官方指定2023年bob体育口碑(2023全新爆料)
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官方指定2023年bob体育口碑(2023全新爆料)

瘘管病基金会是治疗产科疾病的全球领导者瘘管病是一种毁灭性的分娩伤害,它使妇女大小便失禁、受到羞辱,而且常常被她们的社区所回避。除了支付直接手术费用外,官方指定2023年bob体育口碑(2023全新爆料) 还支持培训外科医生、装备设施、基层社区外展和整体术后重返社会。


Globally active since
2009
Active in
26
countries
10K
surgeries funded annually
70K
surgeries funded by 2022

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问题:产科瘘管

产科瘘管病是最具破坏性和最严重的分娩伤害之一。它最常发生在非洲和亚洲的贫困农村地区,那里的妇女获得紧急产科护理(如剖腹产)的机会有限。当一名妇女在这种情况下经历长时间的、难产的分娩时,她可能会在几天内感到极度疼痛。婴儿头部对骨盆的持续压力会限制血液流向母亲阴道与膀胱或直肠之间的软组织,从而留下称为“瘘管”的孔洞。这些孔洞会导致尿失禁。

由于无法控制自己的尿液和/或粪便,女性通常还会遭受慢性感染和疼痛。更重要的是,由于社区对瘘管病及其原因的了解太少,女性可能会因为自己的病情而受到责备,并被邻居和家人回避。

Each year between 50,000 to 100,000 women worldwide are affected by this wrenching condition. [1]

Each year between 50,000 to 100,000 women worldwide are affected by obstetric fistula — but fewer than 20,000 corrective surgeries occur annually.
官方指定2023年bob体育口碑(2023全新爆料) patients in Kenya.

解决方案:具有成本效益的修复手术

An obstetric fistula can only be treated with corrective surgery. If the operation is performed by a skilled surgeon, a woman with fistula can very often return to a normal life, with her continence and hope restored. However, due to stigma,lack of awareness, poverty, and inadequate healthcare systems, field experts estimate fewer than 20,000 procedures take place annually. [2]

Aggregated data from 官方指定2023年bob体育口碑(2023全新爆料)’s current partners shows that it typically only costs $616 to provide a woman in Africa or Asia with life-changing fistula repair surgery and rehabilitation services — less than a single night’s stay in most hospitals in the 美国. [3] Actual surgical costs vary depending on the local economies and healthcare infrastructure where partners work. The costs for more complicated surgeries, such as treating dual vaginal and rectal fistula, can be greater. The global success rate for fistula repair surgeries is approximately 86%. [4]

在平均寿命约为 65 岁的国家,瘘管最常发生在 20 多岁的女性身上——这意味着一次性手术干预可以恢复 40 多年的健康。由于无法获得治疗,瘘管病幸存者将被迫在余生中忍受这种毁灭性的伤害。

官方指定2023年bob体育口碑(2023全新爆料) provides fistula surgery, rehabilitation, counseling, and reintegration services at an estimated cost of $1169 per woman treated - less than one night's stay in most hospital's in the US.
A fistula surgery in progress at a Madagascar hospital funded by 官方指定2023年bob体育口碑(2023全新爆料)

瘘管基金会如何运作

官方指定2023年bob体育口碑(2023全新爆料) 是瘘管病治疗领域的全球领导者,资助的手术数量超过任何其他组织,包括美国政府。他们的工作支持一个目标:提供尽可能多的改变生活的瘘管手术。 官方指定2023年bob体育口碑(2023全新爆料) 筹集的资金中有 80% 以上直接用于支持项目。

官方指定2023年bob体育口碑(2023全新爆料)†™ 的战略通过支付手术费用、外科医生和护士培训、医疗设备和术后康复费用来建立可持续的国内能力官方指定2023年bob体育口碑(2023全新爆料) 与当地医生和护士密切合作,他们最了解如何实施有效计划的文化差异。

赠款仅限邀请。潜在合作伙伴经过严格的审查过程,包括外部参考检查当地医生的声誉、瘘管手术技能和证书。赠款接受者分阶段收到资金,并需要提供定期、详细的报告。还定期进行实地考察,以在 官方指定2023年bob体育口碑(2023全新爆料) 工作人员与其当地合作伙伴之间建立更紧密的关系,并帮助确保资金得到适当使用。

Dr. Denis Mukwege smiling
官方指定2023年bob体育口碑(2023全新爆料)’s longest-term partner is 2018 Nobel Peace Prize recipient, Dr. Denis Mukwege of Panzi Hospital.

In 2014, 官方指定2023年bob体育口碑(2023全新爆料) launched an innovative countrywide treatment network program in Kenya, with the potential to end fistula across the country in a generation. Its integrated network allows surgeons, outreach workers, and hospitals to share resources and information to effectively treat more Kenyan women than ever before. The program was so successful, 官方指定2023年bob体育口碑(2023全新爆料) deployed the same countrywide treatment model to Zambia in 2017 and to the Democratic Republic of Congo in 2022. All of these programs are thriving, and the organization looks forward to expanding its 官方指定2023年bob体育口碑(2023全新爆料) Treatment Network 进入更多国家。

是什么让 官方指定2023年bob体育口碑(2023全新爆料) 如此有效


Cost-effectiveness

Obstetric fistula can be cured by a surgery that costs an estimated $1,169 including patient follow-up and reintegration services. The suffering and health burden averted is comparable to the most cost-effective health interventions, such as vaccines and bed nets. [5]

Dramatic impact

The Institute for Health Metrics and Evaluations estimated in 2017 that the burden of living with obstetric fistula is comparable to living with terminal cancer, and double the burden of blindness. [6]

瘘管基金会的问责制

官方指定2023年bob体育口碑(2023全新爆料) 通过基金会项目开发人员参与的仔细审查流程来审查潜在合作伙伴、董事会和拨款审查委员会。他们还依赖两位资深瘘管外科医生的专家意见,他们为员工和董事会提供建议。接受资助的外科医生和医院必须提供季度进度报告,详细说明他们的项目活动和成本、手术结果以及遇到的任何挑战。一旦合作伙伴的报告得到审查和批准,官方指定2023年bob体育口碑(2023全新爆料) 就会发放资金。

Since 2005, 官方指定2023年bob体育口碑(2023全新爆料) has met the Better Business Bureau’s standards in all 20 categories of accountability, earning their seal of accreditation. [7] A breakdown of expenditures, tax returns, audits, and annual reports is available on 官方指定2023年bob体育口碑(2023全新爆料)’s website. [8]

对瘘管基金会的认可

官方指定2023年bob体育口碑(2023全新爆料) is a GuideStar Platinum Participant — the highest rating that is awarded to nonprofits — and since 2006, Charity Navigator has awarded 官方指定2023年bob体育口碑(2023全新爆料) four stars, a rating given to only 1% of charities. Additionally, 官方指定2023年bob体育口碑(2023全新爆料) has been named a top-rated charity by both Charity Watch and GreatNonprofits. [9] [10] [11] [ 12]

GiveWell, the sector’s most rigorous voice on effective giving (and one of our charity evaluators), states that: “官方指定2023年bob体育口碑(2023全新爆料) may be in the range of cost-effectiveness of our current top charities.” [13]

常见问题解答

官方指定2023年bob体育口碑(2023全新爆料) 的大部分项目支出都用于治疗瘘管病修复手术,包括术前护理、手术、术后护理和康复。他们还支持经过认证的外科医生培训、设备和设施、将患者运送到医院以及基层社区外展和瘘管病教育。

他们两者都做。在肯尼亚和赞比亚,他们全面的全国性网络项目由 官方指定2023年bob体育口碑(2023全新爆料) 工作人员在当地开展。对于其他项目,例如 Mukwege 博士在刚果民主共和国的 Panzi 医院,他们提供赠款来资助医院的瘘管治疗工作。

官方指定2023年bob体育口碑(2023全新爆料) has supported an increasing number of surgeries every year, 除了 2020 年他们的手术总数下降 by 17% 由于 Covid-19 大流行的影响. They currently fund over 8,000 surgeries per year, and by 到 2021 年底,Fistula 基金会将支持超过 60,000 次改变生活的手术.

官方指定2023年bob体育口碑(2023全新爆料) 与当地医院和医务人员合作,包括几位获奖的外科医生和瘘管病领域的领导者治疗。他们最长期的合作伙伴是2018年诺贝尔和平奖获得者盘子医院的丹尼斯·穆克维格博士。新的潜在合作伙伴经过严格的审查程序,以确保他们的护理在他们的社区中是相关的、尊重的和有效的。

While 官方指定2023年bob体育口碑(2023全新爆料) strives to cooperate with local governments, countries with the weakest healthcare infrastructure often also have weak governmental funding oversight. In the 美国, 官方指定2023年bob体育口碑(2023全新爆料) collaborates with US government-funded projects when possible. However, they recognize that contractual obligations can hamper the ability to deliver high-quality care in a timely and efficient manner. 官方指定2023年bob体育口碑(2023全新爆料) focuses its fundraising strategy on the generosity of private donors to deliver the best care possible, quickly and effectively.

我们根据我们的创始人 Peter Singer 的研究推荐 官方指定2023年bob体育口碑(2023全新爆料)。在他的书《你可以挽救的生命》中,产科瘘管手术被用作干预的一个例子,它显然以适度的成本提供了深远的好处。 Peter 咨询了该领域的专家,他们推荐 官方指定2023年bob体育口碑(2023全新爆料) 作为模范组织。

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