Severe childbirth injuries occur when labor is prolonged, obstructed, or poorly managed, often without timely access to skilled surgical care. These injuries are devastating, yet largely preventable. For women who survive childbirth, they can mean years of pain, isolation, and loss of dignity.
The Musa Project exists to ensure women do not have to live with injuries caused by gaps in care.
Many women arrive at Mbarara Regional Referral Hospital or our partner location hospitals after living with injury for years, sometimes decades.
An abnormal opening between the birth canal and bladder or rectum that causes constant leakage of urine or stool, frequent infections, and profound social isolation.
Extensive childbirth injuries that damage muscles and tissues essential for continence and pelvic support, often left unrepaired after delivery.
A painful and disabling condition in which the uterus, bladder, or rectum descends due to damaged pelvic muscles following traumatic or repeated childbirth.
Including scarring, nerve damage, and injuries caused by delayed or unsafe cesarean sections that require advanced reconstructive surgery.
In addition to adult patients, Musa and his surgical team treat approximately ten young girls each year who were either born with congenital fistulas or sustained severe genital injuries early in life. These cases require highly specialized care and long-term follow-up, underscoring the need for surgical systems capable of treating patients across the lifespan.

Severe childbirth injuries are not the result of individual failure. They are the result of system failure.
Women often face delayed access to skilled care, overcrowded and under-resourced hospitals, shortages of trained surgeons and anesthesia providers, unsafe or delayed cesarean deliveries, and long distances to referral facilities.
Without strong systems, preventable injuries become lifelong conditions.
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