-Legal Aid