A Call to Action to End Iatrogenic Fistula

Please join EngenderHealth on Wednesday, August 17, 2016, at 9:30 am Eastern Daylight Time for a webinar discussion on iatrogenic fistula.

Evidence is emerging that iatrogenic causes contribute significantly to the burden of genital fistula in low-income countries. Given the preventability and severity of fistula, data on iatrogenic fistula indicate the urgency of improving surgical training, supervision, and facility capacity, particularly amid increasing rates of cesarean section and gynecologic surgery in low-income countries. While data indicate the need for a consistent definition of iatrogenic fistula, people working on these issues have yet to reach a consensus on definitions or a minimum acceptable standard of surgical care in low-income countries. Join us for panelists’ presentations and a discussion to further the global effort to address these important issues.

Webinar learning objectives:

  • Review available data on iatrogenic fistula and recognize data gaps
  • Identify challenges around developing a consensus on the definition of iatrogenic fistula
  • Share successes in addressing iatrogenic fistula
  • Hold a discussion following the panelists’ presentations to establish next steps

Visit our website: www.fistulacare.org

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iatrogenic webinar inviteRegistration Information:


After registering, you will receive a confirmation email containing information about joining the webinar.


Panelists include:

Dr. Lauri Romanzi
Project Director
Lauri Romanzi is a physician and is Project Director for the Fistula Care Plus project. Dr. Romanzi is a U.S. board-certified gynecologist with subspecialty board credentials in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). She most recently served as Visiting Associate Professor of Female Pelvic Medicine at Yale University, engaged in fistula and FPMRS capacity building in Rwanda’s Human Resources for Health. She supported quality assurance at the Centre Hospitalier Universitaire de Kigali, developing graduate and postgraduate programs in gynecology and urogynecology for the University of Rwanda College of Health Sciences; she also developed a central academic and regional district hospital outreach care program for genital fistula, pelvic organ prolapse, incontinence, and other congenital and acquired pelvic floor disorders.

Vandana Tripathi, MPH, PhD
Deputy Project Director
Vandana Tripathi is the Fistula Care Plus Deputy Director. Before joining EngenderHealth, she worked on research studies related to maternal and newborn health, particularly quality of care measures in Sub-Saharan Africa, through projects at the Johns Hopkins Bloomberg School of Public Health and the Maternal and Child Health Integrated Program. Prior to this, she served as the head of programs at HealthRight International, where she supervised the development, implementation, and evaluation of health and human rights projects, both globally and in the United States. Vandana has also worked on reproductive health and HIV and AIDS programs at a variety of organizations, including Planned Parenthood of New York City and the Ford Foundation. Vandana received her PhD from Johns Hopkins University, her MPH in maternal and child health from the University of North Carolina–Chapel Hill, and her BA from Brown University.


The webinar will be moderated by Bethany Cole, the Global Projects Manager on the Fistula Care Plus project. Please direct any inquiries about the FCoP or the webinar to [email protected].

The Fistula Care Plus project, in coordination with the U.S. Agency for International Development, manages the FCoP. The purpose of the FCoP is to facilitate collective learning, knowledge sharing, coordination, and technical resource development related to preventive care, detection, treatment, and reintegration support for women and their families and communities and to leverage that within the global conversation and activity around fistula.