In anticipation of welcoming her eighth child, a heavily pregnant Ernestine had to make a two-day journey to the nearest hospital in the district of Mandritsara, Madagascar. She sat in a canoe and then walked for miles, eager to see her baby, but her joy was short-lived. Ernestine lost her baby during labor and had to travel back home in pain, walking with a health condition she had never heard of – obstetric fistula. Caused by prolonged and obstructed labor, obstetric fistula is a hole between the genital tract and the urinary tract or rectum, resulting in the leaking of urine, feces, or both.