Sara Nightaku __full__ Jun 2026

Through her advocacy, Nakuku has helped countless women access free or subsidized surgeries. She stands as living proof that a fistula diagnosis is not the end of a life, but a hurdle that can be overcome.

Obstetric fistula is a hole between the birth canal and the bladder or rectum, caused by prolonged, obstructed labor without access to timely, high-quality medical treatment. It leaves women incontinent, often leading to severe infections, ulcerations, and nerve damage.

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Nakuku experienced this isolation firsthand. For years, she lived in the shadows, her dignity stripped away by a condition that is entirely preventable and treatable. Her story mirrors that of millions of women in the developing world, where the "disease of poverty" creates a cycle of shame.

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Sara Nakuku’s journey is more than a personal success story; it is a indictment of global inequality in maternal care. While fistula has been virtually eliminated in the developed world, it continues to devastate the lives of the poorest and most marginalized women.