fistula is a disease caused by an injury in the genital area of the mother during childbirth this is most common in mothers who do not give birth to a doctor and need surgery which creates an abnormal passage that connects the bladder urethra and cervix or cervix and large intestine it causes a woman to constantly expel waste that we can call stray because it passes through the cervix and comes out of the vagina without a start which is why it is called kujoba in order for you to know enough about this disease we have used the statements of various health experts in an interview with agasarocom dr gedeon mulumba mukendi said that this is a very prevalent problem in developing countries in these countries many women suffer from violence difficult childbirth poor sanitation inadequately trained doctors etc all these are harmful to those parts of the woman that usually do not tolerate anything from the outside he said a woman who is late in pregnancy gives birth to a child with a large head or whose urine is full of bladder is at risk of damage because the longer the child struggles to expel the head the more blood vessels in the urinary tract are blocked and when it is in the cervix or perforating the urinary bladder dr gedeon says that there are times when the large intestine also leaks or the space between the cervix and the passage of the stool breaks down causing all the waste to pass through the cervix this disease has a lot of impact on the patient because if it is not treated it causes many consequences such as the cessation of menstruation sexual intercourse is no longer possible because the body where the waste passes remains as blind so that anything that touches it breaks like a sheet it can cause cancer and other infections that have a negative impact on human health often because of the constant smell of a person suffering from this disease his family complains about him and he is ostracized by himself dr gedeon continues to inform agasarocom that fistula is often treated within three months from the time a woman complains when it exceeds it is difficult because the position becomes soft and requires you to look for another one to replace it and it does not exist he continues to explain that at that time you can give him nothing but counseling to treat his depression and selfloathing because of the way he is treated in the society he lives in despite this the ministry of health did not sit down as dr anicet nzabonimpa the coordinator of the family planning program in minisante said at the time that rwanda has taken measures to eradicate this disease by encouraging women to give birth at a doctors office the ministry of health together with the united nations has decided to treat mothers who have been diagnosed with this disease throughout the country