Kesande is a 29-year-old woman from Uganda from a family of small scale farmers. She was born in a family of five siblings including two boys, one a health worker and anther one is a mobile trader. All the three daughters are married and are small scale farmers as well. Kesande dropped out of school at senior three due to lack of school fees since her older brother was joining university and her parents couldn’t afford paying for them all at once. She earns a living through operating a small hotel while her husband works in a stone quarry and she can’t afford the costs of her needed surgery.
Kesande presented at our care center with a severe vaginal opening, which she has experienced for almost three years now. She often feels stool incontinence and on examination, it was indicated that she has a poorly healed 3rd degree perianal tear. This has made her feel uncomfortable and to have a poor quality of life. If not treated, symptoms may persist.
Kesande had never been in any hospital for treatment of her condition but having heard of our program at Nyakibale hospital, she decided to come for any possibility of support. A coloporraphy is recommended as treatment for the betterment of her health.