The field of obstetric fistula has historically lacked common definitions and data for measuring needs and outcomes. The USAID-funded, EngenderHealth-led projects Fistula Care and Fistula Care Plus have undertaken collaborative indicator development, introduced standardized data collection at health facilities, and promoted the integration of fistula indicators into national health management information systems (HMIS) to enable continued measurement and support for fistula treatment services. In keeping with its commitment to quality improvement, Fistula Care Plus also works to promote the use of data for decision making at the health care facility, within local governance and at the national level.