Obstetric fistula is a complication of childbirth that often follows obstructed labor and is almost exclusive to low-resource countries. The original Global Burden of Disease Study (GBD 1990 Study) reported an incidence of 8.68 per 100000 and a prevalence of 51.35 per 100,000 for women aged 15-44 years in low-resource regions. The most cited global prevalence estimate is 2 million women. Although the global burden of obstetric fistula remains unclear, the number of women suffering from the condition is increasing, while surgical treatment remains limited. There are few experienced fistula surgeons and past surgical training approaches have been inconsistent. The Global Competency-Based Fistula Surgery Training Manual developed by FIGO and partners contains a set curriculum and, to ensure its implementation, a global strategy and training program have been developed. This paper describes key elements of the training program and its implementation. The anticipated impact of the training program is a reduction in global morbidity caused by obstetric fistula.

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masculinist model and women who have achieved. However, the authors consider that they fit the 'male' model. There is a problem with the theoretical model that does not account for difference in experience. The book presumes that all women inevitably have children.No doubt the account explains many women's experiences. However, not all women choose to bear and raise children, and it is not satisfactory to attribute this difference to the 'male' model. Also, in a historical period of lifelong learning, women are starting new careers at different stages in their life. They may no longer be responsible for children and enjoy the opportunity to submerge themselves in work they regard as meaningful.