Despite its devastating impact on the lives of girls and women, obstetric fistula is still largely neglected in the developing world. It has remained a ��hidden���condition, because it affects some of the most marginalized members of the population��poor, young, often illiterate girls and women in remote regions of the world. On a global scale, the continued incidence of obstetric fistula in low-resource settings is one of the most visible indicators of the enormous gaps in maternal health care between the developed and developing world. Obstetric fistula still exists because health care systems fail to provide accessible, quality maternal health care, including family planning, skilled birth attendance, basic and emergency obstetric care, and affordable treatment of fistula. In addition, social systems are failing to provide a safety net for girls and women.
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